Association of Helicobacter pylori with colorectal cancer development

Article


Alsamak, Fadi Fouad, Abdulamir, Ahmed Sahib, Mahdi, Layla Khalid, Alnaib, Khalid and Abu Bakar, Fatimah. 2010. "Association of Helicobacter pylori with colorectal cancer development." Asian Biomedicine. 4 (4), pp. 609-618.
Article Title

Association of Helicobacter pylori with colorectal cancer development

Article CategoryArticle
AuthorsAlsamak, Fadi Fouad (Author), Abdulamir, Ahmed Sahib (Author), Mahdi, Layla Khalid (Author), Alnaib, Khalid (Author) and Abu Bakar, Fatimah (Author)
Journal TitleAsian Biomedicine
Journal Citation4 (4), pp. 609-618
Number of Pages9
Year2010
Place of PublicationThailand
Web Address (URL)http://abm.digitaljournals.org/index.php/abm/article/viewFile/555/410
Abstract

Background: Helicobacter pylori (H. pylori) may be associated with colorectal cancer. However, the underlying mechanisms are still unclear.

Objectives: Explore the serostatus of H. pylori cytotoxicity-associated gene A product (CagA) in patients with colorectal carcinoma, and assess the association of H. pylori with colorectal cancer via c-Myc and MUC-2 proteins at tumor tissues.

Methods: H. pylori CagA IgG antibodies were screened using enzyme-linked immunosorbent assay (ELISA) in 30 patients with colorectal carcinoma and 30 cancer-free control subjects. Paraffin-embedded blocks were examined for the expression of c-Myc and MUC-2 protein by immunohistochemistry.

Results: H. pylori CagA seropositivity increased significantly among colorectal cancer patients (p <0.05).
The expression of c-Myc and MUC-2 in colorectal carcinoma patients was over-expressed (80%), and downexpressed (63%) in resection margins (p <0.05). c-Myc over-expression and MUC-2 down-expression were associated with CagA-positive rather than CagA-negative H. pylori patients. In 16 CagA seropositive vs. 14 CagA seronegative patients, the expression rate was 97.3% vs. 64.2% and 33.3% vs. 78.5% for cMyc and MUC-2, respectively. CagA IgG level was significantly higher in positive than in negative c-Myc patients (p= 0.036), and in negative than in positive MUC-2 patients (p= 0.044). c-Myc and MUC-2 were positively and inversely correlated with CagA IgG level (p <0.05).

Conclusions: CagA-seropositive H. pylori is most probably associated with colorectal cancer development. Part of the underlying mechanism for such association might be via alterations in expression of MUC-2, which depletes the mucous protective layer in the colo-rectum, and c-Myc, which stimulates the growth of cancerous cells.

KeywordsHelicobacter pylori, colorectal cancer, Cag-A, MUC-2
ANZSRC Field of Research 2020310701. Bacteriology
320701. Medical bacteriology
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsAl-Nahrain University, Iraq
University of Adelaide
University of Putra Malaysia, Malaysia
Institution of OriginUniversity of Southern Queensland
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