Targeting IL-1β in patients with advanced Helicobacter pylori infection: a potential therapy for gastric cancer

Future Microbiol. 2022 May:17:633-641. doi: 10.2217/fmb-2021-0242. Epub 2022 Mar 24.

Abstract

Helicobacter pylori (H. pylori) infection is a causal factor of gastric cancer. Among the cytokines secreted during this infection, IL-1β is highly associated with promotion and progression of gastric cancer. On the therapeutic front, eradication of H. pylori was thought to be efficient to restore gastric homeostasis. However, successful H. pylori eradication in patients with advanced stages (intestinal metaplasia) failed to diminish inflammation that is due to heightened Th17 response and elevated IL-1β levels. In fact, association between these two components was established, suggesting that IL-1β is a critical target in these cases. In this review, we will discuss the functional relevance of IL-1β in advanced H. pylori infection and how its targeting may bring clinical benefit.

Keywords: Helicobacter pylori; IL-1β; gastric cancer; inflammation.

Plain language summary

Helicobacter pylori (H. pylori) infection is a causal factor of gastric cancer. This disease is strongly associated to an inflammatory factor (interleukin 1β). On the therapeutic front, eradication of H. pylori was thought to be efficient to restore gastric comfort. However, successful H. pylori eradication in patients with advanced stages of this infection failed to diminish inflammation, due to the inflammatory factor cited preciously, thereby exacerbating gastric tissue damage. In this review, we will discuss the functional relevance of IL-1β in advanced H. pylori infection and how its targeting may bring clinical benefit.

Publication types

  • Review

MeSH terms

  • Cytokines
  • Gastric Mucosa
  • Helicobacter Infections* / complications
  • Helicobacter Infections* / drug therapy
  • Helicobacter pylori*
  • Humans
  • Interleukin-1beta
  • Stomach Neoplasms* / drug therapy
  • Stomach Neoplasms* / microbiology

Substances

  • Cytokines
  • IL1B protein, human
  • Interleukin-1beta