2011
DOI: 10.1155/2011/340157
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The Human Gastric PathogenHelicobacter pyloriand Its Association with Gastric Cancer and Ulcer Disease

Abstract: With the momentous discovery in the 1980's that a bacterium,Helicobacter pylori, can cause peptic ulcer disease and gastric cancer, antibiotic therapies and prophylactic measures have been successful, only in part, in reducing the global burden of these diseases. To date, ~700,000 deaths worldwide are still attributable annually to gastric cancer alone. Here, we reviewH. pylori's contribution to the epidemiology and histopathology of both gastric cancer and peptic ulcer disease. Furthermore, we examine the hos… Show more

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Cited by 94 publications
(69 citation statements)
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References 243 publications
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“…One alternative to human demography may be stronger selection in Africa, a notion that is consistent with the larger number of putatively adaptive regions identified in Africa, relative to other sampled populations ( Figure 3 and Table S3). Despite the very high prevalence of H. pylori on this continent, a significant association with the incidence of gastric diseases has never been demonstrated (Graham et al 2007;Bauer and Meyer 2011). The opposite is true in non-African strains, where we show that H. pylori had a very low ancestral effective population size, coupled with the high population growth rates in our global sample.…”
Section: Discussioncontrasting
confidence: 63%
See 1 more Smart Citation
“…One alternative to human demography may be stronger selection in Africa, a notion that is consistent with the larger number of putatively adaptive regions identified in Africa, relative to other sampled populations ( Figure 3 and Table S3). Despite the very high prevalence of H. pylori on this continent, a significant association with the incidence of gastric diseases has never been demonstrated (Graham et al 2007;Bauer and Meyer 2011). The opposite is true in non-African strains, where we show that H. pylori had a very low ancestral effective population size, coupled with the high population growth rates in our global sample.…”
Section: Discussioncontrasting
confidence: 63%
“…Genes falling into the functional categories explained in the discussion are color coded as reported in the legend, while remaining are in black. This figure was generated using R bioconductor package genoPlotR (Guy et al 2010). 2010; Bauer and Meyer 2011;Matsunari et al 2012;Shiota et al 2013). TheAfrica2 population shows the strongest evidence of recurrent local adaptation, a result that is perhaps intuitive given its long association with the San, one of the most ancient of human groups.…”
Section: Worldwide and Population-specific Genes Under Selectionmentioning
confidence: 99%
“…In the majority of cases, H. pylori infection induces chronic gastritis with a rate of 80% to 90% and to 10% of infected individuals can develop peptic ulcers and 1-3% presents a risk of developing gastric cancer [7,[30][31][32]. Our study showed that the most common pathology resulting from H. pylori infection was chronic gastritis with a rate of 66%, followed by atrophic gastritis (12%), intestinal metaplasia (8%), and gastric cancer (9%).…”
Section: Discussionmentioning
confidence: 99%
“…Two of the AMPs tested (LL-37 and magainin I) were relatively weakly active against all of the strains, while cecropin gave much lower MICs. Isolation of drug-resistant forms of Helicobacter pylori have led to concerns about the inability to eradicate chronic infections leading to gastric adenocarcinoma [65].…”
Section: Antibacterial Activitymentioning
confidence: 99%