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肠上皮化生和胃癌发生关系的研究进展
引用本文:李海文,张伟健,许艺飞,李京伟,杨伟钦,郭绍举,潘华峰.肠上皮化生和胃癌发生关系的研究进展[J].中华中医药杂志,2021(1).
作者姓名:李海文  张伟健  许艺飞  李京伟  杨伟钦  郭绍举  潘华峰
作者单位:深圳市中医院;中山大学附属第八医院;广州中医药大学
基金项目:国家自然科学基金项目(No.81973816,No.81473620);广东省自然科学基金项目(No.2017A030310601);广东省中医药管理局科研项目(No.20161132);广东省中医药局建设中医药强省专项资金中医优势病种突破项目(No.粤中医函[2015]19号)。
摘    要:肠上皮化生(IM)是指胃黏膜上皮细胞被肠型上皮细胞所代替,常伴发于慢性萎缩性胃炎,既往研究认为IM是一种胃癌前病变,IM、假幽门腺化生、表达解痉多肽的化生可以直接转化为胃癌细胞。然而在最近动物模型的研究中提供了胃癌细胞起源事件的新观念,与既往研究结果相矛盾。文章将从IM起源、IM与胃癌发生的关系、幽门螺旋杆菌(HP)和胃微生物群与胃癌发生的关系、胃癌细胞起源、IM模型、IM中医证型与胃癌发生的关系等角度展开论述,为IM与胃癌发生的关系作一深入探讨。

关 键 词:肠上皮化生  胃癌  中医证型  研究进展

Research progress on the relationship between intestinal metaplasia and gastric cancer
LI Hai-wen,ZHANG Wei-jian,XU Yi-fei,Ll Jing-wei,YANG Wei-qin,GUO Shao-ju,PAN Hua-feng.Research progress on the relationship between intestinal metaplasia and gastric cancer[J].China Journal of Traditional Chinese Medicine and Pharmacy,2021(1).
Authors:LI Hai-wen  ZHANG Wei-jian  XU Yi-fei  Ll Jing-wei  YANG Wei-qin  GUO Shao-ju  PAN Hua-feng
Institution:(Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518000,China;The Eighth Affiliated Hospital,Sun Yat-sen University,Shenzhen 518000,China;Guangzhou University of Chinese Medicine,Guangzhou 510006,China)
Abstract:Intestinal metaplasia(IM)refers to the replacement of gastric epithelial cells by intestinal epithelial cells,often associated with chronic atrophic gastritis.Previous studies have suggested that IM is a precancerous lesion,IM,pseudopyloric metaplasia and expression of antispasmodic peptides can be directly converted into gastric cancer cells.However,in recent studies of animal models,new concepts of the origin of gastric cancer cells have been provided,which contradict previous research results.This article discussed the relationship between IM and gastric cancer,HP and gastric microbiota and gastric cancer,gastric cancer cell origin,IM model,relationship between TCM syndrome types of IM and gastric cancer,etc.,for IM and gastric cancer.
Keywords:Intestinal metaplasia(IM)  Gastric cancer  TCM syndrome type  Research progress
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