臨牀消化器内科 Vol.19 No.3(4-2)


特集名 胃癌のリスクファクター
題名 食物・化学物質 (2) 胃癌のリスクファクター:H.pyloriと食塩
発刊年月 2004年 03月
著者 立松 正衛 愛知県がんセンター研究所腫瘍病理学部
著者 曹 雪源 愛知県がんセンター研究所腫瘍病理学部 / 東京大学大学院医学系研究科消化管外科学
著者 塚本 徹哉 愛知県がんセンター研究所腫瘍病理学部
【 要旨 】 H.pylori感染と高塩食は胃癌発生の重要なリスクファクターと考えられる.われわれは安定したスナネズミ動物モデルを用いて,ニトロソ化合物による胃発癌実験系を確立し,H.pylori感染と高塩食が強い胃癌発生のプロモーターであること,両因子の存在による発癌促進の相乗効果を証明してきた.多くの実験病理の研究結果から,H.pylori感染の防止と除菌治療,さらに高塩食の回避も胃癌予防には効果的であることが証明された.
Theme Risk Factors for Gastric Carcinogenesis
Title Risk Factors for Gastric Cancer: Helicobacter pylori Infection and High Dietary Salt Levels
Author Masae Tatematsu Division of Oncological Pathology, Aichi Cancer Center Research Institute
Author Xueyuan Cao Division of Oncological Pathology, Aichi Cancer Center Research Institute / Department of Gastrointestinal Surgery, Graduate School of Medicine, University of Tokyo
Author Tetsuya Tsukamoto Division of Oncological Pathology, Aichi Cancer Center Research Institute
[ Summary ] Risk factors for development of gastric adenocarcinoma include Helicobacter pylori (Hp) infection and high dietary salt intake, Mongolian gerbils (Meriones unguiculatus) provides an excellent animal model for the study of the two gastric cancer risk factors. A strong promoting effect on glandular stomach carcinogenesis was confirmed by HP infection in gerbils. Furthermore, a model with Hp eradication was also studied. The results suggested that enhanced carcinogenic effects could be effectively inhibited by early eradication. A high salt diet is considered to cause alterations in the viscosity of the protective mucous barrier, and to facilitate colonization of Hp, resulting in tissue damage and gastric tumor progression. Hp infection and a high dietary salt consumption might interact to produce gastric cancers, thus the prevention and eradication of Hp infection, and avoidance of high salt diets were more effective for gastric cancer prevention.
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