Kunshan Hospital of Chinese Medicine, Suzhou, Jiangsu, China.
Kunshan Hospital of Traditional Chinese and Western Medicine, Suzhou, Jiangsu, China.
Autoimmunity. 2023 Dec;56(1):2174531. doi: 10.1080/08916934.2023.2174531.
Gastric cancer (GC) is a type of the most common cancers. Autoimmune gastritis (AIG) and infection with (HP) are the risk factors of triggering GC. With the emphasis on the treatment of HP, the incidence and prevalence of HP infection in population is decreasing. However, AIG lacks accurate diagnosis and treatment methods, which occupies high cancer risk factors. AIG is controlled by the immune environment of the stomach, including immune cells, inflammatory cells, and infiltrating intercellular material. Various immune cells or cytokines play a central role in the process of regulating gastric parietal cells. Abnormal expression levels of cytokines involved in immunity are bound to face the risk of tumorigenesis. Therefore, it is particularly important for preventing or treating AIG and avoiding the risk of gastric cancer to clarify the confirmed action mode of immune cells and cytokines in the gastric system. Herein, we briefly reviewed the role of the immune environment under AIG, focussing on describing these double-edged effects between immune cells and cytokines, and pointing out potential research challenges.
胃癌(GC)是最常见的癌症类型之一。自身免疫性胃炎(AIG)和 (HP)感染是引发 GC 的危险因素。随着对 HP 治疗的重视,人群中 HP 感染的发病率和患病率正在下降。然而,AIG 缺乏准确的诊断和治疗方法,占据了较高的癌症危险因素。AIG 受胃的免疫环境控制,包括免疫细胞、炎症细胞和浸润的细胞间物质。各种免疫细胞或细胞因子在调节胃壁细胞的过程中发挥着核心作用。涉及免疫的细胞因子的异常表达水平必然面临着肿瘤发生的风险。因此,阐明免疫细胞和细胞因子在胃系统中的明确作用模式对于预防或治疗 AIG 并避免胃癌风险尤为重要。在这里,我们简要回顾了 AIG 下的免疫环境的作用,重点描述了免疫细胞和细胞因子之间的这种双刃剑效应,并指出了潜在的研究挑战。
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