Evidence map›Paper›PMID 39236896›Full record

ArticleGastroenterology2025

Unveiling Cancer-Related Metaplastic Cells in Both Helicobacter pylori Infection and Autoimmune Gastritis.

Stella G Hoft, Michelle Brennan, Javier A Carrero, Nicholas M Jackson, Challen A Pretorius, Tarin M Bigley, José B Sáenz, Richard J DiPaolo

Abstract read
In one paragraph

Article in Gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Autoimmune gastritis: emerging insights and clinical management.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  6. Article
  7. Review
  8. Molecular insights into ANPEP in gastric adenocarcinoma.Genetics and molecular biology · 2026
    Article
  9. Article
  10. Comparison of clinicopathological features of gastric carcinoma in autoimmune gastritis with and without Helicobacter pylori infection.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Autoimmune Gastritis: Unveiling the Mystery.The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Review
  15. Article
  16. Article
  17. Gastric cancer in patients withWorld journal of gastrointestinal oncology · 2025
    Article
  18. Article
  19. Review
  20. 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

8 authors.

Stella G HoftDepartment of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, St. Louis, Missouri.
Michelle BrennanDepartment of Biochemistry and Molecular Biology, Saint Louis University School of Medicine, St. Louis, Missouri.
Javier A CarreroDepartment of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, St. Louis, Missouri.
Nicholas M JacksonDepartment of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, St. Louis, Missouri.
Challen A PretoriusDepartment of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, St. Louis, Missouri.
Tarin M BigleyDepartment of Pediatrics, Division of Rheumatology/Immunology, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
José B SáenzDivision of Gastroenterology, Departments of Medicine and Molecular Cell Biology, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Richard J DiPaoloDepartment of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, St. Louis, Missouri. Electronic address: richard.dipaolo@health.slu.edu.

Funding

The Role of Inflammation in Regulating Gastric MetaplasiaR01DK134531 · NIDDK · SAINT LOUIS UNIVERSITY · PI Richard J DiPaolo · 2023 to 2026
$2.1M
Mechanisms of immunosuppression in the development and progression of renal disease in Tuberous Sclerosis ComplexR01DK133243 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI Elizabeth P Henske · 2023 to 2026
$2.1M
Establishing roles for the type I interferon/double-stranded RNA response and Helicobacter pylori-specific transcripts in the progression to metaplasia in gastric epitheliumK08DK122116 · NIDDK · WASHINGTON UNIVERSITY · PI SAENZ, JOSE BERNARDO · 2019 to 2023
$946k
Establishing the impact of roseolovirues on development of autoimmunity due to loss of central toleranceK08AI168495 · NIAID · WASHINGTON UNIVERSITY · PI Tarin M Bigley · 2023 to 2026
$785k
The Role of Inflammation in Regulating Gastritis and Gastric CarcinogenesisR56DK110406 · NIDDK · SAINT LOUIS UNIVERSITY · PI DIPAOLO, RICHARD J · 2021 to 2021
$486k
Regulation of the double-stranded RNA (dsRNA) response in gastric metaplasia and dysplasiaR03DK133423 · NIDDK · WASHINGTON UNIVERSITY · PI SAENZ, JOSE BERNARDO · 2022 to 2023
$235k
Defining Inflammatory Triggers that Induce Diverse Subtypes of Gastric MetaplasiaF30DK134124 · NIDDK · SAINT LOUIS UNIVERSITY · PI Stella Garden Hoft · 2023 to 2026
$216k
NIAID NIH HHS K08 AI168495NIDDK NIH HHS F30 DK134124NIDDK NIH HHS K08 DK122116NIDDK NIH HHS R01 DK133243NIDDK NIH HHS R01 DK134531NIDDK NIH HHS R03 DK133423NIDDK NIH HHS R56 DK110406
6 · The paper itself

Abstract

BACKGROUND &

aimsGastric metaplasia may arise as a consequence of chronic inflammation and is associated with an increased risk of gastric cancer development. Although Helicobacter pylori (Hp) infection and autoimmune gastritis (AIG) both induce gastric metaplasia, possible distinctions in resulting metaplastic cells and their respective cancer risks requires further investigation.

methodsUsing both mouse models and human participants, we scrutinized the metaplasia originating from Hp infection and AIG. Gastric pathology and metaplasia were examined through histopathologic assessment. Molecular features of metaplastic cells were defined using single-cell transcriptomics in murine models of Hp infection and AIG, as well as in human biopsy specimens from patients with Hp infection and AIG. Expression of a newly defined cancer-related metaplastic biomarker was confirmed through immunofluorescence.

resultsMetaplasia in Hp infection and AIG displayed comparable histopathologic and transcriptional features. Diverse metaplastic subtypes were identified across both disease settings, with subtle differences in the prevalence of certain subtypes between inflammatory contexts. Notably, Hp infection did not drive a unique metaplastic cell phenotype. One metaplastic subtype, which resembled incomplete intestinal metaplasia and shared transcriptional features with gastric cancer, was identified in both diseases. This cancer-like metaplastic subtype was characterized by expression of the cancer-associated biomarker ANPEP/CD13.

conclusionBoth Hp infection and AIG trigger a diverse array of metaplastic cell types. Identification of a cancer-related metaplastic cell uniquely expressing ANPEP/CD13, present in both Hp- and AIG-induced gastritis, indicates the carcinogenic capacity of both diseases. This discovery can guide early detection and risk stratification for patients with chronic gastritis.

Indexed as

Autoimmune DiseasesGastric MucosaGastritisHelicobacter InfectionsHelicobacter pyloriMetaplasiaStomach NeoplasmsAnimalsBiopsyDisease Models, AnimalFemaleHumansMaleMiceMice, Inbred C57BLSingle-Cell AnalysisAutoimmune GastritisGastric CancerGastric InflammationGastric MetaplasiaHelicobacter pylori Infection

Identifiers

PMID39236896
PMCPMC11663102

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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.