The pathogenesis of atrophic gastritis: immunological aspects


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The features of cellular immunity in the blood of patients with atrophic body gastritis were investigated. A comparative study was conducted in 85 patients with moderate atrophic body gastritis, 25 patients with severe atrophic body gastritis, and 90 apparently healthy people at the age of 25 to 65 years who were examined. Atrophic gastritis was diagnosed, by determining serum pepsinogen-1 and pepsinogen-2 levels and morphologically examining the gastric mucosa. Cellular immunity in the blood was estimated by indirect immunofluorescence assay using monoclonal antibodies (CD3, CD4, CD8, and CD16). The serum concentration of immunoglobulins A, M, E, and G was determined by enzyme immunoassay. Patients with severe atrophic body gastritis were found to have lower levels of T lymphocytes, T helper cell subpopulations, blood CD4+/CD8+ ratios and IgA and IgG concentrations than healthy individuals. There were signs of secondary immunodeficiency manifested as a decrease in the T helper cell lymphocytes, a secondary humoral immune response, and local protection in patients with severe atrophic body gastritis as compared to the control group.

Full Text

Restricted Access

About the authors

V. Tsukanov

Federal Research Center «Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences», Separate Division, Research Institute for Medical Problems of the North

Email: gastro@impn.ru
Professor, Candidate of Medical Sciences Krasnoyarsk

A. Vasyutin

Federal Research Center «Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences», Separate Division, Research Institute for Medical Problems of the North

Email: gastro@impn.ru
Candidate of Medical Sciences Krasnoyarsk

Yu. Tonkikh

Federal Research Center «Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences», Separate Division, Research Institute for Medical Problems of the North

Email: gastro@impn.ru
Candidate of Medical Sciences Krasnoyarsk

O. Smirnova

Federal Research Center «Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences», Separate Division, Research Institute for Medical Problems of the North

Email: gastro@impn.ru
Associate Professor, MD Krasnoyarsk

A. Sinyakov

Federal Research Center «Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences», Separate Division, Research Institute for Medical Problems of the North

Email: gastro@impn.ru
Candidate of Medical Sciences Krasnoyarsk

O. Peretyatko

Federal Research Center «Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences», Separate Division, Research Institute for Medical Problems of the North

Email: gastro@impn.ru
Candidate of Medical Sciences Krasnoyarsk

References

  1. Rugge M., Sugano K., Scarpignato C. et al. Gastric cancer prevention targeted on risk assessment: Gastritis OLGA staging // Helicobacter. - 2019; 24 (2): e12571. doi: 10.1111/hel.12571.
  2. Correa P. Gastric cancer: overview // Gastroenterol. Clin. North. Am. - 2013; 42 (2): 211-7. doi: 10.1016/j.gtc.2013.01.002.
  3. Tsukanov V., Kasparov E., Tonkikh J. et al. Peptic Ulcer Disease and Helicobacter pylori Infection in Different Siberian Ethnicities // Helicobacter. - 2017; 22 (1): e12322. doi: 10.1111/hel.12322.
  4. Цуканов В.В., Амельчугова О.С., Каспаров Э.В. и др. Роль эрадикации Helicobacter pylori в профилактике рака желудка // Тер. арх. - 2014; 86 (8): 124-7
  5. Rugge M., Genta R., Graham D. et al. Chronicles of a cancer foretold: 35-years of gastric cancer risk assessment // Gut. - 2016; 65 (5): 721-5. doi: 10.1136/gutjnl-2015-310846.
  6. Liu H., Li P., Yang W. et al. Identification of non-invasive biomarkers for chronic atrophic gastritis from serum exosomal microRNAs // BMC Cancer. - 2019; 19 (1): 129. doi: 10.1186/s12885-019-5328-7.
  7. Cappellesso R., Fassan M., Hanspeter E. et al. HER2 status in gastroesophageal cancer: a tissue microarray study of 1040 cases // Hum. Pathol. - 2015; 46 (5): 665-72. doi: 10.1016/j.humpath.2015.02.007.
  8. Kaji K., Hashiba A., Uotani C. et al. Grading of Atrophic Gastritis is Useful for Risk Stratification in Endoscopic Screening for Gastric Cancer // Am. J. Gastroenterol. - 2019; 114 (1): 71-9. doi: 10.1038/s41395-018-0259-5.
  9. Syrjänen K., Eskelinen M., Peetsalu A. et al. GastroPanel® Biomarker Assay: The Most Comprehensive Test for Helicobacter pylori Infection and Its Clinical Sequelae. A Critical Review // Anticancer Res. - 2019; 39 (3): 1091-104. doi: 10.21873/anticanres.13218.
  10. Dixon M., Genta R., Yardley J. et al. Classification and grading of gastritis. The updated Sydney System. International Workshop on the Histopathology of Gastritis, Houston 1994 // Am. J. Surg. Pathol. - 1996; 20 (10): 1161-81.
  11. McMahon B., Bruce M., Koch A. et al. The diagnosis and treatment of Helicobacter pylori infection in Arctic regions with a high prevalence of infection: Expert Commentary // Epidemiol. Infect. - 2016; 144 (2): 225-33. DOI: 10.1017/ S0950268815001181.
  12. Kao J., Zhang M., Miller M. et al. Helicobacter pylori immune escape is mediated by dendritic cell-induced Treg skewing and Th17 suppression in mice // Gastroenterology. - 2010; 138 (3): 1046-54.
  13. Wu J., Lee Y., Graham D. The eradication of Helicobacter pylori to prevent gastric cancer: a critical appraisal // Expert Rev. Gastroenterol. Hepatol. - 2019; 13 (1): 17-24. doi: 10.1080/17474124.2019.1542299.
  14. Graham D. Helicobacter pylori update: gastric cancer, reliable therapy, and possible benefits // Gastroenterology. - 2015; 148 (4): 719-31.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2019 Russkiy Vrach Publishing House

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies