1.A Survey of the relationships between outcomes from therapy and patients background in the therapy of smoking cessation
Hiroko Horie ; Takanori Nakamura ; Shigetaka Kuroki ; Naofumi Ono ; Takahisa Eguchi ; Atsushi Kinoshita ; Gisho Honda ; Fusao Komada
Japanese Journal of Drug Informatics 2010;11(3):180-188
Purpose: With the aim of improving the efficiency of smoking cessation treatment, we analyzed and classified various factors to identify the relationships between the background of patients and effects of treatment, and examine their characteristics.
Methods: We conducted a questionnaire survey to collect information on the situation of patients, and obtained their treatment data from medical records. Decision tree analysis, a data mining method, was employed to examine these data.
Results: According to the results of the survey, the smoking cessation rate was 80.4%. The rate was associated with CO concentrations in the breath at the initial examination, nicotine content in cigarettes smoked by patients, and the daily and total number of cigarettes smoked. The smoking cessation rate among patients under emotional stress was 76.2%; the rate was higher when patients were able to reduce their mental stress levels.
Conclusion: We identified characteristic relationships between the background of patients and the effects of treatment, and they proved to be useful for the improvement of the smoking cessation rate.
2.Upregulation of epidermal growth factor receptor 4 in oral leukoplakia.
Hiroshi KOBAYASHI ; Kenichi KUMAGAI ; Akito GOTOH ; Takanori EGUCHI ; Hiroyuki YAMADA ; Yoshiki HAMADA ; Satsuki SUZUKI ; Ryuji SUZUKI
International Journal of Oral Science 2013;5(1):14-20
In the present study, we investigate the expression profile of the epidermal growth factor receptor family, which comprises EGFR/ErbB1, HER2/ErbB2, HER3/ErbB3 and HER4/ErbB4 in oral leukoplakia (LP). The expression of four epidermal growth factor receptor (EGFR) family genes and their ligands were measured in LP tissues from 14 patients and compared with levels in 10 patients with oral lichen planus (OLP) and normal oral mucosa (NOM) from 14 healthy donors by real-time polymerase chain reaction (PCR) and immunohistochemistry. Synchronous mRNA coexpression of ErbB1, ErbB2, ErbB3 and ErbB4 was detected in LP lesions. Out of the receptors, only ErbB4 mRNA and protein was more highly expressed in LP compared with NOM tissues. These were strongly expressed by epithelial keratinocytes in LP lesions, as shown by immunohistochemistry. Regarding the ligands, the mRNA of Neuregulin2 and 4 were more highly expressed in OLP compared with NOM tissues. Therefore, enhanced ErbB4 on the keratinocytes and synchronous modulation of EGFR family genes may contribute to the pathogenesis and carcinogenesis of LP.
Adult
;
Aged
;
Amphiregulin
;
Betacellulin
;
EGF Family of Proteins
;
Epidermal Growth Factor
;
metabolism
;
Epiregulin
;
Female
;
Gene Expression Profiling
;
Glycoproteins
;
metabolism
;
Heparin
;
metabolism
;
Heparin-binding EGF-like Growth Factor
;
Humans
;
Intercellular Signaling Peptides and Proteins
;
metabolism
;
Keratinocytes
;
metabolism
;
Leukoplakia, Oral
;
metabolism
;
Lichen Planus, Oral
;
metabolism
;
Ligands
;
Male
;
Middle Aged
;
Mouth Mucosa
;
metabolism
;
Nerve Growth Factors
;
Neuregulins
;
metabolism
;
RNA, Messenger
;
metabolism
;
Real-Time Polymerase Chain Reaction
;
Receptor, Epidermal Growth Factor
;
metabolism
;
Receptor, ErbB-2
;
metabolism
;
Receptor, ErbB-3
;
metabolism
;
Receptor, ErbB-4
;
Receptors, Cell Surface
;
metabolism
;
Transforming Growth Factor alpha
;
metabolism
;
Up-Regulation
;
physiology