Basis of decreased risk of gastric cancer in severe atrophic gastritis with eradication of Helicobacter pylori

Dig Dis Sci. 2007 Jan;52(1):232-9. doi: 10.1007/s10620-006-9411-y. Epub 2006 Dec 7.

Abstract

Helicobacter pylori infection induces chronic gastritis and lowers gastric juice ascorbic acid concentrations. We investigated how H. pylori eradication affected multiple variables that could prevent or delay development of new or occult gastric cancer in patients with early gastric cancer treated by endoscopic mucosal resection. Gastric juice pH, nitrite concentrations, and total vitamin C concentrations, serum concentrations of vitamin C and specific H. pylori antibody, and intensity of neutrophil infiltration in gastric mucosa were determined before and after successful H. pylori eradication. Successful eradication increased acid output and ascorbic acid secretion into gastric juice, accompanied by disappearance of polymorphonuclear infiltration from the surface epithelium and decreased gastric juice nitrite concentrations. Our data suggest that H. pylori eradication decreases the nitrosation rate as the ratio of vitamin C to nitrite increases. This decreases reactive oxygen species and nitric oxide, eliminating their damaging effect on DNA and reducing cell turnover.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Ascorbic Acid / analysis
  • Ascorbic Acid / blood
  • Female
  • Gastric Juice / chemistry
  • Gastric Mucosa / microbiology
  • Gastrins / blood
  • Gastritis, Atrophic / complications*
  • Gastritis, Atrophic / microbiology*
  • Helicobacter Infections / complications*
  • Helicobacter Infections / drug therapy
  • Helicobacter pylori*
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Middle Aged
  • Nitrites / analysis
  • Stomach Neoplasms / etiology*
  • Stomach Neoplasms / metabolism

Substances

  • Gastrins
  • Nitrites
  • Ascorbic Acid