The Japanese Journal of Clinical Dialysis Vol.27 No.4(2-4)

Theme New Perspectives of Molecular Biomarker in Dialysis Therapy
Title Biomarkers of gastrointestinal disease
Publish Date 2011/04
Author Yasushi Hamaya Department of Molecular Diagnosis, Hamamatsu University School of Medicine
Author Mitsushige Sugimoto Center for Clinical Research, Hamamatsu University School of Medicine
Author Shigeru Kanaoka Department of Molecular Diagnosis, Hamamatsu University School of Medicine
Author Takahisa Furuta Center for Clinical Research, Hamamatsu University School of Medicine
Author Mutsuhiro Ikuma First Department of Medicine, Hamamatsu University School of Medicine
[ Summary ] Helicobacter pylori infection is a major risk factor for development of gastric cancer and peptic ulcers. Therefore, it is important to correctly diagnose H. pylori infections. Non-invasive methods, such as the urea breath test or detection of stool antigens and serum anti-H. pylori antibodies are recommended to detect H. pylori infection in patients receiving ongoing hemodialysis treatment. Moreover, because patients treated with hemodialysis are at a higher risk of developing some types of cancer, such as gastric cancer, new screening methods have been developed. These detect polymorphisms of inflammatory cytokine genes (i.e., IL-B-511 and TNF-A-857/-863/-1031) and renin-angiotensin system genes (i.e., CMA/B and AGT-20). Methods to detect fecal COX-2 and MMP-7 mRNA (fecal RNA testing) for colorectal cancer, are being developed.
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