PMID- 38075398 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231211 IS - 2001-0370 (Print) IS - 2001-0370 (Electronic) IS - 2001-0370 (Linking) VI - 23 DP - 2024 Dec TI - The influence of Helicobacter pylori, proton pump inhibitor, and obesity on the gastric microbiome in relation to gastric cancer development. PG - 186-198 LID - 10.1016/j.csbj.2023.11.053 [doi] AB - Helicobacter pylori infection is still the main risk factor for the development of gastric cancer (GC). We explore the scientific evidence for the role of the gastric microbiome beyond Helicobacter pylori (H. pylori) in gastric carcinogenesis. The composition of the gastric microbiome in healthy individuals, in presence and absence of H. pylori infection, in proton pump inhibitor (PPI)-users, obese individuals, and GC patients was investigated. Possible mechanisms for microbial involvement, limitations of available research and options for future studies are provided. A common finding amongst studies was increased levels of Streptococcus, Prevotella, Neisseria, and Actinomyces in healthy individuals or those with H. pylori-negative gastritis. In PPI-users the risk for GC increases with the treatment duration, and the gastric microbiome shifts, with the most consistent increase in the genus Streptococcus. Similarly, in obese individuals, Streptococcus was the most abundant genus, with an increased risk for cardia GC. The genera Streptococcus, Lactobacillus and Prevotella were found to be more prominent in GC patients in multiple studies. Potential mechanisms of non-H. pylori microbiota contributing to GC are linked to lipopolysaccharide production, contribution to inflammatory pathways, and the formation of N-nitroso compounds and reactive oxygen species. In conclusion, the knowledge of the gastric microbiome in GC is mainly descriptive and based on sequencing of gastric mucosal samples. For a better mechanistic understanding of microbes in GC development, longitudinal cohorts including precancerous lesions, different regions in the stomach, and subtypes of GC, and gastric organoid models for diffuse and intestinal type GC should be employed. CI - (c) 2023 The Authors. FAU - Zhou, Chengliang AU - Zhou C AD - Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Department of Pathology, P.O. box 9101, 6500 HB Nijmegen, the Netherlands. FAU - Bisseling, Tanya M AU - Bisseling TM AD - Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Department of Gastroenterology and Hepatology, P.O. box 9101, 6500 HB Nijmegen, the Netherlands. FAU - van der Post, Rachel S AU - van der Post RS AD - Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Department of Pathology, P.O. box 9101, 6500 HB Nijmegen, the Netherlands. FAU - Boleij, Annemarie AU - Boleij A AD - Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Department of Pathology, P.O. box 9101, 6500 HB Nijmegen, the Netherlands. LA - eng PT - Journal Article PT - Review DEP - 20231130 PL - Netherlands TA - Comput Struct Biotechnol J JT - Computational and structural biotechnology journal JID - 101585369 PMC - PMC10704269 OTO - NOTNLM OT - 16 s rRNA sequencing OT - Gastric microbiome OT - Non-Helicobacter pylori bacteria OT - Obesity OT - PPI use COIS- The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Cheng-Liang Zhou reports financial support was provided by CSC. EDAT- 2023/12/11 06:45 MHDA- 2023/12/11 06:46 PMCR- 2023/11/30 CRDT- 2023/12/11 05:56 PHST- 2023/07/13 00:00 [received] PHST- 2023/11/27 00:00 [revised] PHST- 2023/11/27 00:00 [accepted] PHST- 2023/12/11 06:46 [medline] PHST- 2023/12/11 06:45 [pubmed] PHST- 2023/12/11 05:56 [entrez] PHST- 2023/11/30 00:00 [pmc-release] AID - S2001-0370(23)00469-5 [pii] AID - 10.1016/j.csbj.2023.11.053 [doi] PST - epublish SO - Comput Struct Biotechnol J. 2023 Nov 30;23:186-198. doi: 10.1016/j.csbj.2023.11.053. eCollection 2024 Dec.