Kazunori Ochiai

The Jikei University School of Medicine · Department of Obstetrics and Gynecology
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Publications (58) View all

  • Article: Cytokine gene expression signature in ovarian clear cell carcinoma.
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    ABSTRACT: Cytokine expression in a tumor microenvironment can impact both host defense against the tumor and tumor cell survival. In this study, we sought to clarify whether the cytokine gene expression profile could have clinical associations with ovarian cancer. We analyzed the expression of 16 cytokine genes (IL-1α, IL-1β, IL-2, IL-4, IL-5, IL-8, IL-10, IL-12p35, IL-12p40, IL-15, IFN-γ, TNF-α, IL-6, HLA-DRA, HLA-DPA1 and CSF1) in 50 ovarian carcinomas. Hierarchical clustering analysis of these tumors was carried out using Cluster software and differentially expressed genes were examined between clear cell carcinoma (CCC) and other subtypes. Following this examination we evaluated the biological significance of IL-6 knockdown in CCC. Unsupervised hierarchical clustering analysis of cytokine gene expression revealed two distinct clusters. The relationship between the two clusters and clinical parameters showed statistically significant differences in CCC compared to other histologies. CCC showed a dominant Th-2 cytokine expression pattern driven largely by IL-6 expression. Inhibition of IL-6 in CCC cells suppressed Stat3 signaling and rendered cells sensitive to cytotoxic agents. The unique cytokine expression pattern found in CCC may be involved in the pathogenesis of this subtype. In particular, high IL-6 expression appears likely to be driven by the tumor cells, fueling an autocrine pathway involving IL-6 expression and Stat3 activation and may influence survival when exposed to cytotoxic chemotherapy. Modulation of IL-6 expression or its related signaling pathway may be a promising strategy of treatment for CCC.
    International Journal of Oncology 06/2012; 41(3):1094-100. · 2.40 Impact Factor
  • Article: [Molecular genetic of ovarian cancer].
    Nippon rinsho. Japanese journal of clinical medicine 06/2012; 70 Suppl 4:475-9.
  • Article: [Cooperative researches for gynecologic cancers in Japan].
    Satoshi Takakura, Kazunori Ochiai
    Nippon rinsho. Japanese journal of clinical medicine 06/2012; 70 Suppl 4:52-8.
  • Article: [Treatment overview of ovarian cancer].
    Nozomu Yanaihara, Kazunori Ochiai
    Nippon rinsho. Japanese journal of clinical medicine 06/2012; 70 Suppl 4:557-9.
  • Article: Feasibility study of paclitaxel plus carboplatin in patients with endometrial cancer: A Japan Kanto Tumor Board study (JKTB trial).
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    ABSTRACT: Aim:  The optimal chemotherapy regimen for patients with endometrial cancer has not been established. We assessed the feasibility of paclitaxel plus carboplatin (TC) for postoperative chemotherapy in patients with endometrial cancer. Material and Methods:  Patients with newly diagnosed endometrial cancer received TC (paclitaxel 180 mg/m(2) , carboplatin AUC6 mg/mL/min) every three weeks. Treatment was continued until disease progression or completion of six cycles. Toxicities were evaluated every cycle according to NCI-CTCAE version 3.0. Results:  Sixty patients were registered from December 2005 through November 2006. Forty-four of 60 (73.3%) cases completed all of the planned six cycles. Grades 3 and 4 hematologic toxicities were observed as follows: leukopenia (61.7%), neutropenia (95.0%), anemia (21.7%), and thrombocytopenia (5.0%). There were six patients who dropped out from the protocol by neutropenia. Grade 3 non-hematologic toxicities were observed as follows: nausea (3.3%), vomiting (1.7%), neuropathy (5.0%), myalgia (6.7%) and constipation (1.7%). No grade 4 non-hematologic toxicity was observed. Conclusion:  This TC regimen is feasible for endometrial cancer patients.
    Journal of Obstetrics and Gynaecology Research 05/2012; · 0.94 Impact Factor

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