Journal ArticleJHLT Open · February 2026
BACKGROUND: Lungs from older donation after circulatory death (DCD) donors are underutilized; however, these organs may represent an opportunity to expand the donor pool. Herein, we evaluated utilization and outcomes of lung transplants using lungs from ol ...
Full textOpen AccessLink to itemCite
Journal ArticleNat Immunol · January 7, 2026
Glycolysis and mitochondrial fatty acid oxidation (FAO) regulate CD8+ T cell differentiation, but how this metabolic balance regulates T cell exhaustion is unclear. PD-1 signaling inhibits glycolysis and enhances FAO. Here, we show that CD8+ T cells in tum ...
Full textLink to itemCite
Journal ArticleCancer Res · December 10, 2025
Brain metastases are frequent and often lethal complications of advanced cancers. Microglia, resident immune cells of the brain, are known to exert both anti-tumor and pro-tumor functions in late-stage metastases; however, their response during the initial ...
Full textLink to itemCite
Journal ArticleJhlt Open · November 1, 2025
Ischemia reperfusion injury (IRI) is a significant risk factor for primary graft dysfunction following lung transplantation. Toll-like receptor 4 (TLR4) signaling plays an important role not only in IRI but also in the development of acute and chronic allo ...
Full textCite
Journal ArticleJ Heart Lung Transplant · September 2025
Co-stimulatory blockade has emerged as a promising strategy for preventing acute and chronic rejection in solid organ transplantation. This study investigates the efficacy of cytotoxic T-lymphocyte-associated protein-4-Ig (CTLA4-Ig), a T-cell co-stimulatio ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · August 2, 2025
OBJECTIVES: This study aimed to evaluate the impact of skeletal muscle loss during the waiting period on postoperative outcomes following lung transplantation for interstitial lung disease. METHODS: This retrospective analysis included adult patients with ...
Full textLink to itemCite
Journal ArticleJ Infect Chemother · August 2025
Ganciclovir (GCV) plays an important role in preventing cytomegalovirus (CMV) infection after lung transplantation. Because of the large inter-individual and intra-individual variabilities in GCV pharmacokinetics, it has been suggested that individualized ...
Full textLink to itemCite
Journal ArticleLung Cancer · June 2025
BACKGROUND: This study aimed to investigate the characteristics and clinical courses of patients with pulmonary large cell neuroendocrine carcinoma (LCNEC) and compare the differences across lung cancer types. METHODS: This prospective study included 11,31 ...
Full textLink to itemCite
Journal ArticleERJ Open Res · May 2025
The number of alveolar attachments to the small airways correlates with D LCO in smokers, both with and without COPD. Early smoking-related lung pathology is reflected in impaired D LCO. https://bit.ly/4fY3QUr. ...
Full textLink to itemCite
Journal ArticleJ Infect Chemother · April 2025
Ganciclovir and valganciclovir are utilized in the treatment of cytomegalovirus infection and its reactivation following lung transplantation. However, treatment complexity arises due to the development of resistant viruses. Recently, therapeutic drug moni ...
Full textLink to itemCite
Journal ArticleJ Thorac Cardiovasc Surg · February 2025
BACKGROUND: Donor lung procurement and preservation is critical for lung transplantation success. Unfortunately, the large variability in techniques impacts organ utilization rates and transplantation outcomes. Compounding this variation, recent developmen ...
Full textLink to itemCite
Journal ArticleJ Infect Chemother · December 2024
INTRODUCTION: Tixagevimab and cilgavimab (T/C) are neutralizing antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that can be used to prevent SARS-CoV-2 infection in solid organ transplant (SOT) recipients. However, their neut ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · November 28, 2024
OBJECTIVES: This study was designed to examine the outcomes of adult living-donor lobar lung transplants (LDLLTs) using small-for-size grafts. METHODS: A calculated graft forced vital capacity of <50% of the predicted forced vital capacity of the recipient ...
Full textLink to itemCite
Journal ArticleAsian Cardiovasc Thorac Ann · September 2024
The management of malignant melanoma with pulmonary metastases is controversial and occasionally requires multimodality management, including pulmonary metastasectomy after immune checkpoint inhibitors (ICIs). However, limited data are available on these p ...
Full textLink to itemCite
Journal ArticleClin Lung Cancer · September 2024
OBJECTIVES: The objective of this study was to clarify the clinicopathological features and prognostic factors of resected lung adenosquamous carcinoma (ASC) using a nationwide multi-institutional database. METHODS: We retrospectively reviewed the records ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · August 2, 2024
OBJECTIVES: This study evaluated the effect of intratracheal administration of basic fibroblast growth factor (bFGF) on tracheal healing following implantation of a novel layered polyglycolic acid (PGA) material to replace a critical-size defect in rat tra ...
Full textLink to itemCite
Journal ArticleAuris Nasus Larynx · June 2024
OBJECTIVE: Primary ciliary dyskinesia (PCD) is a relatively rare genetic disorder that affects approximately 1 in 20,000 people. Approximately 50 genes are currently known to cause PCD. In light of differences in causative genes and the medical system in J ...
Full textLink to itemCite
Journal ArticleAm J Transplant · June 2024
Chronic lung allograft dysfunction (CLAD) remains one of the major limitations to long-term survival after lung transplantation. We modified a murine model of CLAD and transplanted left lungs from BALB/c donors into B6 recipients that were treated with int ...
Full textLink to itemCite
Journal ArticleSci Rep · May 3, 2024
Effective treatment for advanced lung cancer and idiopathic interstitial pneumonia (IIP) remains an unmet medical need. The relationship between chemotherapy's effectiveness in advanced lung cancer and the risk of acute exacerbation of IIP is poorly invest ...
Full textLink to itemCite
Journal ArticleJhlt Open · May 1, 2024
Background: Extracorporeal membrane oxygenation (ECMO) has been frequently used instead of cardiopulmonary bypass (CPB) as extracorporeal circulatory support during cadaveric lung transplantation. This study compared the outcomes of intraoperative CPB or E ...
Full textCite
Journal ArticleEur Respir Rev · April 30, 2024
With the emergence of lung cancer screening programmes and newly detected localised and multifocal disease, novel treatment compounds and multimodal treatment approaches, the treatment landscape of non-small cell lung cancer is becoming increasingly comple ...
Full textLink to itemCite
Journal ArticleMol Cancer Ther · April 2, 2024
EGFR-tyrosine kinase inhibitors (TKI) are the first-line therapies for EGFR mutation-positive lung cancer. EGFR-TKIs have favorable therapeutic effects. However, a large proportion of patients with EGFR mutation-positive lung cancer subsequently relapse. S ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · March 29, 2024
OBJECTIVES: Preoperative intravenous epoprostenol therapy can cause thrombocytopaenia, which may increase the risk of perioperative bleeding during lung transplantation. This study aimed to determine whether lung transplantation can be safely performed in ...
Full textLink to itemCite
Journal ArticleERJ Open Res · March 2024
BACKGROUND: In interstitial pneumonia (IP)-associated lung cancer, immune checkpoint inhibitor pneumonitis (ICIP) is common with immune checkpoint inhibitor (ICI) treatment. The purpose of the present study was to clarify the safety and efficacy of ICI tre ...
Full textLink to itemCite
Journal ArticleAsian Cardiovasc Thorac Ann · March 2024
BACKGROUND: The vascular division sequence in video-assisted thoracic surgery (VATS) lung resection is usually determined by the handling difficulty due to the limited surgical view through the scope. However, upfront pulmonary vein division is theoretical ...
Full textLink to itemCite
Journal ArticleInterdiscip Cardiovasc Thorac Surg · January 2, 2024
OBJECTIVES: Lung retransplantation has been performed as a treatment option mainly for chronic lung allograft dysfunction; however, the outcomes of lung retransplantation have been reported to be worse than those of primary lung transplantation. Because of ...
Full textLink to itemCite
Journal ArticleJ Heart Lung Transplant · January 2024
Living-donor lobar lung transplantation (LDLLT) is indicated for critically ill patients who would not survive the waiting period in the case of severe brain-dead donor shortage. It is essential to confirm that potential donors are willing to donate withou ...
Full textLink to itemCite
Journal ArticleJ Heart Lung Transplant · January 2024
BACKGROUND: We have shown the efficacy of CD26/dipeptidyl peptidase 4 (CD26/DPP-4) inhibitors, antidiabetic agents, in allograft protection after experimental lung transplantation (LTx). We aimed to elucidate whether CD26/DPP-4 inhibitors effectively impro ...
Full textLink to itemCite
Journal ArticleJ Clin Oncol · December 1, 2023
Clinical trials frequently include multiple end points that mature at different times. The initial report, typically based on the primary end point, may be published when key planned co-primary or secondary analyses are not yet available. Clinical Trial Up ...
Full textLink to itemCite
Journal ArticleERJ Open Res · September 2023
INTRODUCTION: Airway eosinophilic inflammation is a pathological feature in a subgroup of patients with COPD and in some smokers with a high COPD risk. Although blood eosinophil count is used to define eosinophilic COPD, the association between blood eosin ...
Full textLink to itemCite
Journal ArticleAm J Transplant · September 2023
ABO-incompatible (ABO-I) living-donor lobar lung transplantation (LDLLT) was successfully performed in a 14-year-old girl who suffered from bronchiolitis obliterans due to graft-versus-host disease following hematopoietic stem cell transplantation. In the ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · May 2, 2023
OBJECTIVES: Polyglycolic acid (PGA) sheets are difficult to adapt to the central airway because of poor durability against high air pressure. Therefore, we developed a novel layered PGA material to cover the central airway and examined its morphologic trai ...
Full textLink to itemCite
Journal ArticleAsian Cardiovasc Thorac Ann · May 2023
The transmanubrial approach first reported by Grunenwald in 1997 is well-known for superior sulcus lung malignancies involving the thoracic inlet. Because an anterior approach to levels below Th2 is difficult without removing the manubrium, we used the tra ...
Full textLink to itemCite
Journal ArticleJ Heart Lung Transplant · May 2023
BACKGROUND: Living-donor lobar lung transplantation (LDLLT) remains a life-saving option for pediatric patients with respiratory failure. However, the long-term survival and post-transplant quality of adult lobar grafts transplanted into children are unkno ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · April 3, 2023
OBJECTIVES: Living-donor lobar lung transplantation (LDLLT) is a life-saving procedure for critically ill patients with various lung diseases, including pulmonary hypertension (PH). However, there are concerns regarding the development of heart failure wit ...
Full textLink to itemCite
Journal ArticleRespir Investig · March 2023
BACKGROUND: The clinical questions of whether chemotherapy as initial treatment, compared with best supportive care (BSC), improves overall survival (OS) and whether it increases the occurrence risk of acute exacerbation of idiopathic interstitial pneumoni ...
Full textLink to itemCite
Journal ArticleOperative Techniques in Thoracic and Cardiovascular Surgery · March 1, 2023
In standard bilateral living-donor lobar lung transplantation (LDLLT), right and left lower lobes donated by 2 healthy donors are implanted into a recipient after right and left pneumonectomies. Because only 2 lobes are implanted, the grafts may be too sma ...
Full textCite
Journal ArticleAsian Cardiovasc Thorac Ann · February 2023
Owing to the prevalence of robot-assisted thoracoscopic surgery and the increase in the number of small lung cancer cases, robot-assisted thoracoscopic segmentectomy cases have also been increasing. For small lung cancers, such as ground-glass opacity lesi ...
Full textLink to itemCite
Journal ArticleBlood Adv · January 10, 2023
Patients with pulmonary graft-versus-host disease (pGVHD) have a poor prognosis after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Furthermore, pGVHD pathogenesis is not fully elucidated in humans, and currently available immunosuppressa ...
Full textLink to itemCite
Journal ArticleJ Thorac Cardiovasc Surg · January 2023
OBJECTIVE: The use of mechanical circulatory support (MCS) in lung transplantation has been steadily increasing over the prior decade, with evolving strategies for incorporating support in the preoperative, intraoperative, and postoperative settings. There ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · December 2, 2022
OBJECTIVES: We developed a novel wireless localization technique after electromagnetic navigation bronchoscopy-guided radiofrequency identification marker placement for fluoroscopically invisible small lung lesions. We conducted an observational study to i ...
Full textLink to itemCite
Journal ArticleCell Death Dis · November 19, 2022
Tuft cells are chemosensory epithelial cells in the respiratory tract and several other organs. Recent studies revealed tuft cell-like gene expression signatures in some pulmonary adenocarcinomas, squamous cell carcinomas (SQCC), small cell carcinomas (SCL ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · October 4, 2022
OBJECTIVES: The aim of this study was to analyse the long-term survival outcomes and prognostic factors of patients receiving epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) as first-line treatment for postoperative recurrent EGFR-m ...
Full textLink to itemCite
Journal ArticleSci Adv · September 23, 2022
In the initial process of coronavirus disease 2019 (COVID-19), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infects respiratory epithelial cells and then transfers to other organs the blood vessels. It is believed that SARS-CoV-2 can pass t ...
Full textLink to itemCite
Journal ArticleJ Cardiothorac Vasc Anesth · August 2022
Bronchovenous fistula (BVF) is a rare complication and can cause arterial gas embolism in vital organs, including the heart and the brain, resulting in a high mortality rate. A 51-year-old man developed a BVF during pneumonectomy for lung transplantation, ...
Full textLink to itemCite
Journal ArticleInteract Cardiovasc Thorac Surg · July 9, 2022
Lung parenchyma-sparing bronchial resection is uncommon, and the operative procedure depends on the cause and location of the stenosis. We present 6 cases and discuss the different surgical strategies for sleeve resection of the central airway without lung ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · June 15, 2022
OBJECTIVES: Radiologically invasive non-small-cell lung cancer, defined as consolidation size to maximum tumour diameter ratio of over 0.5, is associated with pathological invasiveness and worse prognosis. However, there are no real-world, nationwide datab ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · June 15, 2022
OBJECTIVES: Identifying the risks for chronic lung allograft dysfunction (CLAD) after lung transplantation (LTx) is beneficial to the patient. We hypothesized that diabetes mellitus (DM) is relevant to CLAD development. Our study aimed to clarify if DM is ...
Full textLink to itemCite
Journal ArticleInteract Cardiovasc Thorac Surg · May 2, 2022
OBJECTIVES: Recently, preoperative and intraoperative simulation using three-dimensional computed tomography (CT) has attracted much attention in thoracic surgery. However, because conventional three-dimensional CT only shows static images, dynamic simulat ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · March 24, 2022
OBJECTIVES: The short-term efficacy of virtual-assisted lung mapping (VAL-MAP), a preoperative bronchoscopic multi-spot lung-marking technique, has been confirmed in 2 prospective multicentre studies. The objectives of this study were to analyse the local ...
Full textLink to itemCite
Journal ArticleInteract Cardiovasc Thorac Surg · February 21, 2022
OBJECTIVES: To clarify survival outcomes and prognostic factors of patients receiving epidermal growth factor receptor (EGFR) - tyrosine kinase inhibitors (TKIs) as first-line treatment for postoperative recurrence. METHODS: A retrospective chart review wa ...
Full textLink to itemCite
Journal ArticleSupport Care Cancer · February 2022
PURPOSE: Late-onset non-infectious pulmonary complications (LONIPCs) after allogeneic hematopoietic stem cell transplantation are fatal; however, lung transplantation might achieve good survival. Nevertheless, improving the health-related quality of life ( ...
Full textLink to itemCite
Journal ArticleJ Infect Chemother · January 2022
INTRODUCTION: Invasive Aspergillus infection (IA) in lung transplantation can result in poor outcomes. Itraconazole has been shown to be effective for fungal prophylaxis in lung transplant recipients. However, IA remains a major cause of death after lung t ...
Full textLink to itemCite
Journal ArticleERJ Open Res · October 2021
BACKGROUND: Bronchiolitis obliterans (BO) is a clinical syndrome characterised by progressive small airway obstruction, causing significant morbidity and mortality. Central airway dilatation is one of its radiological characteristics, but little is known a ...
Full textLink to itemCite
Journal ArticleInteract Cardiovasc Thorac Surg · July 26, 2021
OBJECTIVES: Although lymph node (LN) metastases are not uncommon in thymic carcinomas, preoperative LN evaluation, intraoperative lymph node dissection (LND) and postoperative outcomes remain unknown. The aim of this study was to elucidate the characterist ...
Full textLink to itemCite
Journal ArticleEur J Cardiothorac Surg · July 14, 2021
Graft-versus-host disease (GVHD), a serious complication of haematopoietic stem cell transplantation, can occur following solid organ transplantation. However, diagnosing solid organ transplantation-associated GVHD is difficult, and its risk factors are no ...
Full textLink to itemCite
Journal ArticleSci Transl Med · July 7, 2021
Mucociliary clearance is an essential lung function that facilitates the removal of inhaled pathogens and foreign matter unidirectionally from the airway tract and is innately achieved by coordinated ciliary beating of multiciliated cells. Should ciliary f ...
Full textLink to itemCite
Journal ArticleInteract Cardiovasc Thorac Surg · April 19, 2021
OBJECTIVES: Few studies have evaluated the outcomes of lung transplantation (LTx) in recipients with preformed donor-specific antibodies (DSAs). This study investigated the postoperative changes in preformed DSAs based on prospectively collected data of DS ...
Full textLink to itemCite
Journal ArticleInteract Cardiovasc Thorac Surg · December 7, 2020
There is dearth of data regarding the long-term survival outcomes of salvage surgery after stereotactic body radiotherapy for early-stage non-small-cell lung cancer, as previous studies have included a short follow-up period. There is also scarce informati ...
Full textLink to itemCite
Journal ArticleSurg Today · November 2020
PURPOSE: The anatomical site of resected lobes may influence postoperative cerebral infarction. The objective of the current study was to determine if left upper pulmonary lobectomy is a risk factor for postoperative cerebral infarction. METHODS: This was ...
Full textLink to itemCite
Journal ArticleTransplantation · December 27, 2010
BACKGROUND: We have recently reported that perioperative low-dose carbon monoxide (CO) inhalation decreases lung ischemia-reperfusion injury in miniature swine. The aims of this study were to establish a large animal model of pulmonary allograft rejection ...
Full textLink to itemCite