Nozaki K, Shimizu N, Tatematsu M
Division of Oncological Pathology, Aichi Cancer Center Research Institute.
Nihon Rinsho. 2001 Feb;59(2):349-54.
Helicobacter pylori (Hp) was concluded to be 'a definite carcinogen' by WHO/IARC in 1994. We have demonstrated that Hp infection enhances chemical carcinogen-induced stomach carcinogenesis in Mongolian gerbils (MGs) using N-methyl-N'-nitro-N-nitrosoguanidine or N-methyl-N-nitrosourea. Not only well-differentiated but also poorly differentiated and signet ring cell types of cancers are observed, mimicking the human case. Eradication of Hp was found to be effective of preventing enhancing effects. Hp infection alone, without chemical carcinogens, caused submucosal proliferating lesions, but not gastric carcinomas, in contrast to reports that Hp infection alone may act on a complete carcinogen. Precise pathological assessment is required to solve this controversy. Here we demonstrate alleviation of Hp induced gastric lesions with eradication in MGs.
1994年,世界卫生组织/国际癌症研究机构(WHO/IARC)认定幽门螺杆菌(Hp)为“明确的致癌物”。我们已经证明,利用N-甲基-N'-硝基-N-亚硝基胍或N-甲基-N-亚硝基脲,Hp感染可增强化学致癌物诱导的蒙古沙鼠(MGs)胃癌发生。不仅观察到了高分化癌,还观察到了低分化癌和印戒细胞癌,这与人类病例相似。发现根除Hp可有效预防增强效应。与单独Hp感染可能作为一种完全致癌物的报道相反,单独的Hp感染在没有化学致癌物的情况下会引起黏膜下增生性病变,但不会导致胃癌。需要进行精确的病理评估来解决这一争议。在此,我们证明了根除Hp可减轻MGs中Hp诱导的胃部病变。