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Mechanisms of field cancerization in the human stomach: the expansion and spread of mutated gastric stem cells.

Mechanisms of field cancerization in the human stomach: the expansion and spread of mutated gastric stem cells. Research Abstract Details 

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  • Mechanisms of field cancerization in the human stomach: the expansion and spread of mutated gastric stem cells. Abstract Text:

    stuart a c mcdonaldStuart A C McDonald,laura c greavesLaura C Greaves,lydia gutierrez-gonzalezLydia Gutierrez-Gonzalez,manuel rodriguez-justoManuel Rodriguez-Justo,maesha deheragodaMaesha Deheragoda,simon j leedhamSimon J Leedham,robert w taylorRobert W Taylor,chung yin leeChung Yin Lee,sean l prestonSean L Preston,matthew lovellMatthew Lovell,toby huntToby Hunt,george eliaGeorge Elia,dahmane oukrifDahmane Oukrif,rebecca harrisonRebecca Harrison,marco r novelliMarco R Novelli,ian mitchellIan Mitchell,david l stokerDavid L Stoker,douglass m turnbullDouglass M Turnbull,janusz a z jankowskiJanusz A Z Jankowski,nicholas a wrightNicholas A Wright,stuart a c mcdonaldStuart A C McDonald,laura c greavesLaura C Greaves,lydia gutierrez-gonzalezLydia Gutierrez-Gonzalez,manuel rodriguez-justoManuel Rodriguez-Justo,maesha deheragodaMaesha Deheragoda,simon j leedhamSimon J Leedham,robert w taylorRobert W Taylor,chung yin leeChung Yin Lee,sean l prestonSean L Preston,matthew lovellMatthew Lovell,toby huntToby Hunt,george eliaGeorge Elia,dahmane oukrifDahmane Oukrif,rebecca harrisonRebecca Harrison,marco r novelliMarco R Novelli,ian mitchellIan Mitchell,david l stokerDavid L Stoker,douglass m turnbullDouglass M Turnbull,janusz a z jankowskiJanusz A Z Jankowski,nicholas a wrightNicholas A Wright,

    BACKGROUND & AIMS: How mutations are established and spread through the human stomach is unclear because the clonal structure of gastric mucosal units is unknown. Here we investigate, using mitochondrial DNA (mtDNA) mutations as a marker of clonal expansion, the clonality of the gastric unit and show how mutations expand in normal mucosa and gastric mucosa showing intestinal metaplasia. This has important implications in gastric carcinogenesis. METHODS: Mutated units were identified by a histochemical method to detect activity of cytochrome c oxidase. Negative units were laser-capture microdissected, and mutations were identified by polymerase chain reaction sequencing. Differentiated epithelial cells were identified by immunohistochemistry for lineage markers. RESULTS: We show that mtDNA mutations establish themselves in stem cells within normal human gastric body units, and are passed on to all their differentiated progeny, thereby providing evidence for clonal conversion to a new stem cell-derived unit-monoclonal conversion, encompassing all gastric epithelial lineages. The presence of partially mutated units indicates that more than one stem cell is present in each unit. Mutated units can divide by fission to form patches, with each unit sharing an indentical, mutant mtDNA genotype. Furthermore, we show that intestinal metaplastic crypts are clonal, possess multiple stem cells, and that fission is a mechanism by which intestinal metaplasia spreads. CONCLUSIONS: These data show that human gastric body units are clonal, contain multiple multipotential stem cells, and provide definitive evidence for how mutations spread within the human stomach, and show how field cancerization develops.

    Mechanisms of field cancerization in the human stomach: the expansion and spread of mutated gastric stem cells. Publishing Authors By Initials

    sa mcdonaldSA McDonald,lc greavesLC Greaves,l gutierrez-gonzalezL Gutierrez-Gonzalez,m rodriguez-justoM Rodriguez-Justo,m deheragodaM Deheragoda,sj leedhamSJ Leedham,rw taylorRW Taylor,cy leeCY Lee,sl prestonSL Preston,m lovellM Lovell,t huntT Hunt,g eliaG Elia,d oukrifD Oukrif,r harrisonR Harrison,mr novelliMR Novelli,i mitchellI Mitchell,dl stokerDL Stoker,dm turnbullDM Turnbull,ja jankowskiJA Jankowski,na wrightNA Wright,sa mcdonaldSA McDonald,lc greavesLC Greaves,l gutierrez-gonzalezL Gutierrez-Gonzalez,m rodriguez-justoM Rodriguez-Justo,m deheragodaM Deheragoda,sj leedhamSJ Leedham,rw taylorRW Taylor,cy leeCY Lee,sl prestonSL Preston,m lovellM Lovell,t huntT Hunt,g eliaG Elia,d oukrifD Oukrif,r harrisonR Harrison,mr novelliMR Novelli,i mitchellI Mitchell,dl stokerDL Stoker,dm turnbullDM Turnbull,ja jankowskiJA Jankowski,na wrightNA Wright,

    For similar abstracts research abstracts see: abstracts research

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    Mechanisms of field cancerization in the human stomach: the expansion and spread of mutated gastric stem cells. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Gastroenterology

    VOLUME: 134

    Page Numbers: 500-10

    Journal Abbreviation: Gastroenterology

    ISSN: 1528-0012

    DAY: 28

    MONTH: 11

    YEAR: 2007

    Mechanisms of field cancerization in the human stomach: the expansion and spread of mutated gastric stem cells. Information

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    LANGUAGE: eng

    NlmUniqueID: 374630

    Mechanisms of field cancerization in the human stomach: the expansion and spread of mutated gastric stem cells. Keywords Mesh Terms:

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    Grant and Affiliation Information for Mechanisms of field cancerization in the human stomach: the expansion and spread of mutated gastric stem cells.

    AFFILIATION: Histopathology Unit, London Research Institute, Cancer Research UK, London, United Kingdom. stuart.mcdonald@cancer.org.uk

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United Kingdom Wellcome T

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    MEDLINETA: Gastroenterology

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