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Helicobacter pylori and Gastric Cancer

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Inflammation and Gastrointestinal Cancers

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 185))

Abstract

Gastric cancer remains a major cause of cancer death worldwide. The discovery of Helicobacter pylori Helicobacter pylori and its association with gastric cancer has opened up new insights into its pathogenesis. Gastric cancer pathogenesis is the result of a complex interplay between bacterial, host and environmental factors resulting in a step wise histological progression to neoplasia. H. pylori is a major factor in the early stages of cancer development and the mechanism of action of its virulence factors are being steadily unravelled. It is also now recognised that host genetic polymorphisms also play a complex role interacting synergistically with the bacterial virulence factors. The role of H. pylori in the causation of gastric cancer also raises the possibility of cancer prevention through screening and eradication, actions which may improve outcomes in high risk populations but which may not be cost-effective in areas of low risk. Ultimately, despite the vast improvements in knowledge, as yet there has not been a corresponding improvement in terms of gastric cancer survival rates.

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References

  • Amieva MR, El-Omar EM (2008) Host-bacterial interactions in Helicobacter pylori infection. Gastroenterology 134(1):306–323

    Article  PubMed  CAS  Google Scholar 

  • Amieva MR, Vogelmann R, Covacci A, Tompkins LS, Nelson WJ, Falkow S (2003) Disruption of the epithelial apical–junctional complex by Helicobacter pylori CagA. Science 300(5624):1430–1434

    Article  PubMed  CAS  Google Scholar 

  • Atherton JC, Cao P, Peek RM Jr, Tummuru MK, Blaser MJ, Cover TL (1995) Mosaicism in vacuolating cytotoxin alleles of Helicobacter pylori. Association of specific vacA types with cytotoxin production and peptic ulceration. J Biol Chem 270(30):17771–17777

    Article  PubMed  CAS  Google Scholar 

  • Backert S, Moese S, Selbach M, Brinkmann V, Meyer TF (2001) Phosphorylation of tyrosine 972 of the Helicobacter pylori CagA protein is essential for induction of a scattering phenotype in gastric epithelial cells. Mol Microbiol 42(3):631–644

    Article  PubMed  CAS  Google Scholar 

  • Bagnoli F, Buti L, Tompkins L, Covacci A, Amieva MR (2005) Helicobacter pylori CagA induces a transition from polarized to invasive phenotypes in MDCK cells. Proc Natl Acad Sci USA 102(45):16339–16344

    Article  PubMed  CAS  Google Scholar 

  • Basso D, Zambon CF, Letley DP, Stranges A, Marchet A, Rhead JL, Schiavon S, Guariso G, Ceroti M, Nitti D, Rugge M, Plebani M, Atherton JC (2008) Clinical relevance of Helicobacter pylori cagA and vacA gene polymorphisms. Gastroenterology 135(1):91–99

    Article  PubMed  CAS  Google Scholar 

  • Bjelakovic G, Nikolova D, Simonetti RG, Gluud C (2008) Antioxidant supplements for preventing gastrointestinal cancers. Cochrane Database Sys Rev 16(3):CDO04183

    Google Scholar 

  • Brenner H, Arndt V, Bode G, Stegmaier C, Ziegler H, Stümer T (2002) Risk of gastric cancer among smokers infected with Helicobacter pylori. Int J Cancer 98(3):446–449

    Article  PubMed  CAS  Google Scholar 

  • Calam J (1999) Helicobacter pylori modulation of gastric acid. The Yale J Biol Med 72(2–3):195–202

    CAS  Google Scholar 

  • Canedo P, Corso G, Pereira F, Lunet N, Suriano G, Figueiredo C, Pedrazzani C, Moreira H, Barros H, Carneiro F, Seruco R, Roviello F, Machado JC (2008) The interferon gamma receptor 1 (IFNGR1) -56C/T gene polymorphism is associated with increased risk of early gastric carcinoma. Gut 57(11):1504–1508

    Article  PubMed  CAS  Google Scholar 

  • Chang YJ, Wu MS, Lin JT, Pestell RG, Blaser MJ, Chen CC (2006) Mechanisms for Helicobacter pylori CagA-induced cyclin D1 expression that affect cell cycle. Cell Microb 8(11):1740–1752

    Article  CAS  Google Scholar 

  • Correa P, Houghton J (2007) Carcinogenesis of Helicobacter pylori. Gastroenterology 133(2):659–672

    Article  PubMed  CAS  Google Scholar 

  • Correa P, Haenszel W, Cuello C, Tannenbaum S, Archer M (1975) A model for gastric cancer epidemiology. Lancet 2(7924):58–60

    Article  PubMed  CAS  Google Scholar 

  • Crabtree JE, Taylor JD, Wyatt JI, Heatley RV, Shallcross TM, Tompkins DS, Rathbone BJ (1991) Mucosal IgA recognition of Helicobacter pylori 120 kDa protein, peptic ulceration, and gastric pathology. Lancet 338(8763):325–332

    Article  Google Scholar 

  • Curran JE, Jowett JB, Elliott KS, Gao Y, Gluschenko K, Wang J, Abel Azim DM, Cai G, Mahaney MC, Comuzzie AG, Dyer TD, Walder KR, Zimmet P, MacCluer JW, Collier GR, Kissebah AH, Blangero J (2005) Genetic variation in selenoprotein S influences inflammatory response. Nat Genet 37(11):1234–1241

    Article  PubMed  CAS  Google Scholar 

  • Ding SZ, Smith MF Jr, Goldberg JB (2008) Helicobacter pylori and mitogen-activated protein kinases regulate the cell cycle, proliferation and apoptosis in gastric epithelial cells. J Gastroenterol Hepatol 23(7 Pt 2):e67–e78

    Article  PubMed  CAS  Google Scholar 

  • El-Omar EM, Rabkin CS, Gammon MD, Vaughan TL, Risch HA, Schoenberg JB, Stanford JL, Mayne ST, Goedert J, Blot WJ, Fraumeni JF Jr, Chow WH (2003) Increased risk of noncardia gastric cancer associated with proinflammatory cytokine gene polymorphisms. Gastroenterology 124(5):1193–1201

    Article  PubMed  CAS  Google Scholar 

  • Fock KM, Talley N, Moayyedi P, Hunt R, Azuma T, Sugano K, Xiao SD, Lam SK, Goh KL, Chiba T, Uemura N, Kim JG, Kim N, Ang TL, Mahachai V, Mitchell H, Rani AA, Liou JM, Vilaichone RK, Sollano J (2008) Asia–Pacific consensus guidelines on gastric cancer prevention. J Gastroenterol Hepatol 23(3):351–365

    Article  PubMed  Google Scholar 

  • Forman D, Burley VJ (2006) Gastric cancer: global pattern of the disease and an overview of environmental risk factors. Best Pract Res Clin Gastroenterol 20(4):633–649

    Article  PubMed  CAS  Google Scholar 

  • Fuccio L, Zagari RM, Minardi ME, Bazzoli F (2007) Systematic review: Helicobacter pylori eradication for the prevention of gastric cancer. Aliment Pharmacol Ther 25(2):133–141

    Article  PubMed  CAS  Google Scholar 

  • Fukase K, Kato M, Kikuchi S, Inoue K, Uemura N, Okamoto S, Terao S, Amagai K, Hayashi S, Asaka M (2008) Effect of eradication of Helicobacter pylori on incidence of metachronous gastric carcinoma after endoscopic resection of early gastric cancer: an open-label, randomised controlled trial. Lancet 372(9636):392–397

    Article  PubMed  Google Scholar 

  • Galmiche A, Rassow J, Dove A, Cagnol S, Chambard JC, Contamin S, de Thillot V, Just I, Ricci V, Solcia E, Van Obberghen E, Boquet P (2000) The N-terminal 34 kDa fragment of Helicobacter pylori vacuolating cytotoxin targets mitochondria and induces cytochrome c release. EMBO J 19(23):6361–6370

    Article  PubMed  CAS  Google Scholar 

  • Gebert B, Fischer W, Weiss E, Hoffmann R, Haas R (2003) Helicobacter pylori vacuolating cytotoxin inhibits T lymphocyte activation. Science 301(5636):1099–1102

    Article  PubMed  CAS  Google Scholar 

  • Gerhard M, Lehn N, Neumayer N, Borén T, Rad R, Schepp W, Miehlke S, Classen M, Prinz C (1999) Clinical relevance of the Helicobacter pylori gene for blood-group antigen-binding adhesion. Proc Natl Acad Sci USA 96(22):12778–12783

    Article  PubMed  CAS  Google Scholar 

  • Go MF (2002) Review article: natural history and epidemiology of Helicobacter pylori infection. Aliment Pharmacol Ther 16(Suppl 1):3–15

    Article  PubMed  Google Scholar 

  • González CA, Pera G, Agudo A, Palli D, Krogh V, Vineis P, Tumino R, Panico S, Berglund G, Simán H, Nvrén O, Agren A, Martinez C, Dorronsoro M, Barricarte A, Tormo MJ, Quiros JR, Allen N, Bingham S, Day N, Miller A, Nagel G, Boeing H, Overvad K, Tionneland A, Bueno-De-Mesquita HB, Boshuizen HC, Peeters P, Numans M, Clavel-Chapelon F, Helen I, Agapitos E, Lund E, Fahey M, Saracci R, Kaaks R, Riboli E (2003) Smoking and the risk of gastric cancer in the European prospective investigation into cancer and nutrition (EPIC). Int J Cancer 107(4):629–634

    Article  PubMed  Google Scholar 

  • Hartgrink HH, Jansen EP, van Grieken NC, van de Velde CJ (2009) Gastric cancer. Lancet 374(9688):477–490

    Article  PubMed  Google Scholar 

  • Hishida A, Matsuo K, Goto Y, Mitsuda Y, Hiraki A, Naito M, Wakaj K, Tajima K, Hamajima N (2009) Toll-like receptor 4 +3725 G/C polymorphism, Helicobacter pylori seropositivity, and the risk of gastric atrophy and gastric cancer in Japanese. Helicobacter 14(1):47–53

    Article  PubMed  CAS  Google Scholar 

  • Hold GL, Rabkin CS, Chow WH, Smith MG, Gammon MD, Risch HA, Vaughan TL, McColl KE, Lissowska J, Zatonski W, Schoenberg JB, Blot WJ, Mowat NA, Fraumeni JF Jr, El-Omar EM (2007) A functional polymorphism of toll-like receptor 4 gene increases risk of gastric carcinoma and its precursors. Gastroenterology 132(3):905–912

    Article  PubMed  CAS  Google Scholar 

  • Houghton J, Stoioy C, Nomura S, Rogers AB, Carlson J, Li H, Cai X, Fox JG, Goldenring JR, Wang TC (2004) Gastric cancer originating from bone marrow-derived cells. Science 306(5701):1568–1571

    Article  PubMed  CAS  Google Scholar 

  • Ilver D, Arnqvist A, Ogren J, Frick IM, Kersulyte D, Incecik ET, Berg DE, Covacci A, Engstrand L, Borén T (1998) Helicobacter pylori adhesion binding fucosylated histo-blood group antigens revealed by retagging. Science 279(5349):373–377

    Article  PubMed  CAS  Google Scholar 

  • Ilver D, Barone S, Mercati D, Lupetti P, Telford JL (2004) Helicobacter pylori toxin VacA is transferred to host cell via a novel contact-dependent mechanism. Cell Microbiol 6(2):167–174

    Article  PubMed  CAS  Google Scholar 

  • International Agency for Research on Cancer (1994) IARC monographs on the evaluation of carcinogenic risks to humans: Schistosomes, liver flukes and Helicobacter pylori, vol 61. Lyon, IARC

    Google Scholar 

  • Ito M, Takata S, Tatsugami M, Wada Y, Imagawa S, Matsumoto Y, Takamura A, Kitamura S, Matsuo T, Tanaka S, Haruma K, Chayama K (2009) Clinical prevention of gastric cancer by Helicobacter pylori eradication therapy: a systematic review. J Gastroenterol 44(5):365–371

    Article  PubMed  Google Scholar 

  • Jakszyn P, Bingham S, Pera G, Agudo A, Luben R, Welch A, Boeing H, Del Giudice G, Palli D, Saieva C, Krogh V, Sacerdote C, Tumino R, Panico S, Berglund G, Simán H, Hallmans G, Sanchez MJ, Larrañaga N, Barricarte A, Chirlaque MD, Quirós JR, Key TJ, Allen N, Lund E, Carneiro F, Linseisen J, Nagel G, Overvad K, Tionneland A, Olsen A, Bueno-de-Mesquita HB, Ocké MO, Peeters PH, Numans ME, Clavel-Chapelon F, Trichopoulou A, Fenger C, Stenling R, Ferrari P, Jenab M, Norat T, Riboli E, González CA (2006) Endogenous versus exogenous exposure to N-nitroso compounds and gastric cancer risk in the European prospective investigation into cancer and nutrition (EPIC-EURGAST) study. Carcinogenesis 27(7):1497–1501

    Article  PubMed  CAS  Google Scholar 

  • Judd PA (1988) Dietary factors in the aetiology of gastric cancer. In: Gastric carcinogenesis, proceedings of the 6th annual symposium of the European organisation for cooperation in cancer prevention studies. Amsterdam, Excerpta Medical

    Google Scholar 

  • Keates S, Keates AC, Warny M, Peek RM Jr, Murray PG, Kelly CP (1999) Differential activation of mitogen-activated protein kinases in AGS gastric epithelial cells by cag+ and cag− Helicobacter pylori. J Immunol 163(10):5552–5559

    PubMed  CAS  Google Scholar 

  • Kusters JG, van Vliet AH, Kuipers EJ (2006) Pathogenesis of Helicobacter pylori infection. Clin Microbiol Rev 19(3):449–490

    Article  PubMed  CAS  Google Scholar 

  • Leunk RD, Johnson PT, David BC, Kraft WG, Morgan DR (1988) Cytotoxic activity in broth-culture filtrates of Campylobacter pylori. J Med Microbiol 26(2):93–99

    Article  PubMed  CAS  Google Scholar 

  • Li ZW, Wu Y, Sun Y, Liu LY, Tian MM, Feng GS, You WC, Li JY (2010) Inflammatory cytokine gene polymorphisms increase the risk of atrophic gastritis and intestinal metaplasia. World J Gastroenterol 16(14):1788–1794

    Article  PubMed  CAS  Google Scholar 

  • Marshall B (1983) Unidentified curved bacilli on gastric epithelium in active chronic gastritis. Lancet 1(8336):1273–1275

    Google Scholar 

  • Moayyedi P, Axon AT, Feltbower R, Duffett S, Crocombe W, Braunholtz D, Richards ID, Dowell AC, Forman D (2002) Relation of adult lifestyle and socioeconomic factors to the prevalence of Helicobacter pylori infection. Int J Epidemiol 31(3):624–631

    Article  PubMed  Google Scholar 

  • Molinari M, Salio M, Galli C, Norais N, Rappuoli R, Lanzavecchia A, Montecucco C (1998) Selective inhibition of Ii-dependent antigen presentation by Helicobacter pylori toxin VacA. J Exp Med 187(1):135–140

    Article  PubMed  CAS  Google Scholar 

  • Murata-Kamiya N, Kurashima Y, Teishikata Y, Yamahashi Y, Saito Y, Higashi H, Aburatani H, Akiyama T, Peek RM Jr, Azuma T, Hatakeyama M (2007) Helicobacter pylori CagA interacts with E-cadherin and deregulates the beta-catenin signal that promotes intestinal transdifferentiation in gastric epithelial cells. Oncogene 26(32):4617–4626

    Article  PubMed  CAS  Google Scholar 

  • Necchi V, Candusso ME, Tava F, Luinetti O, Ventura U, Fiocca R, Ricci V, Solcia E (2007) Intracellular, intercellular, and stromal invasion of gastric mucosa, preneoplastic lesions, and cancer by Helicobacter pylori. Gastroenterology 132(3):1009–1023

    Article  PubMed  CAS  Google Scholar 

  • Odenbreit S, Püls J, Sedlmaier B, Gerland E, Fischer W, Haas R (2000) Translocation of Helicobacter pylori CagA into gastric epithelial cells by type IV secretion. Science 287(5457):1497–1500

    Article  PubMed  CAS  Google Scholar 

  • Papini E, Satin B, Norais N, de Bernard M, Telford JL, Rappuoli R, Montecucco C (1998) Selective increase of the permeability of polarized epithelial cell monolayers by Helicobacter pylori vacuolating toxin. J Clin Investig 102(4):813–820

    Article  PubMed  CAS  Google Scholar 

  • Parkin DM (2001) Global cancer statistics in the year 2000. Lancet Oncol 2(9):533–543

    Article  PubMed  CAS  Google Scholar 

  • Parkin DM (2006) The global health burden of infection-associated cancers in the year 2002. Int J Cancer 118(12):3030–3044

    Article  PubMed  CAS  Google Scholar 

  • Parkin DM, Bray F, Ferlay J, Paola Pisani (2005) Global cancer statistics 2002. CA Cancer J Clin 55(2):74–208

    Article  PubMed  Google Scholar 

  • Rad R, Gerhard M, Lang R, Schöniger M, Rösch T, Schepp W, Becker I, Wagner H, Prinz C (2002) The Helicobacter pylori blood group antigen-binding adhesion facilitates bacterial colonization and augments a nonspecific immune response. J Immunol 168(6):3033–3041

    PubMed  CAS  Google Scholar 

  • Rathbone BJ, Johnson AW, Wyatt JI, Kelleher J, Heatley RV, Losowsky MS (1989) Ascorbic acid: a factor concentrated in human gastric juice. Clin Sci 76(3):237–241

    PubMed  CAS  Google Scholar 

  • Rhead JL, Letley DP, Mohammadi M, Hussein N, Mohagheghi MA, Eshagh Hosseini M, Atherton JC (2007) A new Helicobacter pylori vacuolating cytotoxin determinant, the intermediate region, is associated with gastric cancer. Gastroenterology 133(3):926–936

    Article  PubMed  CAS  Google Scholar 

  • Segal ED, Cha J, Lo J, Falkow S, Tompkins LS (1999) Altered states: involvement of phosphorylated CagA in the induction of host cellular growth changes by Helicobacter pylori. Proc Natl Acad Sci USA 96(25):14559–14564

    Article  PubMed  CAS  Google Scholar 

  • Shibata T, Arisawa T, Tahara T, Ohkubo M, Yoshioka D, Maruyama N, Fujita H, Kamiya Y, Nakamura M, Nagasaka M, Iwata M, Takahama K, Watanabe M, Hirata I (2009) Selenoprotein S (SEPS1) gene -105G > A promoter polymorphism influences the susceptibility to gastric cancer in the Japanese population. BMC Gastroenterology 9:2

    Article  PubMed  Google Scholar 

  • Siurala M, Varis K, Wiljasalo M (1966) Studies of patients with atrophic gastritis: a 10–15 year follow-up. Scand J Gastroenterol 1(1):40–48

    PubMed  CAS  Google Scholar 

  • Sobala GM, Schorah CJ, Sanderson M, Dixon MF, Tompkins DS, Godwin P, Axon AT (1989) Ascorbic acid in the human stomach. Gastroenterology 97(2):357–363

    PubMed  CAS  Google Scholar 

  • Steer HW (1984) Surface morphology of the gastroduodenal mucosal in duodenal ulceration. Gut 25(11):1203–1210

    Article  PubMed  CAS  Google Scholar 

  • Warren JR (1983) Unidentified curved bacilli on gastric epithelium in active chronic gastritis. Lancet 1(8336):1273

    Google Scholar 

  • Willhite DC, Blanke SR (2004) Helicobacter pylori vacuolating cytotoxin enters cells, localizes to the mitochondria, and induces mitochondrial membrane permeability changes correlated to toxin channel activity. Cell Microbiol 6(2):143–154

    Article  PubMed  CAS  Google Scholar 

  • Wilson KT, Crabtree JE (2007) Immunology of Helicobacter pylori: insights into the failure of the immune response and perspectives on vaccine studies. Gastroenterology 133(1):288–308

    Article  PubMed  CAS  Google Scholar 

  • Wotherspoon AC, Ortiz-Hidalgo C, Falzon MR, Isaacson PG (1991) Helicobacter pylori-associated gastritis and primary B-cell gastric lymphoma. Lancet 338(8776):1175–1176

    Article  PubMed  CAS  Google Scholar 

  • Zambon CF, Navaglia F, Basso D, Rugge M, Plebani M (2003) Helicobacter pylori babA2, cagA, and s1 vacA genes work synergistically in causing intestinal metaplasia. J Clin Pathol 56(4):287–291

    Article  PubMed  Google Scholar 

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Correspondence to Barrie Rathbone .

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Rathbone, M., Rathbone, B. (2011). Helicobacter pylori and Gastric Cancer. In: Jankowski, J. (eds) Inflammation and Gastrointestinal Cancers. Recent Results in Cancer Research, vol 185. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03503-6_5

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