Evidence map›Paper›PMID 33638751›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2021

Involvement of non-Helicobacter pylori helicobacter infections in Helicobacter pylori-negative gastric MALT lymphoma pathogenesis and efficacy of eradication therapy.

Hidehiko Takigawa, Ryo Yuge, Satoshi Masaki, Rina Otani, Hiroki Kadota, Toshikatsu Naito, Ryohei Hayashi, Yuji Urabe, Shiro Oka, Shinji Tanaka and 2 more

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In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Non-International journal of molecular sciences · 2024
    Pooled it
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  4. Update on the pathogenesis and clinical management ofWorld journal of gastrointestinal pathophysiology · 2025
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  12. Role of non-World journal of gastroenterology · 2023
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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

12 authors at 3 institutions in 1 country.

Hidehiko TakigawaDepartment of Endoscopy, Hiroshima University Hospital, Hiroshima, 734-0037, Japan.
Ryo YugeDepartment of Endoscopy, Hiroshima University Hospital, Hiroshima, 734-0037, Japan.
Satoshi MasakiDepartment of Health and Science, Prefectural University of Hiroshima, 1-1-71, Ujinahigashi, Minami-ku, Hiroshima, 734-8558, Japan.
Rina OtaniDepartment of Gastroenterology and Metabolism, Hiroshima University, Hiroshima, 734-0037, Japan.
Hiroki KadotaDepartment of Gastroenterology and Metabolism, Hiroshima University, Hiroshima, 734-0037, Japan.
Toshikatsu NaitoDepartment of Gastroenterology and Metabolism, Hiroshima University, Hiroshima, 734-0037, Japan.
Ryohei HayashiDepartment of Endoscopy, Hiroshima University Hospital, Hiroshima, 734-0037, Japan.
Yuji UrabeDivision of Regeneration and Medicine Center for Translational and Clinical Research, Hiroshima University Hospital, Hiroshima, 734-0037, Japan.
Shiro OkaDepartment of Gastroenterology and Metabolism, Hiroshima University, Hiroshima, 734-0037, Japan.
Shinji TanakaDepartment of Endoscopy, Hiroshima University Hospital, Hiroshima, 734-0037, Japan.
Kazuaki ChayamaDepartment of Gastroenterology and Metabolism, Hiroshima University, Hiroshima, 734-0037, Japan.
Yasuhiko KitadaiDepartment of Health and Science, Prefectural University of Hiroshima, 1-1-71, Ujinahigashi, Minami-ku, Hiroshima, 734-8558, Japan. kitadai@pu-hiroshima.ac.jp.ORCID 0000-0002-8743-3815
Hiroshima University · JPHiroshima University Hospital · JPPrefectural University of Hiroshima · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEradication therapy is known to be effective against Helicobacter pylori-positive gastric MALT lymphoma but predicting the efficacy of eradication therapy against Helicobacter pylori-negative gastric MALT lymphoma is difficult. Recent reports have shown that non-Helicobacter pylori helicobacter infections induce gastric MALT lymphoma, and we aimed to clarify whether non-Helicobacter pylori helicobacter infections are associated with the efficacy of eradication therapy.

methodsWe analyzed eradication therapy as a first-line treatment for 182 cases of gastric MALT lymphoma, classified according to Helicobacter pylori infection and API2-MALT1 mutation status. We also evaluated the non-Helicobacter pylori helicobacter infection status in 29 Helicobacter pylori-negative cases via PCR with DNA extracted from paraffin-embedded biopsy tissues. Finally, we analyzed the relationship between non-Helicobacter pylori helicobacter infection status and eradication therapy outcome.

resultsThe API2-MALT1 mutation was observed in 13/182 patients (7.1%), none of whom were cured by eradication therapy. Helicobacter pylori-negative cases had a significantly higher non-Helicobacter pylori helicobacter infection rate than Helicobacter pylori-positive cases (16/29, 55% vs. 3/29, 10%; P < 0.05). Among the Helicobacter pylori-negative cases, non-Helicobacter pylori helicobacter-positive cases had a significantly higher complete response rate than non-Helicobacter pylori helicobacter-negative cases (12/16, 75% vs. 3/13, 23%; P < 0.05).

conclusionHelicobacter pylori-negative and API2-MALT1-negative gastric MALT lymphoma cases exhibited a high rate of non-Helicobacter pylori helicobacter infections, which may have contributed to the success of eradication therapy. Therefore, we recommend eradication therapy as a first-line treatment for non-Helicobacter pylori helicobacter-positive gastric MALT lymphoma.

Indexed as

AdultAgedAged, 80 and overAnti-Bacterial AgentsBiomarkersFemaleHelicobacterHelicobacter InfectionsHumansLymphoma, B-Cell, Marginal ZoneMaleMiddle AgedMutationOncogene Proteins, FusionStomach NeoplasmsTreatment OutcomeAnti-Bacterial AgentsAPI2-MALT1 fusion protein, humanBiomarkersOncogene Proteins, FusionAPI2-MALT1Eradication therapyGastric MALT lymphomaHelicobacter pyloriNon-Helicobacter pylori helicobacter

Identifiers

PMID33638751
OpenAlexW3129484821

What OpenQuestion holds

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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.