Abstract
Data accumulated during the past 15–20 years have established that chronic infections may contribute to the development of tumors in humans. Although the impact of certain viruses on human carcinogenesis has been known for some time, the involvement of bacteria in such process was not demonstrated until Helicobacter pylori was confirmed as an etiological agent for stomach cancer. Later, other bacterial species (i.e., Borrelia, Campylobacter, Chlamydia) have been associated with different human malignancies. The availability of antibiotics to these pathogens boosted eradication as the main prevention and therapeutic strategy to manage bacterially-promoted cancers. However, more recently, the not surprising emergence of antibiotic-resistant cases, along with recent information on the remarkable qualitative and quantitative changes that take place in the normal tissue/organ-specific microbiota at different stages of the carcinogenic process, have suggested the possibility of modifying or restoring the microbiota for cancer prevention strategies and, either alone or in combination with conventional anticancer agents, for therapeutic approaches. This chapter focuses on Helicobacter species (H. pylori in particular) as biological tumor-inducing agents, the proposed mechanisms underlying the oncogenic processes which they contribute to initiate, such as gastric cancer, colorectal adenocarcinoma, lung cancer, gastric MALT lymphoma, gastric diffuse large-B-cell lymphoma (DLBCL), and biliary tract cancer. Eradication versus microbiota manipulation alternatives are discussed in this context.
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References
Abadi ATB (2014) Helicobacter pylori: a beneficial gastric pathogen? Fronts Med 1:26. doi:10.3389/fmed.2014.00026
Abadi ATB, Taghvaei T, Mobarez AM et al (2013) High correlation of babA 2-positive strains of Helicobacter pylori with the presence of gastric cancer. Intern Emerg Med 8:497–501
Abramson DH, Rollins I, Coleman M (2005) Periocular mucosa-associated lymphoid/low grade lymphomas: treatment with antibiotics. Am J Ophthalmol 140:729–730
Aly A, Shulkes A, Baldwin GS (2004) Gastrins, cholecystokinins and gastrointestinal cancer. Biochim Biophys Acta 1704:1–10
American Cancer Society (2014) Cancer facts & figures 2014. American Cancer Society, Atlanta
Amieva MR, El Omar EM (2008) Host-bacterial interactions in Helicobacter pylori infection. Gastroenterology 134:306–323
Anderson LA, Murphy SJ, Johnston BT et al (2008) Relationship between Helicobacter pylori infection and gastric atrophy and the stages of the oesophageal inflammation, metaplasia, adenocarcinoma sequence: results from the FINBAR case-control study. Gut 57:734–739
Arabski M, Kazmierczak P, Wisniewska-Jarosinska M et al (2006) Helicobacter pylori infection can modulate the susceptibility of gastric mucosa cells to MNNG. Cell Mol Biol Lett 11:570–578
Arnold IC, Hitzler I, Engler D et al (2011) The C-terminally encoded, MHC class II-restricted T cell antigenicity of the Helicobacter pylori virulence factor CagA promotes gastric preneoplasia. J Immunol 186:6165–6172
Arora N, Majunder K, Gupta A (2015) Gastric cancer and the microbiome. Asian Pac J Trop Dis 5:353–357
Atherton JC, Blaser MJ (2009) Coadaptation of Helicobacter pylori and humans: ancient history, modern implications. J Clin Invest 119:2475–2487
Atherton JC, Cao P, Peek RM et al (1995) Mosaicism in vacuolating cytotoxin alleles of Helicobacter pylori association of specific vacA types with cytotoxin production and peptic ulceration. J Biol Chem 270:17771–17777
Backert S, Selbach M (2005) Tyrosine-phosphorylated bacterial effector proteins: the enemies within. Trends Microbiol 13:476–484
Backert S, Selbach M (2008) Role of type IV secretion in Helicobacter pylori pathogenesis. Cell Microbiol 10:1573–1581
Basso D, Zambon CF, Letley DP et al (2008) Clinical relevance of Helicobacter pylori cagA and vacA gene polymorphisms. Gastroenterology 135:91–99
Baumgaertner I, Copie-Bergman C, Levy M et al (2009) Complete remission of gastric Burkitt’s lymphoma after eradication of Helicobacter pylori. World J Gastroenterol 15:5746–5750
Blaser MJ (2008) Disappearing microbiota: Helicobacter pylori protection against esophageal adenocarcinoma. Cancer Prev Res 1:308–311
Blaser MJ, Atherton JC (2004) Helicobacter pylori persistence: biology and disease. J Clin Invest 113:321–333
Bowman KA, Broussard EK, Surawicz CM (2015) Fecal microbiota transplantation: current clinical efficacy and future prospects. Clin Exp Gastroenterol 8:285–291
Brandt S, Kwok T, Hartig R et al (2005) NF-kappaB activation and potentiation of proinflammatory responses by the Helicobacter pylori CagA protein. Proc Natl Acad Sci USA 102:9300–9305
Bray F, Ren JS, Masuyer E et al (2013) Estimates of global cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer 132:1133–1145
Bultman SJ (2014) Emerging roles of the microbiome in cancer. Carcinogenesis 35:249–255
Burkitt MD, Varro A, Pritchard DM (2009) Importance of gastrin in the pathogenesis and treatment of gastric tumors. World J Gastroenterol 15:1–16
Carboni M, Guadagni S, Pistoia MA et al (1988) Chronic atrophic gastritis and risk of N-nitroso compounds carcinogenesis. Langenbecks Arch Chir 373:82–90
Chang AH, Parsonnet J (2010) Role of bacteria in oncogenesis. Clin Microbiol Rev 23:837–857
Chao C, Han X, Ives K et al (2010) CCK2 receptor expression transforms non-tumorigenic human NCM356 colonic epithelial cells into tumor forming cells. Int J Cancer 126:864–875
Chen LT, Lin JT, Tai JJ et al (2005) Long-term results of anti-Helicobacter pylori therapy in early-stage gastric high-grade transformed MALT lymphoma. J Natl Cancer Inst 97:1345–1353
Cheng KC, Cahill DS, Kasai H et al (1992) 8-Hydroxyguanine, an abundant form of oxidative DNA damage, causes G-T and A-C substitutions. J Biol Chem 267:166–172
Cho I, Blaser MJ (2012) The human microbiome: at the interface of health and disease. Nature Rev Genet 13:260–270
Coussens LM, Werb Z (2002) Inflammation and cancer. Nature 420:860–867
Covacci A, Rappuoli R (2000) Tyrosine-phosphorylated bacterial proteins: trojan horses for the host cell. J Exp Med 191:587–592
Dickson JH, Grabowska A, El Zaatari M et al (2006) Helicobacter pylori can induce heparin-binding epidermal growth factor expression via gastrin and its receptor. Cancer Res 66:7524–7531
Dorer MS, Talarico S, Salama NR (2009) Helicobacter pylori’s unconventional role in health and disease. PLoS Pathog 5:e1000544
El Omar EM, Carrington M, Chow WH et al (2000) Interleukin-1 polymorphisms associated with increased risk of gastric cancer. Nature 404:398–402
Ernst PB, Crowe SE, Reyes VE (1997) How does Helicobacter pylori cause mucosal damage? The inflammatory response. Gastroenterology 113:S35–S42
Engstrand L, Lindberg M (2013) Helicobacter pylori and the gastric microbiota. Best Pract Res Clin Gastroenterol 27:39–45
Ferlay J, Soerjomataram I, Ervik M et al (2013) GLOBOCAN 2012 v1.0, Cancer incidence and mortality worldwide: IARC CancerBase No. 11. International Agency for Research on Cancer, Lyon
Ferlay J, Soerjomataram I, Dikshit R et al (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136:E359–E386
Figura N (1997) Helicobacter pylori factors involved in the development of gastroduodenal mucosal damage and ulceration. J Clin Gastroenterol 25(Suppl 1):S149–S163
Fischbach W (2010) Long-term follow-up of gastric lymphoma after stomach conserving treatment. Best Pract Res Clin Gastroenterol 24:71–77
Franco AT, Israel DA, Washington MK et al (2005) Activation of beta-catenin by carcinogenic Helicobacter pylori. Proc Natl Acad Sci USA 102:10646–10651
Franco AT, Johnston E, Krishna U et al (2008) Regulation of gastric carcinogenesis by Helicobacter pylori virulence factors. Cancer Res 68:379–387
Gocyk W, Niklinski T, Olechnowicz H et al (2000) Helicobacter pylori, gastrin and cyclooxygenase-2 in lung cancer. Med Sci Monit 6:1085–1092
Goodwin CS, Armstrong JA (1990) Microbiological aspects of Helicobacter pylori (Campylobacter pylori). Eur J Clin Microbiol Infect Dis 9:1–13
Gu J, Sumida Y, Sanzen N et al (2001) Laminin-10/11 and fibronectin differentially regulate integrin-dependent Rho and Rac activation via p130(Cas)-CrkII-DOCK180 pathway. J Biol Chem 276:27090–27097
Hatakeyama M (2004) Oncogenic mechanisms of the Helicobacter pylori CagA protein. Nat Rev Cancer 4:688–694
Hatakeyama M (2009) Helicobacter pylori and gastric carcinogenesis. J Gastroenterol 44:239–248
Herndon B, Quinn T, Wasson N et al (2013) Urease and Helicobacter spp. antigens in pulmonary granuloma. J Comp Pathol 148:266–277
Higashi H, Tsutsumi R, Muto S et al (2002) SHP-2 tyrosine phosphatase as an intracellular target of Helicobacter pylori CagA protein. Science 295:683–686
Higashi H, Nakaya A, Tsutsumi R et al (2004) Helicobacter pylori CagA induces Ras-independent morphogenetic response through SHP-2 recruitment and activation. J Biol Chem 279:17205–17216
Hollestelle MJ, Timmerman P, Meloen RH et al (2008) Characterization of gastrin-cholecystokinin 2 receptor interaction in relation to c-fos induction. Endocr Relat Cancer 15:301–309
Huang W, Deng B, Wang RW et al (2012) BCAR1 protein plays important roles in carcinogenesis and predicts poor prognosis in non-small-cell lung cancer. PLoS ONE 7:e36124
Ilver D, Arnqvist A, Ogren J et al (1998) Helicobacter pylori adhesin binding fucosylated histo-blood group antigens revealed by retagging. Science 279:373–377
Islami F, Kamangar F (2008) Helicobacter pylori and esophageal cancer risk: a meta-analysis. Cancer Prev Res 1:329–338
Jezersek NB, Vovk M, Juznic ST (2006) A single-center study of treatment outcomes and survival in patients with primary gastric lymphomas between 1990 and 2003. Ann Hematol 85:849–856
Kapetanakis N, Kountouras J, Zavos C et al (2013) Potential oncogenic properties of mobilized stem cells in a subpopulation of inflammatory bowel disease patients infected with Helicobacter pylori. Inflamm Bowel Dis 19:E27–E29
Khurana S (2012) Human microbiome and cancer: an insight. Indian J Microbiol 52:519–520
Kiviat NB, Paavonen JA, Brockway J et al (1985) Cytologic manifestations of cervical and vaginal infections. I. Epithelial and inflammatory cellular changes. JAMA 253:989–996
Klein EA, Silverman R (2008) Inflammation, infection, and prostate cancer. Curr Opin Urol 18:315–319
Kondo T, Oka T, Sato H et al (2009) Accumulation of aberrant CpG hypermethylation by Helicobacter pylori infection promotes development and progression of gastric MALT lymphoma. Int J Oncol 35:547–557
Kountouras J, Boura P, Lygidakis NJ (2000) New concepts of molecular biology for colon carcinogenesis. Hepatogastroenterology 47:1291–1297
Kountouras J, Kouklakis G, Zavos C et al (2003) Apoptosis, inflammatory bowel disease and carcinogenesis: overview of international and Greek experiences. Can J Gastroenterol 17:249–258
Kountouras J, Zavos C, Chatzopoulos D (2006) Pathogenetic links between colorectal neoplasia and Barrett’s esophagus. Gastrointest Endosc 64:298
Kountouras J, Kapetanakis N, Zavos C et al (2013) Impact of Helicobacter pylori infection on colon oncogenesis. Am J Gastroenterol 108:625–626
Kountouras J, Kapetanakis N, Zavos C et al (2014) Helicobacter pylori and colorectal cancer risk. Cancer Epidemiol Biomarkers Prev 23:365
Kraft M, Riedel S, Maaser C et al (2001) IFN-gamma synergizes with TNF-alpha but not with viable H. pylori in up-regulating CXC chemokine secretion in gastric epithelial cells. Clin Exp Immunol 126:474–481
Levy M, Copie-Bergman C, Traulle C et al (2002) Conservative treatment of primary gastric low-grade B-cell lymphoma of mucosa-associated lymphoid tissue: predictive factors of response and outcome. Am J Gastroenterol 97:292–297
Lopez-Vidal Y, Ponce-de-Leon S, Castillo-Rojas G et al (2008) High diversity of vacA and cagA Helicobacter pylori genotypes in patients with and without gastric cancer. PLoS ONE 3:e3849
Lu W, Pan K, Zhang L et al (2005) Genetic polymorphisms of interleukin (IL)-1B, IL-1RN, IL-8, IL-10 and tumor necrosis factor {alpha} and risk of gastric cancer in a Chinese population. Carcinogenesis 26:631–636
McColl KEL (2010) Helicobacter pylori infection. New Engl J Med 362:1597–1604
Meyer-ter-Vehn T, Covacci A, Kist M et al (2000) Helicobacter pylori activates mitogen-activated protein kinase cascades and induces expression of the proto-oncogenes c-fos and c-jun. J Biol Chem 275:16064–16072
Miehlke S, Kirsch C, Agha-Amiri K et al (2000) The Helicobacter pylori vacA s1, m1 genotype and cagA is associated with gastric carcinoma in Germany. Int J Cancer 87:322–327
Morales-Guerrero SE, Mucito-Varela E, Aguilar-Gutiérrez GR et al (2013) The role of CagA protein signaling in gastric carcinogenesis—CagA signaling in gastric carcinogenesis. Curr Top Gastritis. doi:10.5772/53136 (G. Mozsik (Ed.), 2012)
Murata-Kamiya N, Kurashima Y, Teishikata Y et al (2007) Helicobacter pylori CagA interacts with E-cadherin and deregulates the beta-catenin signal that promotes intestinal transdifferentiation in gastric epithelial cells. Oncogene 26:4617–4626
Nakamura T, Inagaki H, Seto M, Nakamura S (2003) Gastric low-grade B-cell MALT lymphoma: treatment, response, and genetic alteration. J Gastroenterol 38:921–929
Nakamura T, Seto M, Tajika M et al (2008) Clinical features and prognosis of gastric MALT lymphoma with special reference to responsiveness to H. pylori eradication and API2-MALT1 status. Am J Gastroenterol 103:62–70
Nardone G, Compare D (2015) The human gastric microbiota: is it time to rethink the pathogenesis of stomach diseases? United Eur Gastroenterol J 3:255–260
Pagano L, Caira M, Valentini CG et al (2009) Clinical aspects and therapy of sporadic Burkitt lymphoma. Mediterr J Hematol Infect Dis 1:e2009030
Patel A, Shah N, Prajapati JB (2014) Clinical application of probiotics in the treatment of Helicobacter pylori infection—a brief review. J Microbial Immunol Infect 47:429–437
Polk DB, Peek RM (2010) Helicobacter pylori: gastric cancer and beyond. Nat Rev Cancer 10:403–414
Psyrri A, Papageorgiou S, Economopoulos T (2008) Primary extranodal lymphomas of stomach: clinical presentation, diagnostic pitfalls and management. Ann Oncol 19:1992–1999
Rohde M, Puls J, Buhrdorf R et al (2003) A novel sheathed surface organelle of the Helicobacter pylori cag type IV secretion system. Mol Microbiol 49:219–234
Schneider S, Weydig C, Wessler S (2008) Targeting focal adhesions: Helicobacter pylori-host communication in cell migration. Cell Commun Signal 6:2
Schulz C, Koch N, Schutte K et al (2015) H. pylori and its modulation of gastrointestinal microbiota. J Dig Dis 16:109–117
Schwabe RF, Jobin C (2013) The microbiome and cancer. Nat Rev Cancer 13:800–812
Sheh A, Fox JG (2013) The role of the gastrointestinal microbiome in Helicobacter pylori pathogenesis. Gut Microbes 4:505–531
Stolte M, Bayerdorffer E, Morgner A et al (2002) Helicobacter and gastric MALT lymphoma. Gut 50(Suppl 3):III19–III24
Subramaniam D, Ramalingam S, May R et al (2008) Gastrin-mediated interleukin-8 and cyclooxygenase-2 gene expression: differential transcriptional and posttranscriptional mechanisms. Gastroenterology 134:1070–1082
Suzuki M, Mimuro H, Suzuki T et al (2005) Interaction of CagA with Crk plays an important role in Helicobacter pylori-induced loss of gastric epithelial cell adhesion. J Exp Med 202:1235–1247
Swerdlow SH, Campo E, Harris NL et al (2008) Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma). In: Swerdlow SH, Campo E, Harris NL et al (eds) World Health Organization classification of tumours of haematopoietic and lymphoid tissues, 4th edn. IARC Press, Lyon, pp 214–217
Tegtmeyer N, Hartig R, Delahay RM et al (2010) A small fibronectin-mimicking protein from bacteria induces cell spreading and focal adhesion formation. J Biol Chem 285:23515–23526
Toller IM, Neelsen KJ, Steger M et al (2011) Carcinogenic bacterial pathogen Helicobacter pylori triggers DNA double-strand breaks and a DNA damage response in its host cells. Proc Natl Acad Sci USA 108:14944–14949
Tsutsumi R, Takahashi A, Azuma T et al (2006) Focal adhesion kinase is a substrate and downstream effector of SHP-2 complexed with Helicobacter pylori CagA. Mol Cell Biol 26:261–276
Varro A, Noble PJ, Wroblewski LE et al (2002) Gastrin-cholecystokinin(B) receptor expression in AGS cells is associated with direct inhibition and indirect stimulation of cell proliferation via paracrine activation of the epidermal growth factor receptor. Gut 50:827–833
Wang P, Xia HH, Zhang JY et al (2007) Association of interleukin-1 gene polymorphisms with gastric cancer: a meta-analysis. Int J Cancer 120:552–562
Wei L, Yang Y, Zhang X et al (2002) Anchorage-independent phosphorylation of p130(Cas) protects lung adenocarcinoma cells from anoikis. J Cell Biochem 87:439–449
Wessler S, Backert S (2008) Molecular mechanisms of epithelial-barrier disruption by Helicobacter pylori. Trends Microbiol 16:397–405
Wroblewski LE, Peek RM (2013) Helicobacter pylori in gastric carcinogenesis: mechanisms. Gastroenterol Clin N Am 42:285–298
Wroblewski LE, Peek RM, Wilson KT (2010) Helicobacter pylori and gastric cancer: factors that modulate disease risk. Clin Microbiol Rev 23:713–739
Wu CH, Huang MY, Yeh CS et al (2007) Overexpression of Helicobacter pylori-associated urease mRNAs in human gastric cancer. DNA Cell Biol 26:641–648
Yamahashi Y, Hatakeyama M (2013) PAR1b takes the stage in the morphogenetic and motogenetic activity of Helicobacter pylori CagA oncoprotein. Cell Adh Migr 7:11–18
Yamaoka Y (2010) Mechanisms of disease: Helicobacter pylori virulence factors. Nat Rev Gastroenterol Hepatol 7:629–641
Yamaoka Y, Graham DY (2014) Helicobacter pylori virulence and cancer pathogenesis. Future Oncol 10:1487–1500
Yoon SS, Coit DG, Portlock CS et al (2004) The diminishing role of surgery in the treatment of gastric lymphoma. Ann Surg 240:28–37
Zambon CF, Navaglia F, Basso D et al (2003) Helicobacter pylori babA2, cagA, and s1 vacA genes work synergistically in causing intestinal metaplasia. J Clin Pathol 56:287–291
Zhao YS, Wang F, Chang D, Han B, You DY (2008) Meta-analysis of different test indicators: Helicobacter pylori infection and the risk of colorectal cancer. Int J Colorectal Dis 23:875–882
Zhou Q, Zhang H, Pang X et al (1992) Pre- and postoperative sequential study on the serum gastrin level in patients with lung cancer. J Surg Oncol 51:22–25
Acknowledgments
We are indebted to Arantza Cía (ISTUN, University of Navarra, Pamplona, Spain) for helping in designing the figure. This work has been funded in part by support from the “María Francisca de Roviralta Foundation” to P.A.N., and from the Lombardi Comprehensive Cancer Center to V.N., through USPHS grant P30-CA-51008.
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Nguewa, P.A., Villa, T.G., Notario, V. (2016). Microbiome Control in the Prevention and Early Management of Cancer. In: Villa, T., Vinas, M. (eds) New Weapons to Control Bacterial Growth. Springer, Cham. https://doi.org/10.1007/978-3-319-28368-5_10
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