Long-term proton pump inhibitor administration, H pylori and gastric cancer: lessons from the gerbil

The association between chronic active gastritis and pre-neoplastic conditions as well as invasive cancer of the stomach was established several decades ago. The risk of progression depended on the severity and distribution of gastritis, with cancer, in particular, occurring in subjects with pan-gas...

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Main Authors: Fox, James G., Kuipers, Ernst J.
Other Authors: Massachusetts Institute of Technology. Department of Biological Engineering
Format: Article
Language:en_US
Published: British Medical Association 2011
Online Access:http://hdl.handle.net/1721.1/63604
https://orcid.org/0000-0001-9307-6116
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author Fox, James G.
Kuipers, Ernst J.
author2 Massachusetts Institute of Technology. Department of Biological Engineering
author_facet Massachusetts Institute of Technology. Department of Biological Engineering
Fox, James G.
Kuipers, Ernst J.
author_sort Fox, James G.
collection MIT
description The association between chronic active gastritis and pre-neoplastic conditions as well as invasive cancer of the stomach was established several decades ago. The risk of progression depended on the severity and distribution of gastritis, with cancer, in particular, occurring in subjects with pan-gastritis. Subsequently, Helicobacter pylori was recognised as the primary cause of chronic active gastritis, and it was demonstrated that the pattern of gastritis corresponded with the colonisation pattern of H pylori. We and others then showed both in animals and in humans that this pattern of colonisation and associated gastritis primarily depended on the level of acid output. 1 2 Although this hypothesis was widely accepted, it led to intense debate when dealing with the safety of long-term treatment with profound acid suppressors. An elegant, long-awaited study from Japan published in this issue of Gut ( see page 624) provides compelling evidence that the pattern of H pylori colonisation depends on acid output and that this influences the long-term progression to neoplasia. The current study was based on experiments in gerbils, one of the well-established animal models for the study gastric disease induced by Helicobacter spp.
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spelling mit-1721.1/636042022-09-30T10:52:05Z Long-term proton pump inhibitor administration, H pylori and gastric cancer: lessons from the gerbil Fox, James G. Kuipers, Ernst J. Massachusetts Institute of Technology. Department of Biological Engineering Massachusetts Institute of Technology. Division of Comparative Medicine Fox, James G. Fox, James G. The association between chronic active gastritis and pre-neoplastic conditions as well as invasive cancer of the stomach was established several decades ago. The risk of progression depended on the severity and distribution of gastritis, with cancer, in particular, occurring in subjects with pan-gastritis. Subsequently, Helicobacter pylori was recognised as the primary cause of chronic active gastritis, and it was demonstrated that the pattern of gastritis corresponded with the colonisation pattern of H pylori. We and others then showed both in animals and in humans that this pattern of colonisation and associated gastritis primarily depended on the level of acid output. 1 2 Although this hypothesis was widely accepted, it led to intense debate when dealing with the safety of long-term treatment with profound acid suppressors. An elegant, long-awaited study from Japan published in this issue of Gut ( see page 624) provides compelling evidence that the pattern of H pylori colonisation depends on acid output and that this influences the long-term progression to neoplasia. The current study was based on experiments in gerbils, one of the well-established animal models for the study gastric disease induced by Helicobacter spp. 2011-06-09T15:22:05Z 2011-06-09T15:22:05Z 2011-05 Article http://purl.org/eprint/type/JournalArticle 0017-5749 http://hdl.handle.net/1721.1/63604 Fox, James G., and Ernst J. Kuipers. “Long-term Proton Pump Inhibitor Administration, H Pylori and Gastric Cancer: Lessons from the Gerbil.” Gut 60.5 (2011) : 567 -568.© 2011 BMJ Publishing Group Ltd. https://orcid.org/0000-0001-9307-6116 en_US http://dx.doi.org/10.1136/gut.2010.229286 Gut Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf British Medical Association BMJ
spellingShingle Fox, James G.
Kuipers, Ernst J.
Long-term proton pump inhibitor administration, H pylori and gastric cancer: lessons from the gerbil
title Long-term proton pump inhibitor administration, H pylori and gastric cancer: lessons from the gerbil
title_full Long-term proton pump inhibitor administration, H pylori and gastric cancer: lessons from the gerbil
title_fullStr Long-term proton pump inhibitor administration, H pylori and gastric cancer: lessons from the gerbil
title_full_unstemmed Long-term proton pump inhibitor administration, H pylori and gastric cancer: lessons from the gerbil
title_short Long-term proton pump inhibitor administration, H pylori and gastric cancer: lessons from the gerbil
title_sort long term proton pump inhibitor administration h pylori and gastric cancer lessons from the gerbil
url http://hdl.handle.net/1721.1/63604
https://orcid.org/0000-0001-9307-6116
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