杆菌感染是否可以保护食道癌?
Rick Maity1, Arkadeep Dhali2,3,4, Jyotirmoy Biswas5
1General Medicine, Institute of Post Graduate Medical Education and Research, Kolkata 700020, India.
World journal of gastroenterology
|November 4, 2024
概括
杆菌感染可能通过诱导缩性胃炎来保护食道腺癌. 根除H. pylori是安全的,不会增加食道癌症的风险.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 微生物学 微生物学
背景情况:
- 杆菌感染很常见,并与胃部疾病有关.
- 杆菌与食道癌 (EC) 有相反的关系,这表明它具有保护作用.
- 食道癌有两种亚型:ESCC和EAC,具有不同的风险因素.
研究的目的:
- 探索H. pylori在EC发展中的机制.
- 为了研究肠道微生物群在食道癌症发生中的作用.
- 评估H. pylori根除与EC风险有关的安全性.
主要方法:
- 关于H. pylori和EC的最近研究的综述.
- 对H. pylori针对EAC的建议保护机制的分析.
- 检查肠道微生物群对EC的贡献.
- 在H. pylori根除后对EC风险的评估.
主要成果:
- 杆菌感染与EAC相反相关,可能是通过缩性胃炎,改变的 ghrelin 和 apoptosis.
- 杆菌与ESCC没有显著的关联,但多形态和尼托胺可能起作用.
- 肠道微生物群通过炎症,免疫调节,乳糖生成和基因毒素对EC作出贡献.
- 根除H. pylori不会增加EC风险.
结论:
- 杆菌可以通过特定的机制提供对EAC的保护.
- 肠道微生物群影响食道癌发生.
- 根除H. pylori是一种安全的策略,涉及食道癌症风险.
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