在胃病理生理学中适应不良的团
Gunter Maubach1, Arun K Kanthasamy1, Sandro Gogia1
1Institute of Experimental Internal Medicine, Otto von Guericke University Magdeburg, 39120 Magdeburg, Germany.
Trends in cancer
|February 21, 2025
概括
胃癌 (GC) 的发展是复杂的,受到H. pylori和遗传学等因素的影响. 这篇评论探讨了GC病理生理学和治疗中的微生物组,分子途径和免疫逃避.
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:
- 胃癌 (GC) 仍然是一个重要的全球健康问题,尽管发病率正在下降.
- GC开发是一个复杂的,多阶段的过程,受到各种因素的影响.
- 了解这些因素对于早期发现,治疗和预防至关重要.
研究的目的:
- 审查了解GC病理生理学的最新进展.
- 要突出微生物组,分子通路和免疫逃避在GC中的作用.
- 讨论目前的挑战和GC治疗的进展.
主要方法:
- 文献综述,重点关注最近的科学发展.
- 分析风险因素,包括H. pylori感染,遗传学,生活方式和饮食.
- 检查微生物组,分子变化和GC中的免疫反应之间的相互作用.
主要成果:
- 该综述综合了关于GC发展和进展的当前知识.
- 它强调了微生物组和免疫规避的重大影响.
- 详细介绍了关键的风险因素及其对GC病理生理学的贡献.
结论:
- 对GC复杂病因学的全面了解至关重要.
- 针对微生物组,分子通路和免疫逃避提供了潜在的治疗策略.
- 需要继续进行研究,以应对挑战并改善GC治疗结果.
相关概念视频
Gastritis-II: Pathophysiology
209
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...
209
Pathophysiology of Peptic Ulcer Disease: Injurious Factors
524
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...
524
Mucosal Barrier of the Stomach
437
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...
437
Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors
342
Peptic ulcer disease, commonly called PUD, represents a multifaceted condition characterized by disruptions in the lining of the gastrointestinal (GI) tract. Central to the protection of the gastrointestinal lining is the mucosal-bicarbonate barrier. This physiological defense mechanism is a formidable shield against the corrosive effects of gastric acid and pepsin secretion in the stomach. Its role is pivotal in maintaining the structural integrity of the stomach's inner lining.
342
Peptic Ulcer Disease II: Pathophysiology
218
Peptic Ulcer Disease (PUD) is characterized by the development of ulcers in the stomach or duodenal mucosa. Its pathophysiology is complex, involving a balance between damaging and protective elements.
Damaging agents such as Helicobacter pylori, gastric acid, pepsin, and nonsteroidal anti-inflammatory drugs (NSAIDs) can weaken the mucosal defense, allowing hydrogen ions to infiltrate back and harm epithelial cells.
Damaging agents such as Helicobacter pylori, gastric acid, pepsin, and nonsteroidal anti-inflammatory drugs (NSAIDs) can weaken the mucosal defense, allowing hydrogen ions to infiltrate back and harm epithelial cells.
218
Gastritis-I: Introduction and Types
236
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,...
236


