Evidence map›Paper›PMID 22945475›Full record

ArticleDigestive diseases and sciences2013

H. pylori infection is associated with DNA damage of Lgr5-positive epithelial stem cells in the stomach of patients with gastric cancer.

Takeshi Uehara, Deqin Ma, Yuan Yao, John P Lynch, Knashawn Morales, Amy Ziober, Michael Feldman, Hiroyoshi Ota, Antonia R Sepulveda

Open access · greenAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
7.9field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Managing dangerous liaisons: lessons fromJournal of bacteriology · 2026
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  5. Life science alliance · 2024
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  8. The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Gastric Stem Cells: Physiological and Pathological Perspectives.Frontiers in cell and developmental biology · 2020
    Review
  20. Downregulation ofOncotarget · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Takeshi UeharaDepartment of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, 3400 Spruce Street, Founders 6, Philadelphia, PA 19104, USA.
Deqin Ma
Yuan Yao
John P Lynch
Knashawn Morales
Amy Ziober
Michael Feldman
Hiroyoshi Ota
Antonia R Sepulveda
University of Pennsylvania · USŌtani University · JP

Funding

Weight loss-induced Microbiome and Adipokine Changes in Barrett's EsophagusU54CA163004 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ABRAMS, JULIAN, RUSTGI, ANIL K · 2011 to 2022
$12.5M
Intestinal Stem Cell Consortium Coordinating CenterU01DK085532 · NIDDK · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI NILAND, JOYCE CAROL · 2009 to 2018
$6.5M
Limited Competition for the Continuation of the Intestinal Stem Cell Consortium Coordinating CenterU24DK085532 · NIDDK · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI NILAND, JOYCE CAROL · 2019 to 2023
$2.3M
The Intestinal Stem Cell NicheU01DK085551 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI LYNCH, JOHN P., RUSTGI, ANIL K · 2009 to 2014
$2.1M
Mouse models for esophageal Cox-2 oxidative stress and DNA damageK26OD012097 · OD · UNIVERSITY OF PENNSYLVANIA · PI LYNCH, JOHN P. · 2013 to 2017
$737k
NCI NIH HHS U54 CA163004NIDDK NIH HHS U01 DK085532NIDDK NIH HHS U01 DK085551NIDDK NIH HHS U24 DK085532NIH HHS K26 OD012097
6 · The paper itself

Abstract

backgroundH. pylori (Hp) infection is a major risk factor in gastric carcinogenesis leading to epithelial mutagenesis, and may affect gastric epithelial stem cells.

aimsTo characterize the expression of Lgr5, a marker of epithelial stem cells in human gastric mucosa, to determine whether Hp infection affects Lgr5-positive epithelial cells (LPECs) and whether LPECs are susceptible to DNA damage associated with Hp infection.

methodsLgr5 expression was characterized in non-neoplastic gastric mucosa from 52 patients (34 with and 18 without gastric cancer (GC); 21 Hp-positive (Hp+) and 31 Hp-negative (Hp-)) by immunohistochemical and immunofluorescence staining. To determine the extent of DNA damage in LPECs, nuclear 8-hydroxydeoxyguanosine (8OHdG), a marker of DNA damage associated with oxidative stress, was measured by quantitative spectral image analysis.

resultsLPECs were primarily present in gastric antrum. Higher numbers of LPECs were seen in Hp+ than in Hp- non-neoplastic mucosa of GC patients, P = .006, but not in patients without GC. 8OHdG levels in LPECs were significantly higher than in Lgr5-negative epithelial cells in Hp+ GC patients (P = .012) but not in Hp- cases (P = .414), whereas no difference was seen between Hp+ and Hp- mucosa of patients without GC.

conclusionsThe Lgr5-positive epithelial stem cell pool is expanded in Hp-associated gastritis in the antrum of patients with GC. In GC patients with active Hp infection, LPECs may be more susceptible to DNA damage than Lgr5-negative epithelial cells, suggesting that Hp infection may contribute to GC risk by affecting epithelial stem cells in the human stomach.

Indexed as

DNA DamageEpithelial CellsFluorescent Antibody TechniqueGastric MucosaHelicobacter InfectionsHelicobacter pyloriHumansImmunohistochemistryReceptors, G-Protein-CoupledStaining and LabelingStem CellsStomach NeoplasmsLGR5 protein, humanReceptors, G-Protein-Coupled

Identifiers

PMID22945475
PMCPMC3816997
OpenAlexW2039082276

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.