1998
DOI: 10.1016/s0016-5085(98)70193-3
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Gastrin and colorectal cancer: A prospective study

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Cited by 244 publications
(178 citation statements)
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“…54 In certain disease states, such as Zollinger-Ellison syndrome, elevated plasma levels of nonamidated gastrins have been measured 30,31,55 ; these elevated levels may result in a predisposition toward colonic malignancy in a subpopulation of patients who also are positive for other associated risk factors. Hypergastrinemia reportedly is associated with mitogenic effects on colorectal mucosae 56,57 and with an increased risk of colonic malignancy 57,58 in a subpopulation of patients. Thus, there is good reason to believe that in patients with hypergastrinemia, circulating PG may play an important role in the initial stages of colon carcinogenesis.…”
Section: Discussionmentioning
confidence: 99%
“…54 In certain disease states, such as Zollinger-Ellison syndrome, elevated plasma levels of nonamidated gastrins have been measured 30,31,55 ; these elevated levels may result in a predisposition toward colonic malignancy in a subpopulation of patients who also are positive for other associated risk factors. Hypergastrinemia reportedly is associated with mitogenic effects on colorectal mucosae 56,57 and with an increased risk of colonic malignancy 57,58 in a subpopulation of patients. Thus, there is good reason to believe that in patients with hypergastrinemia, circulating PG may play an important role in the initial stages of colon carcinogenesis.…”
Section: Discussionmentioning
confidence: 99%
“…While Omeprazole-induced hypergastrinemia was unable to increase tumor incidence in a colon cancer model in rats (Penman et al, 1993;Pinson et al, 1995), it promoted the growth of colorectal adenocarcinoma in APC Min/ þ mice, associated with a significant decrease in survival, which was reversed by the antigastrin antibody, Gastrimmune (Watson and Smith, 2001). A recent epidemiological study showed that prolonged hypergastrinemia increased the relative risk of developing colon cancer by 3.3-fold (Thorburn et al, 1998). Transgenic mice overexpressing the amidated forms of gastrin showed increased proliferation and hypertrophy of gastric mucosa (Wang et al, 1996), which synergized with H. pylori infection and enhanced the development and progression of invasive gastric cancer .…”
Section: Introductionmentioning
confidence: 99%
“…However, in addition to its recognised role in the physiological regulation of acid secretion, another biological property attributed to gastrin is its trophic effects. A prospective study by Thorburn et al (1998) suggested that hypergastrinemia is associated with an increased risk for colorectal cancer (CRC), and numerous studies have demonstrated that gastrin stimulates the growth of malignant colorectal adenocarcinomas (Wang et al, 1996;Malecka-Panas et al, 1997;Baldwin & Shulkes, 1998;Nakata et al, 1998;Koh et al, 1999;Stepan et al, 1999;Smith & Watson, 2000). Transgenic mice overexpressing progastrin and glycine-extended gastrin demonstrate enhanced colonic proliferation (Wang et al, 1996;Koh et al, 1999), and conversely, gastrin-deficient mice manifest decreased colonic proliferation (Koh et al, 1997).…”
mentioning
confidence: 99%