Evidence map›Paper›PMID 21953141›Full record

ArticleDigestive diseases and sciences2012

Eradication of H. pylori did not improve abnormal sonic hedgehog expression in the high risk group for gastric cancer.

Akiko Shiotani, Takahisa Murao, Noriya Uedo, Hiroyasu Iishi, Yoshiyuki Yamanaka, Tomoari Kamada, Hiroaki Kusunoki, Kazuhiko Inoue, Ken Haruma

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Article in Digestive diseases and sciences, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Helicobacter pylori as an oncogenic pathogen, revisited.Expert reviews in molecular medicine · 2017
    Review
  6. Article
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Akiko ShiotaniDepartment of Internal Medicine, Division of Gastroenterology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama Prefecture 01-0192, Japan. shiotani@med.kawasaki-m.ac.jp
Takahisa Murao
Noriya Uedo
Hiroyasu Iishi
Yoshiyuki Yamanaka
Tomoari Kamada
Hiroaki Kusunoki
Kazuhiko Inoue
Ken Haruma
Kawasaki Medical School · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSonic hedgehog (SHH) acts as a proliferation factor in both the normal mucosa and in malignant lesions. Helicobacter pylori-associated atrophic gastritis is characterized by loss of SHH.

aimThe purpose of this study was to investigate the effects of H. pylori eradication on SHH mRNA and methylation levels in the patients at high risk for gastric cancer comparing to those in the controls.

methodsGastric corpus biopsies taken from 20 patients with endoscopic resection for early gastric cancer and 14 sex- and age-matched controls before and 1 year after eradication were examined for SHH and downstream regulators mRNA expression using whole biopsy specimens and microdissected gastric glands. Methylation of SHH promoter was evaluated using quantitative methylation-specific PCR.

resultsSHH mRNA levels eradication were significantly lower (2.75 × 10(-2) vs. 7.37 × 10(-2), P = 0.004) in the cancer group than in the controls. PTCH and BMP4 mRNA levels as well as MUC5AC were significantly increased only in the control group and were significantly higher in the controls than those in the cancer group after eradication. After eradication, SHH methylation levels in the non-metaplastic glands were significantly higher (86.4% vs. 22.2%, P < 0.001) in the cancer group than in the controls.

conclusionsH. pylori eradication can enhance SHH and its downstream regulators expression diminishing SHH methylation and reverse gastric phenotype, but not in the patients with high risk for gastric cancer.

Indexed as

Helicobacter pyloriAgedBiopsyBone Morphogenetic Protein 4Case-Control StudiesDNA MethylationFemaleGastric MucosaGastritis, AtrophicGenetic Predisposition to DiseaseHedgehog ProteinsHelicobacter InfectionsHumansMaleMiddle AgedMucin 5ACBMP4 protein, humanBone Morphogenetic Protein 4GLI1 protein, humanHedgehog ProteinsMUC5AC protein, humanMucin 5ACPatched-1 ReceptorPatched ReceptorsPTCH1 protein, humanReceptors, Cell SurfaceSHH protein, humanTranscription FactorsZinc Finger Protein GLI1

Identifiers

PMID21953141
OpenAlexW1978406924

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.