胃素在胃癌中的核心作用
Helge Waldum1, Patricia Mjønes1,2
1Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
Frontiers in oncology
|November 9, 2023
概括
胃癌虽然在减少,但仍然是致命的. 这项研究探讨了它的类型,Helicobacter pylori的作用,并建议胃素作为一个关键因素,通过H. pylori根除和胃素对抗提出预防.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 胃癌,尽管发病率下降,仍然保持高死亡率.
- 劳伦分类区分肠道和扩散类型,两者都是腺癌.
- 扩散类型的粘素存在和肠染色胺类 (ECL) 细胞标志物需要进一步调查.
研究的目的:
- 研究胃癌的发病因子,重点关注Helicobacter pylori和胃蛋白的作用.
- 澄清胃癌亚型的分类和细胞起源.
- 确定胃癌的潜在预防策略.
主要方法:
- 审查关于胃癌分类和病因学的现有文献.
- 分析Helicobacter pylori在诱导氧化性缩,低酸性和高胃血症方面的拟议作用.
- 检查超胃肠病,ECL细胞增生和神经内分泌瘤发展之间的联系.
主要成果:
- 杆菌感染与胃癌的发展有着强烈的关系,可能是通过胃素.
- 超胃血症被认为是关键的病原遗传因素,导致ECL细胞增生,并可能导致神经内分泌瘤和癌症.
- 瘤细胞在致癌过程中可能会失去特定的特征,需要敏感的检测方法.
结论:
- 胃癌的发病包括H. pylori诱导的高胃血症,导致ECL细胞的变化.
- 通过早期的H. pylori根除,减少酸分泌抑制剂的使用和胃素对抗,可以实现预防.
- 了解细胞起源和病原遗传因素对于有效的胃癌预防和治疗至关重要.
相关概念视频
Pathophysiology of Peptic Ulcer Disease: Injurious Factors
605
Peptic ulcers are sores on the stomach's inner lining and the upper small intestine, which are the result of disruptions in the mucosal layer that houses parietal cells which produce gastric acid, and chief cells which secrete pepsinogen.
In the antrum region, G cells secrete the gastrin hormone that binds to gastrin-cholecystokinin-B (CCK2) receptors on parietal and enterochromaffin-like (ECL) cells in the fundic glands. Simultaneously, the vagus nerve releases acetylcholine, which binds...
In the antrum region, G cells secrete the gastrin hormone that binds to gastrin-cholecystokinin-B (CCK2) receptors on parietal and enterochromaffin-like (ECL) cells in the fundic glands. Simultaneously, the vagus nerve releases acetylcholine, which binds...
605
Gastritis-II: Pathophysiology
347
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
347
Hormones Secreted by the Stomach
619
Enteroendocrine cells, accounting for only 1% of stomach epithelial cells, play a significant role in digestion and are classified by their digestive hormone secretions.
Each of these hormones secreted by different enteroendocrine cells plays a unique role in digestion. Here are a few examples:
Each of these hormones secreted by different enteroendocrine cells plays a unique role in digestion. Here are a few examples:
619
Gastritis-I: Introduction and Types
476
Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
476
Gastric Phase of Digestion
1.1K
The gastric phase of digestion begins as soon as food enters the stomach. The incoming food bolus triggers neural and hormonal mechanisms, which last approximately 3 to 4 hours. During this phase, the stomach undergoes significant changes to prepare the food for further digestion and absorption.
When food enters the stomach, it stretches the stomach walls and activates stretch receptors. This triggers local reflexes of the enteric nervous system, mediated through the myenteric plexus. These...
When food enters the stomach, it stretches the stomach walls and activates stretch receptors. This triggers local reflexes of the enteric nervous system, mediated through the myenteric plexus. These...
1.1K
Mucosal Barrier of the Stomach
683
The gastric glands contain parietal cells that secrete hydrochloric acid (HCl) for digestion. The cells secrete HCl because it is highly corrosive and essential for breaking down food. To achieve this, they secrete hydrogen and chloride ions into the lumen of the gastric glands, which combine to form HCl.
Within parietal cells, carbonic acid is first formed through the reaction of water and carbon dioxide. The dissociation of carbonic acid releases bicarbonate and hydrogen ions. The bicarbonate...
Within parietal cells, carbonic acid is first formed through the reaction of water and carbon dioxide. The dissociation of carbonic acid releases bicarbonate and hydrogen ions. The bicarbonate...
683


