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幽门螺杆菌与胃癌之间的关联

Association Between Helicobacter pylori and Gastric Carcinoma.

作者信息

Padda Jaskamal, Khalid Khizer, Cooper Ayden Charlene, Jean-Charles Gutteridge

机构信息

Internal Medicine, JC Medical Center, Orlando, USA.

Internal Medicine, Advent Health and Orlando Health Hospital/JC Medical Center, Orlando, USA.

出版信息

Cureus. 2021 May 22;13(5):e15165. doi: 10.7759/cureus.15165.

Abstract

Gastric carcinoma is the third leading cause of cancer mortality worldwide. In 2018, the incidence of gastric carcinoma worldwide was over 1,000,000 new cases, with approximately 783,000 deaths. The rate of new cases is noticeably increased in Eastern Asia.  is responsible for the increased incidence of gastric cancer. In the year 2015, had an approximate prevalence of 4.4 billion positive cases worldwide, with the most positive cases found within the region of Africa, Latin America and the Caribbean, and of Asia. is known to have multiple strains which allow it to survive in the host cell epithelium chronically. Research has shown many factors which play a significant role in developing infection and thereafter its progression to gastric carcinoma. After colonizes the gastric mucosa, its effects can be potentiated by virulence factors, host factors, and environmental factors. contains virulence factors that aid in the adhesion, translocation, inflammation, and infectivity of the host gastric epithelium. It alters the functions of the host immune response and cytokines, utilizing these factors to invade and persist in the gastric epithelium for a long period of time. The human body will identify to be foreign and will exacerbate an inflammatory response in an effort to eradicate the bacterium. Consequently, this will cause to induce a serious infection which may progress to cancer. In this review, we will discuss the various factors involved in the infectious process of and how they help the infection progress to gastric carcinoma. This will allow us to better understand and modulate treatments to effectively eradicate this bacterium before it triggers the body into developing cancer.

摘要

胃癌是全球癌症死亡的第三大主要原因。2018年,全球胃癌发病率超过100万新发病例,死亡人数约为78.3万。东亚地区的新发病例数显著增加。幽门螺杆菌是胃癌发病率上升的原因。2015年,幽门螺杆菌在全球的阳性病例患病率约为44亿例,非洲、拉丁美洲和加勒比地区以及亚洲的阳性病例数最多。已知幽门螺杆菌有多种菌株,使其能够在宿主细胞上皮中长期存活。研究表明,许多因素在幽门螺杆菌感染的发生及其随后发展为胃癌的过程中起着重要作用。幽门螺杆菌定植于胃黏膜后,其作用可因毒力因子、宿主因素和环境因素而增强。幽门螺杆菌含有有助于宿主胃上皮细胞黏附、易位、炎症和感染性的毒力因子。它改变宿主免疫反应和细胞因子的功能,利用这些因素长期侵入并寄生于胃上皮细胞。人体会识别幽门螺杆菌为外来物,并加剧炎症反应以试图根除这种细菌。因此,这将导致幽门螺杆菌引发严重感染,进而可能发展为癌症。在这篇综述中,我们将讨论幽门螺杆菌感染过程中涉及的各种因素,以及它们如何帮助感染发展为胃癌。这将使我们能够更好地理解和调整治疗方法,以便在幽门螺杆菌引发身体患癌之前有效地根除这种细菌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/985a/8216031/ae9a036cb2de/cureus-0013-00000015165-i01.jpg

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