2009
DOI: 10.1136/jcp.2008.060061
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The combined presence ofH pyloriinfection and gastro-oesophageal reflux disease leads to an up-regulation ofCDX2gene expression in antrum and cardia

Abstract: The combined presence of H pylori infection and GORD leads to an up-regulation of CDX2 gene expression in cardia and antral mucosa, but not in the corpus.

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Cited by 11 publications
(8 citation statements)
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“…The prevalence of intestinal metaplasia in the stomach, however, is highest when both factors are present: H. pylori and bile reflux [17,18]. This is in line with previously published data showing the highest upregulation of CDX2 in antrum and cardia of patients with both positive H. pylori status and gastro-oesophageal reflux disease [19]. In these cases, the induction of CDX2 as the main driver of intestinal metaplasia seems to be mediated by distinct mechanisms as in the presence of H. pylori infection, the CDX2 expression correlates positively with the degree of the mucosal infiltration with immune cells, whereas the reflux-induced expression of CDX2 is independent of the mucosal inflammation [19].…”
supporting
confidence: 89%
“…The prevalence of intestinal metaplasia in the stomach, however, is highest when both factors are present: H. pylori and bile reflux [17,18]. This is in line with previously published data showing the highest upregulation of CDX2 in antrum and cardia of patients with both positive H. pylori status and gastro-oesophageal reflux disease [19]. In these cases, the induction of CDX2 as the main driver of intestinal metaplasia seems to be mediated by distinct mechanisms as in the presence of H. pylori infection, the CDX2 expression correlates positively with the degree of the mucosal infiltration with immune cells, whereas the reflux-induced expression of CDX2 is independent of the mucosal inflammation [19].…”
supporting
confidence: 89%
“…The prevalence of IM in the gastric corpus is usually lower than in the antrum or the cardia which can partially be explained by the different mucosal architecture of these parts of the stomach [47,48]. There might be methodological bias due to the biopsy protocol of the updated Sydney classification.…”
Section: Discussionmentioning
confidence: 99%
“…This is typified in Barrett's esophagus leading to esophageal adenocarcinoma [8], Helicobacter pylori-driven gastric ulcers leading to gastric cancer [9] and chronic long-term ulcerative colitis leading to colon cancer [10]. In breast cancer 1/2, early onset (BRCA1/2) associated breast cancers, tumor-associated CI may provide prognostic value [11].…”
Section: Inflammatory States Promoting Tumor Initiation and Growthmentioning
confidence: 99%