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Helicobacter pylori-Induced Oxidative Stress and Inflammation

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Abstract

Reactive oxygen species (ROS) are considered to be the important regulator in the pathogenesis of Helicobacter pylori-induced gastric ulceration and carcinogenesis. The sources of ROS are thought to be activated NADPH oxidase and CagA in H. pylori-infected gastric epithelial cells. Redox-sensitive transcription factors, nuclear factor-κB (NF-κB) and activator protein-1 (AP-1), are the master regulators of inducible genes such as interleukin-8, monocyte chemoattractant protein-1, inducible nitric oxide synthase and cyclooxygenase-2, which are involved in gastric inflammation. Therefore, scavenging of ROS or specific inhibition of NF-κB and AP-1 may be an effective strategy for prevention or treatment of gastric inflammation associated with H. pylori infection. Proteinase-activated receptor 2(PAR2), which is activated by trypsin, is known to regulate expression of adhesion molecule integrins. H. pylori induces the expressions of PAR2 and integrin α5 and β1 as well as cell adhesion to fibronectin. H. pylori increases mRNA expression of trypsinogen 1 and 2 as well as the level and the activity of trypsin in gastric epithelial cells. H. pylori-induced production of ROS may mediate PAR2-mediated expression of integrins in gastric epithelial cells. Therefore, PAR2 may have an important role in gastric cell adhesion and possibly carcinogenesis associated with H. pylori infection. The genetic differences of H. pylori isolates, particularly in H. pylori virulence-associated genes, cag A, vac A and ice A genes, may influence the differential expression of inflammatory genes and clinical outcome of the infection. In this chapter we will discuss oxidative stress and inflammation in gastric mucosa caused by H. pylori infection in the context of roles of ROS, transcription factors, signaling mediators, proinflammatory molecules and PAR2. Animal models used for studying H. pylori-induced gastritis and gastric cancer are also described.

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Acknowledgment

This study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2010-002916) and a grant (Joint Research Project under the Korea–Japan Basic Scientific Cooperation Program) from NRF (F01-2009-000-10101-0). H. Kim is grateful to the Brain Korea 21 Project, college of Human Ecology, Yonsei University.

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Kim, H., Surh, YJ. (2011). Helicobacter pylori-Induced Oxidative Stress and Inflammation. In: Basu, S., Wiklund, L. (eds) Studies on Experimental Models. Oxidative Stress in Applied Basic Research and Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-956-7_16

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