“…Gastric carcinoma is the second and fourth most common form of malignant tumors in male and female individuals, respectively, accounting for 876 000 estimated new cases and 405 000 estimated deaths in the year 2000 (Parkin et al, 2001). There is accumulating evidence that chronic infection with Helicobacter pylori, a spiral-shaped bacterium that colonizes the gastric mucosa of more than half of the world's human population, has a causative function in the development of gastric carcinoma (Nomura et al, 1991;Parsonnet et al, 1991;Uemura et al, 2001). Studies on H. pylori-gastric epithelial cell interactions have greatly contributed to our current understanding of H. pylori-triggered mucosal lesions that direct gastric carcinogenesis, pointing to the H. pylori virulence factor CagA (cytotoxin-associated gene A) as a central player in this process (Peek and Blaser, 2002;Hatakeyama, 2004Hatakeyama, , 2008.…”