Commentary
See article on page 820Gastrin, growth, and colon neoplasia
| The first 150 words of the full text of this article appear below. |
The ability of the gastric hormone gastrin to stimulate gut
epithelial cell proliferation has been appreciated since the late 1960s.1 However, aside from the special case of gastric
carcinoid tumours arising from enterochromaffin-like cells, the
contribution of gastrin to gastrointestinal neoplasia has been
uncertain. Several developments now suggest a role for gastrin in both
gastric and colorectal cancer. In the case of gastric cancer, recent
evidence indicates a synergy between gastrin and
Helicobacter infection in accelerating
progression to atrophy and cancer.2 Different issues are
involved in colorectal cancer. The important emerging concepts here are
that (a) the gastrin gene is expressed in colorectal cancer cells, but
(b) the main products of gene expression in these cells are not ligands
for the gastrin-cholesystokinin receptor B (CCKB), although (c) they do
act as colon growth factors. The paper by Smith and
Watson3 now shows that gastrin mRNA, detected by reverse
transcription-polymerase chain
Relevant Article
- Gastrin and gastrin receptor activation: an early event in the adenoma-carcinoma sequence
- A M Smith and S A Watson
Gut 2000 47: 820-824.[Abstract] [Full Text] [PDF]
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