1997
DOI: 10.1093/jnci/89.12.863
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Helicobacter pylori cagA+ Strains and Dissociation of Gastric Epithelial Cell Proliferation From Apoptosis

Abstract: Increased cell proliferation in the absence of a corresponding increase in apoptosis may explain the heightened risk for gastric carcinoma that is associated with infection by cagA+ vacA s1a strains of H. pylori.

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Cited by 311 publications
(232 citation statements)
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“…When cocultured with epithelial cell lines, H. pylori are antiproliferative and proapoptotic (115, S111), although cag signaling is essentially pro-proliferative (through MAPK signaling and expression of the transcription factor AP-1) (116,117) and pro-and antiapoptotic (through NF-κB signaling) (70,118). Animal models and human studies suggest that the net effect of H. pylori colonization is pro-proliferative and proapoptotic (95,96,119,120, S87, S88). Pro-proliferative signaling increases cell replication and the chance of mutation, whereas apoptosis may be protective by inducing death of DNA-damaged cells.…”
Section: Figurementioning
confidence: 99%
“…When cocultured with epithelial cell lines, H. pylori are antiproliferative and proapoptotic (115, S111), although cag signaling is essentially pro-proliferative (through MAPK signaling and expression of the transcription factor AP-1) (116,117) and pro-and antiapoptotic (through NF-κB signaling) (70,118). Animal models and human studies suggest that the net effect of H. pylori colonization is pro-proliferative and proapoptotic (95,96,119,120, S87, S88). Pro-proliferative signaling increases cell replication and the chance of mutation, whereas apoptosis may be protective by inducing death of DNA-damaged cells.…”
Section: Figurementioning
confidence: 99%
“…H. pylori has been seen to induce apoptosis in patients with gastroduodenal ulcer and gastritis (50)(51)(52)(53)(54)(55). Some authors have seen greater than five-fold increases in the number of apoptotic cells in patients with duodenal ulcer versus those observed following H. pylori eradication (56). In vitro studies have shown that apoptosis is induced in tumor cell lines incubated with H. pylori (57), as is a cell cycle arrest between phases G1 and S (58).…”
Section: A Link Between H Pylori Apoptosis and Cell Proliferationmentioning
confidence: 99%
“…3,[6][7][8] Infiltrating macrophages, in particular, produce various cytokines and growth factors such as IL-1β that could attract more inflammatory cells and induces the proliferation of gastric epithelial cells. 9,10 A recent study demonstrated that IL-1β physiologically induced by HP infection enhanced gastric inflammation and the number of gastric tumors using Il1b-mull mice. 11 Moreover, host factors secreted from gastric epithelial cells, such as Sonic Hedgehog, could also be involved in the initiation of gastritis, acting as a macrophage chemoattractant during HP infection.…”
mentioning
confidence: 99%