PMID- 24656654 OWN - NLM STAT- MEDLINE DCOM- 20150105 LR - 20220330 IS - 1532-8198 (Electronic) IS - 1092-9134 (Print) IS - 1092-9134 (Linking) VI - 18 IP - 3 DP - 2014 Jun TI - Antral atrophy, intestinal metaplasia, and preneoplastic markers in Mexican children with Helicobacter pylori-positive and Helicobacter pylori-negative gastritis. PG - 129-35 LID - S1092-9134(14)00008-2 [pii] LID - 10.1016/j.anndiagpath.2014.02.003 [doi] AB - Chronic inflammation and infection are major risk factors for gastric carcinogenesis in adults. As chronic gastritis is common in Mexican children, diagnosis of Helicobacter pylori and other causes of gastritis are critical for the identification of children who would benefit from closer surveillance. Antral biopsies from 82 Mexican children (mean age, 8.3 +/- 4.8 years) with chronic gastritis (36 H pylori+, 46 H pylori-) were examined for gastritis activity, atrophy, intestinal metaplasia (IM), and immunohistochemical expression of gastric carcinogenesis biomarkers caudal type homeobox 2 (CDX2), ephrin type-B receptor 4 (EphB4), matrix metalloproteinase 3 (MMP3), macrophage migration inhibitory factor (MIF), p53, beta-catenin, and E-cadherin. Atrophy was diagnosed in 7 (9%) of 82, and IM, in 5 (6%) of 82 by routine histology, whereas 6 additional children (7%) (3 H pylori+) exhibited aberrant CDX2 expression without IM. Significant positive correlations were seen between EphB4, MMP3, and MIF (P<.0001). Atrophy and follicular pathology were more frequent in H pylori+ biopsies (P<.0001), whereas IM and CDX2 expression showed no significant correlation with H pylori status. Antral biopsies demonstrating atrophy, IM, and/or aberrant CDX2 expression were seen in 21.95% (18/82) of the children, potentially identifying those who would benefit from closer surveillance and preventive dietary strategies. Biomarkers CDX2, EphB4, MMP3, and MIF may be useful in the workup of pediatric gastritis. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Villarreal-Calderon, Rodolfo AU - Villarreal-Calderon R AD - Davidson Honors College, University of Montana, Missoula, MT 59812. FAU - Luevano-Gonzalez, Arturo AU - Luevano-Gonzalez A AD - Department of Pathology, Clinical and Translational Research Core Lab, Medical College of Wisconsin, Milwaukee, WI 53226. FAU - Aragon-Flores, Mariana AU - Aragon-Flores M AD - Pathology Department, Hospital Central Militar, Mexico City, Mexico. FAU - Zhu, Hongtu AU - Zhu H AD - Department of Biostatistics, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC 27599. FAU - Yuan, Ying AU - Yuan Y AD - Department of Biostatistics, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC 27599. FAU - Xiang, Qun AU - Xiang Q AD - Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI 53226. FAU - Yan, Benjamin AU - Yan B AD - Department of Pathology, Clinical and Translational Research Core Lab, Medical College of Wisconsin, Milwaukee, WI 53226. FAU - Stoll, Kathryn Anne AU - Stoll KA AD - Department of Pathology, Clinical and Translational Research Core Lab, Medical College of Wisconsin, Milwaukee, WI 53226. FAU - Cross, Janet V AU - Cross JV AD - Department of Pathology, University of Virginia School of Medicine, Charlottesville, VA, 22908. FAU - Iczkowski, Kenneth A AU - Iczkowski KA AD - Department of Pathology, Clinical and Translational Research Core Lab, Medical College of Wisconsin, Milwaukee, WI 53226. FAU - Mackinnon, Alexander Craig Jr AU - Mackinnon AC Jr AD - Department of Pathology, Clinical and Translational Research Core Lab, Medical College of Wisconsin, Milwaukee, WI 53226. Electronic address: amackinnon@mcw.edu. LA - eng GR - UL1 RR031973/RR/NCRR NIH HHS/United States GR - 1UL1RR031973/RR/NCRR NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140211 PL - United States TA - Ann Diagn Pathol JT - Annals of diagnostic pathology JID - 9800503 RN - 0 (Biomarkers) SB - IM MH - Adolescent MH - Aged MH - Aged, 80 and over MH - Atrophy/epidemiology/metabolism/pathology MH - Biomarkers/metabolism MH - Child MH - Child, Preschool MH - Comorbidity MH - Female MH - Gastritis/epidemiology/metabolism/*pathology MH - Helicobacter Infections/epidemiology/metabolism/*pathology MH - *Helicobacter pylori MH - Humans MH - Infant MH - Intestinal Diseases/epidemiology/metabolism/*pathology MH - Male MH - Mexico MH - Middle Aged MH - Population Surveillance MH - Precancerous Conditions/epidemiology/metabolism/*pathology MH - Pyloric Antrum/metabolism/*pathology PMC - PMC4516036 MID - NIHMS683979 OTO - NOTNLM OT - Antral gastritis OT - Biomarkers OT - Child OT - Helicobacter pylori OT - Mexican OT - Surveillance EDAT- 2014/03/25 06:00 MHDA- 2015/01/06 06:00 PMCR- 2015/07/27 CRDT- 2014/03/25 06:00 PHST- 2014/01/23 00:00 [received] PHST- 2014/02/04 00:00 [accepted] PHST- 2014/03/25 06:00 [entrez] PHST- 2014/03/25 06:00 [pubmed] PHST- 2015/01/06 06:00 [medline] PHST- 2015/07/27 00:00 [pmc-release] AID - S1092-9134(14)00008-2 [pii] AID - 10.1016/j.anndiagpath.2014.02.003 [doi] PST - ppublish SO - Ann Diagn Pathol. 2014 Jun;18(3):129-35. doi: 10.1016/j.anndiagpath.2014.02.003. Epub 2014 Feb 11.