How does Helicobacter pylori cause gastric cancer through connexins: An opinion review

World J Gastroenterol. 2019 Sep 21;25(35):5220-5232. doi: 10.3748/wjg.v25.i35.5220.

Abstract

Helicobacter pylori (H. pylori) is a Gram-negative bacterium with a number of virulence factors, such as cytotoxin-associated gene A, vacuolating cytotoxin A, its pathogenicity island, and lipopolysaccharide, which cause gastrointestinal diseases. Connexins function in gap junctional homeostasis, and their downregulation is closely related to gastric carcinogenesis. Investigations into H. pylori infection and the fine-tuning of connexins in cells or tissues have been reported in previous studies. Therefore, in this review, the potential mechanisms of H. pylori-induced gastric cancer through connexins are summarized in detail.

Keywords: Helicobacter pylori; Apoptosis; Connexin; DNA methylation; Gap junction proteins; Gap junctional intercellular communications; Gastric cancer; Proliferation; Transcription factors.

Publication types

  • Review

MeSH terms

  • Carcinogenesis / pathology*
  • Connexins / metabolism*
  • Down-Regulation
  • Gastric Mucosa / pathology
  • Gene Expression Regulation, Neoplastic
  • Genomic Islands
  • Helicobacter Infections / microbiology
  • Helicobacter Infections / pathology*
  • Helicobacter pylori / genetics
  • Helicobacter pylori / metabolism
  • Helicobacter pylori / pathogenicity*
  • Host-Pathogen Interactions
  • Humans
  • Stomach Neoplasms / microbiology
  • Stomach Neoplasms / pathology*
  • Virulence Factors / genetics
  • Virulence Factors / metabolism

Substances

  • Connexins
  • Virulence Factors