Abstract | BACKGROUND:
E-cadherin methylation is important in gastric carcinogenesis. Reversing hypermethylation may halt the carcinogenic process. We have previously reported that Helicobacter pylori infection is associated with E-cadherin methylation in chronic gastritis patients. AIM: To examine if eradication of H pylori could reverse E-cadherin methylation. METHODS: Patients with dyspepsia and positive for H pylori infection, with a mucosal biopsy showing chronic active gastritis, were randomised to receive H pylori eradication therapy (group 1, n = 41) or no treatment (group 2, n = 40), and were followed up prospectively. Gastric mucosae were taken for methylation assay at week 0 (before treatment) and week 6 ( after treatment). Archived specimens of intestinal metaplasia with H pylori infection (n = 22) and without (n = 19) were retrieved for methylation analysis. Methylation was assessed using methylation specific polymerase chain reaction and sequencing. RESULTS: Methylation at E-cadherin was detected in 46% (19/41) and 17% (7/41) of patients at weeks 0 and 6, respectively, in group 1 (p = 0.004); 78.9% (15/19) of specimens were unmethylated after eradication of H pylori. Mucosal biopsy showed chronic inactive gastritis in 35 patients, intestinal metaplasia in one, and normal mucosa in five at week 6. Methylation was detected in 47.5% (19/40) and 52.5% (21/40) of patients at weeks 0 and 6, respectively, in group 2 (P = 0.5). Gastric mucosal biopsy showed persistent chronic active gastritis in all cases. Methylation frequency did not differ in H pylori positive or negative intestinal metaplastic specimens (72.7% v 63%; p = 0.5). CONCLUSION: H pylori eradication therapy could reverse methylation in patients with chronic gastritis. This demonstrates an environmental effect on methylation.
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Authors | A O O Chan, J Z Peng, S K Lam, K C Lai, M F Yuen, H K L Cheung, Y L Kwong, A Rashid, C K Chan, B C-Y Wong |
Journal | Gut
(Gut)
Vol. 55
Issue 4
Pg. 463-8
(Apr 2006)
ISSN: 0017-5749 [Print] England |
PMID | 16428266
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-Bacterial Agents
- Anti-Ulcer Agents
- Cadherins
- Amoxicillin
- Clarithromycin
- Omeprazole
|
Topics |
- Amoxicillin
(therapeutic use)
- Anti-Bacterial Agents
(therapeutic use)
- Anti-Ulcer Agents
(therapeutic use)
- Cadherins
(genetics, metabolism)
- Chronic Disease
- Clarithromycin
(therapeutic use)
- DNA Methylation
- Drug Therapy, Combination
- Female
- Gastric Mucosa
(metabolism)
- Gastritis
(drug therapy, genetics, metabolism)
- Helicobacter Infections
(drug therapy, genetics, metabolism)
- Helicobacter pylori
- Humans
- Immunohistochemistry
(methods)
- Intestines
(pathology)
- Male
- Metaplasia
- Middle Aged
- Omeprazole
(therapeutic use)
- Promoter Regions, Genetic
(genetics)
- Prospective Studies
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