and multidisciplinary study field, which has emerged as an integrated approach of molecular pathology and epidemiology, and investigates the relationships between molecular characteristics or molecular changes, exogenous and endogenous exposure factors, and initiation, evolution, progression, and response to treatment of diseases. According to the principle and methods, MPE may be a promising approach to achieve our purpose. Moreover, the MPE can provide some very important insights on the molecular mechanisms, personalized prevention and treatment for the study field of H. pylori infection and CAG.
HELICOBACTER PYLORI (H. PYLORI) INFECTION AND CHRONIC ATROPHIC GASTRITIS (CAG)Helicobacter pylori (H. pylori), which was isolated for the first time in the year of 1982 by Australian scientists Marshall and Warren [1] , infects more than 50% of the global population [2] . In developing countries, the prevalence of H. pylori infection is very high and it has been found in the stomachs of 70 to 90% of the total population, whereas in developed countries, 25 to 50% of the people carries H. pylori and the prevalence is relatively lower [3] . As early as 1984, it had been very clear that the infection of H. pylori was strongly associated with the inflammation of gastric mucosa tissues, especially the polymorphonuclear cell infiltration [4] . Until now, it is well known that H. pylori infection plays an important etiologic role in many of the most common gastroduodenal diseases, including chronic
ABSTRACTHelicobacter pylori (H. pylori) infects more than 50% of the global population and has been identified as the most important risk factor (cause) of chronic atrophic gastritis (CAG), the main precursor lesion of gastric cancer (GC). Regular endoscopic examination and worry of development of GC bring these CAG patients serious physical, psychological and economic burden. However, most of the H. pyloriinfected patients will not progress to the development of CAG, not to speak of GC, through their lives. Therefore, if we can classify all the H. pylori-infected patients according to the risk of CAG, most of them would be relieved from their burden. Molecular pathological epidemiology (MPE) is a new interdisciplinary, transdisciplinary