Evidence map›Paper›PMID 23257361›Full record

Trial reportThe Journal of clinical investigation2013

Iron deficiency accelerates Helicobacter pylori-induced carcinogenesis in rodents and humans.

Jennifer M Noto, Jennifer A Gaddy, Josephine Y Lee, M Blanca Piazuelo, David B Friedman, Daniel C Colvin, Judith Romero-Gallo, Giovanni Suarez, John Loh, James C Slaughter and 8 more

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in The Journal of clinical investigation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
15.3field-weighted citation impact, top 1% 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

120 citing papers in PubMed, 175 citations in OpenAlex.

  1. Effect of treatment failure on the CagA EPIYA motif inWorld journal of gastroenterology · 2017
    Trial
  2. Article
  3. Multiple TonB-dependent transport systems inInfection and immunity · 2026
    Article
  4. Managing dangerous liaisons: lessons fromJournal of bacteriology · 2026
    Review
  5. Review
  6. Metabolic reprogramming as a key regulator in Helicobacter pylori-infected gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Review
  7. Review
  8. IRON DEFICIENCY PROMOTESTransactions of the American Clinical and Climatological Association · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Assessment ofHeliyon · 2024
    Article
  13. Cross-talk betweenFrontiers in cellular and infection microbiology · 2024
    Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Exploring the inhibitory potential ofFrontiers in molecular biosciences · 2023
    Article
  19. Clinical Pathogenesis, Molecular Mechanisms of Gastric Cancer Development.Current topics in microbiology and immunology · 2023
    Article
  20. The immune microenvironment in gastric adenocarcinoma.Nature reviews. Gastroenterology & hepatology · 2022
    Review

60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Jennifer M NotoDivision of Gastroenterology, Department of Medicine, Vanderbilt University, Nashville, Tennessee 37232, USA.
Jennifer A Gaddy
Josephine Y Lee
M Blanca Piazuelo
David B Friedman
Daniel C Colvin
Judith Romero-Gallo
Giovanni Suarez
John Loh
James C Slaughter
Shumin Tan
Douglas R Morgan
Keith T Wilson
Luis E Bravo
Pelayo Correa
Timothy L Cover
Manuel R Amieva
Richard M Peek
University Gastroenterology · USStanford University · USVanderbilt University · USVA Tennessee Valley Healthcare System · USCancer Research And Biostatistics · USUniversidad del Valle · CO

Funding

Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Role of Iron and B-Catenin Activation in Gastric CarcinogenesisP01CA116087 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Kevin L Schey · 2009 to 2026
$27.5M
Project 3 - Molecular Signatures of Gastric Carcinogenesis in the Host Response to H. pyloriP01CA028842 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILSON, KEITH T. · 1985 to 2019
$15.8M
MOLECULAR BASIS OF HOST-PARASITE INTERACTIONT32AI007328 · NIAID · STANFORD UNIVERSITY · PI JUSTIN L SONNENBURG · 1987 to 2026
$11.9M
H.Pylori Relationship to Digestive Diseases and CancerR01CA077955 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2003 to 2026
$9.7M
Helicobacter Pylori and Gastrointestinal BiologyR01DK058587 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PEEK, RICHARD M. · 2001 to 2024
$7.8M
HPYLORI INDUCED DNA DAMAGE AND IMMUNE DYSREGULATIONR01DK053620 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILSON, KEITH T. · 1997 to 2014
$3.4M
Analysis of the H. Pylori cag pathogenicity islandR01AI068009 · NIAID · VANDERBILT UNIVERSITY · PI COVER, TIMOTHY L · 2008 to 2012
$1.9M
Role of adhesin-receptor interaction in H. pylori-induced gastric carcinogenesisF32CA153539 · NCI · VANDERBILT UNIVERSITY · PI NOTO, JENNIFER MCMILLAN · 2010 to 2012
$159k
Metal-dependent regulation of the H. pylori Cag type IV secretion systemF32AI102568 · NIAID · VANDERBILT UNIVERSITY · PI GADDY, JENNIFER A · 2012 to 2012
$48k
Arginine Availability and Metabolism in the Immune Evasion of H. pyloriI01BX001453 · VA · VETERANS HEALTH ADMINISTRATION · PI WILSON, KEITH T. · 2012 to 2019
–
BLRD VA I01 BX001453NCI NIH HHS F32 CA153539NCI NIH HHS F32CA153539NCI NIH HHS P01 CA028842NCI NIH HHS P01CA028842NCI NIH HHS P01 CA116087NCI NIH HHS P01CA116087NCI NIH HHS R01 CA077955NCI NIH HHS R01CA077955NIAID NIH HHS F32 AI102568NIAID NIH HHS R01 AI068009NIAID NIH HHS R01AI068009NIAID NIH HHS T32 AI007328NIDDK NIH HHS P30 DK058404NIDDK NIH HHS P30DK058404NIDDK NIH HHS R01 DK053620NIDDK NIH HHS R01DK053620NIDDK NIH HHS R01 DK058587NIDDK NIH HHS R01DK058587
6 · The paper itself

Abstract

Gastric adenocarcinoma is strongly associated with Helicobacter pylori infection; however, most infected persons never develop this malignancy. H. pylori strains harboring the cag pathogenicity island (cag+), which encodes CagA and a type IV secretion system (T4SS), induce more severe disease outcomes. H. pylori infection is also associated with iron deficiency, which similarly augments gastric cancer risk. To define the influence of iron deficiency on microbial virulence in gastric carcinogenesis, Mongolian gerbils were maintained on iron-depleted diets and infected with an oncogenic H. pylori cag+ strain. Iron depletion accelerated the development of H. pylori-induced premalignant and malignant lesions in a cagA-dependent manner. H. pylori strains harvested from iron-depleted gerbils or grown under iron-limiting conditions exhibited enhanced virulence and induction of inflammatory factors. Further, in a human population at high risk for gastric cancer, H. pylori strains isolated from patients with the lowest ferritin levels induced more robust proinflammatory responses compared with strains isolated from patients with the highest ferritin levels, irrespective of histologic status. These data demonstrate that iron deficiency enhances H. pylori virulence and represents a measurable biomarker to identify populations of infected persons at high risk for gastric cancer.

Indexed as

Cell Transformation, NeoplasticHelicobacter InfectionsHelicobacter pyloriIron DeficienciesStomach NeoplasmsAnimalsAntigens, BacterialBacterial ProteinsBacterial Secretion SystemsFemaleFerritinsGenomic IslandsGerbillinaeHumansMaleRisk FactorsAntigens, BacterialBacterial ProteinsBacterial Secretion SystemscagA protein, Helicobacter pyloriFerritins

Identifiers

PMID23257361
PMCPMC3533289
OpenAlexW2046574783

What OpenQuestion holds

Textmetadata
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.