Kyoto University · Medicine
Professor Manabu Muto's research lab specializes in gastrointestinal and head and neck oncology, with a primary focus on the early detection and endoscopic diagnosis of superficial squamous cell carcinomas in the upper aerodigestive tract and esophagus. The lab pioneers the use of advanced endoscopic imaging technologies such as narrow-band imaging (NBI) and magnifying narrow-band imaging (M-NBI) to enhance visualization of microvascular and microsurface structures for precise diagnosis. Additionally, the lab investigates the role of microbial metabolism—particularly acetaldehyde production by oral bacteria like *Neisseria*—in the pathogenesis of upper aerodigestive tract cancers, linking microbiological and genetic factors (e.g., ADH3 and ALDH2 polymorphisms) to cancer risk. Their work aims to improve screening strategies and preventive interventions for high-risk populations.
Figures are computed from collected data and may differ slightly.
NBI could be the standard examination for the early detection of superficial cancer in the H&N region and the esophagus.
The authors stress the importance of endoscopic detection of superficial carcinoma at oropharyngeal and hypopharyngeal mucosal sites. NBI is a promising and potentially powerful tool for identifying carcinomas at an earlier stage during routine endoscopic examination.
Gastric cancer is the third leading cause of cancer death worldwide. Early detection and accurate diagnosis of mucosal cancer is desirable in order to achieve decreased mortality; cause-specific survival of patients with early gastric cancer is reported to exceed 95%. Endoscopy is the functional modality to detect early cancer; however, the procedure is not definitive when using conventional white-light imaging. In contrast, magnifying narrow-band imaging (M-NBI), a novel endoscopic technology,
Many epidemiological studies have identified chronic alcohol consumption as a significant risk factor for cancer of the upper aerodigestive tract (UAT) in human. Although acetaldehyde, the first metabolite from ethanol by alcohol dehydrogenase (ADH), is regarded as a carcinogen, how systemic production of acetaldehyde particularly affects the UAT remains unclear. In our study, we searched for the regional source of acetaldehyde in UAT, especially the involvement of bacteria in the human normal o
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While multiple squamous cell carcinomas are often observed in the esophagus and the head and neck region and confound us about the favorable treatments, the reason why some patients are more likely to develop multiple cancers remains obscure. We statistically analyzed clinical factors in 203 patients with newly diagnosed squamous cell carcinoma, to assess the risk of multiple cancers for the establishment of an effective prevention and screening programs. Widespread epithelial oncogenic alterati
Acetaldehyde is a highly reactive compound that causes various forms of damage to DNA, including DNA adducts, single- and/or double-strand breaks (DSBs), point mutations, sister chromatid exchanges (SCEs), and DNA-DNA cross-links. Among these, DNA adducts such as <i>N²</i>-ethylidene-2'-deoxyguanosine, <i>N²</i>-ethyl-2'-deoxyguanosine, <i>N²</i>-propano-2'-deoxyguanosine, and <i>N²</i>-etheno-2'-deoxyguanosine are central to acetaldehyde-mediated DNA damage because they are associated with the
Photodynamic therapy (PDT) showed promising efficacy for local failure after chemoradiotherapy (CRT) for esophageal cancer. However, PDT required long sun shade period. This study aimed to evaluate the safety and efficacy of PDT using second generation photosensitizer, talaporfin sodium for local failure after CRT. This was the multi-institutional non-randomized phase II study. Patients with histologically proven local failure limited within the muscularis propria after 50Gy or more radiotherapy
The mutant ALDH2 allele appears to be a risk indicator for multiple LVL in head and neck cancer patients. Accumulation of acetaldehyde due to low ALDH2 activity may play a critical role in cancerous changes throughout the mucosa in the upper aerodigestive tract.
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