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Achlorhydria is associated with gastric microbial overgrowth and development of cancer: lessons learned from the gastrin knockout mouse.

Abstract
Gastrin and gastrin receptor-deficient mice have been used for genetic dissection of the role of gastrins in maintaining gastric homeostasis and control of acid secretion. The gastrin knockout mice are achlorhydric due to inactivation of the ECL and parietal cells. Moreover, this achlorhydria is associated with intestinal metaplasia and bacterial overgrowth, which ultimately leads to the development of gastric tumours. The association between progastrin, progastrin-derived processing intermediates and colorectal carcinogenesis has also been examined through genetic or chemical cancer induction in several mouse models, although the clinical relevance of these studies remains unproven. While others have focused on models of increased gastrin production, the present review describes the lessons learned from gastrin-deficient mice. Study of these mice helps our understanding of how dysregulation of gastrin secretion may be implicated in human disease.
AuthorsL Friis-Hansen
JournalScandinavian journal of clinical and laboratory investigation (Scand J Clin Lab Invest) Vol. 66 Issue 7 Pg. 607-21 ( 2006) ISSN: 0036-5513 [Print] England
PMID17101553 (Publication Type: Journal Article, Review)
Chemical References
  • Gastrins
  • Receptor, Cholecystokinin B
Topics
  • Achlorhydria (complications, microbiology, pathology)
  • Animals
  • Gastric Acid (metabolism)
  • Gastric Mucosa (metabolism, pathology)
  • Gastrins (deficiency, genetics)
  • Gene Expression Regulation
  • Intestinal Diseases (pathology)
  • Metaplasia (microbiology, pathology)
  • Mice
  • Mice, Knockout
  • Models, Biological
  • Receptor, Cholecystokinin B (metabolism)
  • Stomach Neoplasms (etiology, metabolism, microbiology)

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