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    题名 作者 年代 出处 被引量
1Treatment of gastric cancer显示文摘The authors focused on the current surgical treatment of resectable gastric cancer,and significance of periand post-operative chemo or chemoradiation.Gastric cancer is the 4thmost commonly diagnosed cancer and the second leading cause of cancer death worldwide.Surgery remains the only curative therapy,while perioperative and adjuvant chemotherapy,as well as chemoradiation,can improve outcome of resectable gastric cancer with extended lymph node dissection.More than half of radically resected gastric cancer patients relapse locally or with distant metastases,or receive the diagnosis of gastric cancer when tumor is disseminated;therefore,median survival rarely exceeds12 mo,and 5-years survival is less than 10%.Cisplatin and fluoropyrimidine-based chemotherapy,with addition of trastuzumab in human epidermal growth factor receptor 2 positive patients,is the widely used treatment in stageⅣpatients fit for chemotherapy.Recent evidence supports the use of second-line chemotherapy after progression in patients with good performanceMichele Orditura Gennaro Galizia Vincenzo Sforza Valentina Gambardella Alessio Fabozzi Maria Maddalena Laterza Francesca Andreozzi Jole Ventriglia Beatrice Savastano Andrea Mabilia Eva Lieto Fortunato Ciardiello Ferdinando De Vita 2014World Journal of Gastroenterology2014,20,7:116
2Neuroendocrine tumors of the gastro-entero-pancreatic system显示文摘Gastro-entero-pancreatic (GEP) neuroendocrine tumors (NETs) are rare neoplasms, although their prevalence has increased substantially over the past three decades. Moreover, there has been an increased clinical recognition and characterization of these neoplasms. They show extremely variable biological behavior and clinical course. Most NETs have endocrine function and secrete peptides and neuroamines that cause distinct clinical syndromes, including carcinoid syndrome; however, many are clinically silent until late presentation with mass effects. Investigation and management should be individualized for each patient, taking into account the likely natural history of the tumor and general health of the patient. Management strategies include surgery for cure or palliation, and a variety of other cytoreductive techniques, and medical treatment including chemotherapy, and biotherapy to control symptoms due to hormone release and tumor growth, with somatostatin analogues (SSAs) and alphainterferon. New biological agents and somatostatintagged radionuclides are under investigation. Advances in the therapy and development of centers of excellence which coordinate multicenter studies, are needed to improve diagnosis, treatment and therefore survival of patients with GEP NETs.Sara Massironi Valentina Sciola Maddalena Peracchi Clorinda Ciafardini Matilde Pia Spampatti Dario Conte 2008World Journal of Gastroenterology2008,14,35:44
3Management of negative pressure wound therapy in the treatment of diabetic foot ulcers显示文摘Diabetic foot(DF) is a common complication of diabetes and the first cause of hospital admission in diabetic patients. In recent years several guidelines have been proposed to reinforce the the management of DF with a notable increase in diabetes knowledge and an overall reduction of amputations. Significant improvements have been reached in the treatment of diabetic foot ulcers(DFUs) and nowadays clinicians have several advanced medications to apply for the best local therapy. Among these, negative pressure wound therapy(NPWT) is a useful adjunct in the management of chronic and complex wounds to promote healing and wound bed preparation for surgical procedures such as skin grafts and flap surgery. NPWT has shown remarkable results although its mechanisms of action are not completely understood. In this paper, we offer a complete overview of this medication and its implication in the clinical setting. We have examined literature related to NPWT concerning human, animal and in vitro studies, and we have summarized why, when and how we can use NPWT to treat DFUs. Further we have associated our clinical experience to scientific evidence in the field of diabetic foot to identify a defined strategy that could guide clinician in the use of NPWT approaching to DFUs.Marco Meloni Valentina Izzo Erika Vainieri Laura Giurato Valeria Ruotolo Luigi Uccioli 2015World Journal of Orthopedics2015,6,4:33
4泾河上游流域实际蒸散量及其各组分的估算显示文摘利用分布式生态水文模型SWIM,基于泾河上游(泾川测站以上)植被、土壤、气象和水文数据对研究区进行了水文过程的模拟,从而估算了流域的实际蒸散量及其各组分。结果表明:SWIM模型能够较好的模拟泾河上游流域的水文过程,模拟的流域多年(1997-2003年)平均实际蒸散量为443mm,其中土壤蒸发量为259mm,植被蒸腾量为157mm,冠层截持量为27mm。石质山区的森林覆盖区和非森林地的年蒸散总量在整个流域分别具有最大值和最小值,为484mm和418mm;黄土区实际蒸散量介于二者之间,平均为447mm。森林覆盖地区土壤蒸发明显小于其它区域,而蒸腾和冠层截留明显大于其它区域。年内蒸散量主要集中在5-8月份,占全年总蒸散量的60%,且冠层蒸散比例较大达63%。整个流域湿润年份较干旱年份蒸散量增加了78mm,其中土壤蒸发增加最多,其次是冠层蒸腾,冠层截留蒸发最小。张淑兰 于澎涛 王彦辉 张海军 Valentina Krysanova HUANG Shaochun 熊伟 徐丽宏 2011地理学报2011,66,3:30
5Diagnosis of alcoholic liver disease显示文摘Alcohol is a hepatotoxin that is commonly consumed worldwide and is associated with a spectrum of liver injury including simple steatosis or fatty liver, alcoholic hepatitis, fibrosis, and cirrhosis. Alcoholic liver disease(ALD) is a general term used to refer to this spectrum of alcohol-related liver injuries. Excessive or harmful alcohol use is ranked as one of the top five risk factors for death and disability globally and results in 2.5 million deaths and 69.4 million annual disability adjusted life years. All patients who present with clinical features of hepatitis or chronic liver disease or who have elevated serum elevated transaminase levels should be screened for an alcohol use disorder. The diagnosis of ALD can generally be made based on history, clinical and laboratory findings. However, the diagnosis of ALD can be clinically challenging as there is no single diagnostic test that confirms the diagnosis and patients may not be forthcoming about their degree of alcohol consumption. In addition, clinical findings may be absent or minimal in early ALD characterized by hepatic steatosis. Typical laboratory findings in ALD include transaminase levels with aspartate aminotransferase greater than alanine aminotransferase as well as increased mean cor-puscular volume, gamma-glutamyltranspeptidase, and IgA to IgG ratio. In unclear cases, the diagnosis can be supported by imaging and liver biopsy. The histological features of ALD can ultimately define the diagnosis according to the typical presence and distribution of hepatic steatosis, inflammation, and Mallory-Denk bodies. Because of the potential reversible nature of ALD with sobriety, regular screening of the general population and early diagnosis are essential.Cara Torruellas Samuel W French Valentina Medici 2014World Journal of Gastroenterology2014,20,33:26
6Antidiabetic therapy and increased risk of hepatocellular carcinoma in chronic liver disease显示文摘AIM:To explore the association between hepatocellular carcinoma(HCC) and type 2 diabetes mellitus, describe the temporal relations between the onset of diabetes and the development of HCC and evaluate the possible effects of antidiabetic therapy on HCC risk.METHODS:We recruited 465 HCC patients, 618 with cirrhosis and 490 control subjects.We evaluated the odds ratio(OR) for HCC by univariate and multivariate analysis.Moreover, OR for HCC in diabetic subjects treated with insulin or sulphanylureas and with metformin were calculated.RESULTS:The prevalence of diabetes mellitus was 31.2% in HCC, 23.3% in cirrhotic patients and 12.7% in the Control group.By univariate and multivariate analysis, the OR for HCC in diabetic patients were respectively 3.12(CI 2.2-4.4, P < 0.001) and 2.2(CI 1.2-4.4, P = 0.01).In 84.9% of cases, type 2 diabetes mellitus was present before the diagnosis of HCC.Moreover, we report an OR for HCC of 2.99(CI 1.34-6.65, P = 0.007) in diabetic patients treated with insulin or sulphanylureas, and an OR of 0.33(CI 0.1-0.7, P = 0.006) in diabetic patients treated with metformin.CONCLUSION:Our study confi rms that type 2 diabetes mellitus is an independent risk factor for HCC and pre-exists in the majority of HCC patients.Moreover, in male patients with type 2 diabetes mellitus, our data shows a direct association of HCC with insulin and sulphanylureas treatment and an inverse relationship with metformin therapy.Valter Donadon Massimiliano Balbi Michela Ghersetti Silvia Grazioli Antonio Perciaccante Giovanni Della Valentina Rita Gardenal Maria Dal Mas Pietro Casarin Giorgio Zanette Cesare Miranda 2009World Journal of Gastroenterology2009,15,20:23
7高羊茅对微生物强化修复石油污染土壤影响的研究显示文摘进行了石油污染土壤在外源微生物菌剂和高羊茅协调作用下的强化修复试验,对外源微生物菌剂在不同植被条件下的去除特征进行了分析。分别进行了没有植物、高羊茅草坪、高羊茅草种新育草坪3种不同情况下的降解试验。结果表明,微生物菌剂对石油污染土壤有着良好的降解效果,去除率为36%-43%,而没有微生物菌剂和植被作用下的对照组的去除率仅为5.74%~6.0%;高羊茅草坪能够提高微生物进一步降解的能力,在直接铺草坪的情况下,去除率可以达到51%~62%;在播种高羊茅草种,形成新嫩草坪的情况下,去除率为48%~54%。结果表明,在直接铺高羊茅草坪条件下,微生物菌剂的强化分解作用可以提高41.6%-44.2%,在新嫩草坪作用下能够提高27.9%-30.6%,可以认为高羊茅草坪对于提高微生物菌剂的强化分解有一定的促进作用。在试验过程中还对不同修复的土壤pH值变化特性进行了分析。欧阳威 刘红 于勇勇 张丹 Valentina P.Murygina 许增德 2006环境污染治理技术与设备2006,7,1:21
8p38α MAPK pathway:A key factor in colorectal cancer therapy and chemoresistance显示文摘Colorectal cancer(CRC)remains one of the most common malignancies in the world.Although surgical resection combined with adjuvant therapy is effective at the early stages of the disease,resistance to conventional therapies is frequently observed in advanced stages,where treatments become ineffective.Resistance to cisplatin,irinotecan and 5-fluorouracil chemotherapy has been shown to involve mitogen-activated protein kinase(MAPK)signaling and recent studies identified p38αMAPK as a mediator of resistance to various agents in CRC patients.Studies published in the last decade showed a dual role for the p38αpathway in mammals.Its role as a negative regulator of proliferation has been reported in both normal(including cardiomyocytes,hepatocytes,fibroblasts,hematopoietic and lung cells)and cancer cells(colon,prostate,breast,lung tumor cells).This function is mediated by the negative regulation of cell cycle progression and the transduction of some apoptotic stimuli.However,despite its anti-proliferative and tumor suppressor activity in some tissues,the p38αpathway may also acquire an oncogenic role involving cancer related-processes such as cell metabolism,invasion,inflammation and angiogenesis.In this review,we summarize current knowledge about the predominant role of the p38αMAPK pathway in CRC development and chemoresistance.In our view,this might help establish the therapeutic potential of the targeted manipulation of this pathway in clinical settings.Valentina Grossi Alessia Peserico Tugsan Tezil Cristiano Simone 2014World Journal of Gastroenterology2014,20,29:20
9Role and mechanisms of action of escherichia coli nissle 1917 in the maintenance of remission in ulcerative colitis patients: an update显示文摘Ulcerative colitis(UC) is a chronic inflammatory disease, whose etiology is still unclear. Its pathogenesis involves an interaction between genetic factors, immune response and the 'forgotten organ', Gut Microbiota. Several studies have been conducted to assess the role of antibiotics and probiotics as additional or alternative therapies for Ulcerative Colitis. Escherichia coli Nissle(Ec N) is a nonpathogenic Gram-negative strain isolated in 1917 by Alfred Nissle and it is the active component of microbial drug Mutaflor®(Ardeypharm Gmb H, Herdecke, Germany and Ec N, Cadigroup, In Italy) used in many gastrointestinal disorder including diarrhea, uncomplicated diverticular disease and UC. It is the only probiotic recommended in ECCO guidelines as effective alternative to mesalazine in maintenance of remission in UC patients. In this review we propose an update on the role of Ec N 1917 in maintenance of remission in UC patients, including data about efficacy and safety. Further studies may be helpful for this subject to further the full use of potential of Ec N.Franco Scaldaferri Viviana Gerardi Francesca Mangiola Loris Riccardo Lopetuso Marco Pizzoferrato Valentina Petito Alfredo Papa Jovana Stojanovic Andrea Poscia Giovanni Cammarota Antonio Gasbarrini 2016World Journal of Gastroenterology2016,22,24:19
10前列腺癌症和治疗的传染病学评论显示文摘 Prostate cancer is one of the most common types of cancer and one of the leading causes of cancer death among men in the Western countries.The aim of the present analysis is to assess the cancer burden in order to ensure accurate strategies for chemoprevention and treatment,including the major therapeutic approaches for localized high-risk disease-surgery and radiation therapy-and quality of life issues related to each option.Stefano Arcangeli Valentina Pinzi Giorgio Arcangeli 2012World Journal of Radiology2012,4,6:17
11白鬼笔蘑菇菌丝体多糖:免疫调节和伤口愈合特性(英文)显示文摘白鬼笔蘑菇在亚洲和北欧是一种传统的民间医药。本文综述了我们人工培养白鬼笔菌丝体的研究成果,以及从白鬼笔菌丝体中分离出的多糖的生物活性数据。对白鬼笔新菌株菌丝体的培养形态特征和生理生化特性进行了研究。经过优化培养基的营养物构成和培养条件能够使菌体生物量提高1.3倍,多糖含量提高1.5~1.7倍。从该菌丝体中分离的多糖在体外和在体内(链脲佐菌素诱导的糖尿病大鼠)均具有免疫调节作用。与原始软膏相比,含有10%白鬼笔多糖的软膏,能促进实验大鼠的皮肤创面愈合,促进肉芽组织的上皮形成、收缩和生长。综上所述,白鬼笔菌丝体多糖有望成为开发功能性食品以及新型治疗和预防药物的原材料。BUKO Vyacheslav BAKUNOVICH Alexey ASTROWSKI Aliaksandr MOROZ Valentina PUCHKOVA Tatyana KASTSIANEVICH Aliaksandar TOMULEWICZ Mikolaj 2019现代食品科技2019,35,9:14
12New therapeutic perspectives in irritable bowel syndrome: Targeting low-grade inflammation, immuno-neuroendocrine axis, motility, secretion and beyond显示文摘Irritable bowel syndrome(IBS)is a chronic,recurring,and remitting functional disorder of the gastrointestinal tract characterized by abdominal pain,distention,and changes in bowel habits.Although there are several drugs for IBS,effective and approved treatments for one or more of the symptoms for various IBS subtypes are needed.Improved understanding of pathophysiological mechanisms such as the role of impaired bile acid metabolism,neurohormonal regulation,immune dysfunction,the epithelial barrier and the secretory properties of the gut has led to advancements in the treatment of IBS.With regards to therapies for restoring intestinal permeability,multiple studies with prebiotics and probiotics are ongoing,even if to date their efficacy has been limited.In parallel,much progress has been made in targeting low-grade inflammation,especially through the introduction of drugs such as mesalazine and rifaximin,even if a better knowledge of the mechanisms underlying the low-grade inflammation in IBS may allow the design of clinical trials that test the efficacy and safety of such drugs.This literature review aims to summarize the findings related to new and investigational therapeutic agents for IBS,most recently developed in preclinical as well as Phase 1 and Phase 2clinical studies.Emanuele Sinagra Gaetano Cristian Morreale Ghazaleh Mohammadian Giorgio Fusco Valentina Guarnotta Giovanni Tomasello Francesco Cappello Francesca Rossi Georgios Amvrosiadis Dario Raimondo 2017World Journal of Gastroenterology2017,23,36:14
13Complete Pathway Elucidation and Heterologous Reconstitution of Rhodiola Salidroside Biosynthesis显示文摘Salidroside 是导出酷氨酸的酉分的自然产品在 Rhodiola 类下面在药用的植物发现了的 bioactive。除了他们在传统的药的反疲劳和反血缺氧角色, Rhodiola 全部的摘录和 salidroside 也作为反心血管的疾病和反癌症代理人显示了药用的性质。在 Rhodiola 植物和 salidroside 的全球需求的产生巨浪驱使某种类靠近到扑灭。这里,我们报导为 Rhodiola rosea 利用第一全面 transcriptomics 和 metabolomics 数据集的 Rhodiola salidroside biosynthetic 小径的完整的说明。不同于包含分开的去碳酸基和 deamination 的以前建议的小径从酷氨酸的酶的步到关键中间的 4-hydroxyphenylacetaldehyde (4-HPAA ) , Rhodiola 包含 pyridoxal 磷酸盐依赖者 4-HPAA synthase ? 那直接把酷氨酸变换成 4-HPAA。我们推进 ? 编码随后的 4-HPAA reductase 的识别基因 ? 并且 tyrosol :UDP 葡萄糖 8-O-glucosyltransferase,分别地在 Rhodiola 完成 salidroside 生合成。我们证明 salidroside 的那 heterologous 生产能通过 Rhodiola salidroside biosynthetic 基因的转基因的表示在酵母 Saccharomyces cerevisiae 以及植物 Nicotiana benthamiana 被完成。这研究为在 heterologous 主人设计 salidroside 的持续生产提供新工具。Michael P. Torrens-Spence Tomas Pluskal Fu-Shuang Li Valentina Carballo Jing-Ke Weng 2018Molecular Plant2018,11,1:14
14Management and treatment of lactose malabsorption显示文摘乳糖吸收不良是肠的乳糖酶缺乏描绘的一个很普通的条件。主要乳糖吸收不良是在世界的人口的多数在场的继承赤字,当第二等的 hypolactasia 能是肠的疾病的后果时。在结肠的腔的 malabsorbed 乳糖的存在引起胃肠的症状。条件作为乳糖不耐被知道。在有乳糖酶的病人非坚持,如果不耐症状是在场的,治疗应该只被考虑。当指南不在时,普通治疗学的途径趋于从食谱排除牛奶和奶店产品。然而,这策略可以有严肃的营养的劣势。几研究被执行了发现其他的途径,例如为他们的细菌的乳糖酶活动的外长的贝它牛乳糖,酸乳酪和职业人员生命学,药理学、非药理学能延长的策略联系在推迟胃肠的运输时间,和长期的乳糖摄取提高结肠的改编的酶和底层之间的时间。在这评论,这些途径的实用性被讨论,有一份流动图表的一个治疗学的管理被建议。Massimo Montalto Valentina Curigliano Luca Santoro Monica Vastola Giovanni Cammarota Raffaele Manna Antonio Gasbarrini Giovanni Gasbarrini 2006World Journal of Gastroenterology2006,12,2:12
15Clinical management of advanced gastric cancer: The role of new molecular drugs显示文摘Gastric cancer is the fourth most common malignant neoplasm and the second leading cause of death for cancer in Western countries with more than 20000 new cases yearly diagnosed in the United States.Surgery represents the main approach for this disease but,notwithstanding the advances in surgical techniques,we observed a minimal improvement in terms of overall survival with a significant increasing of relapsing disease rates.Despite the development of new drugs has significantly improved the effectiveness of chemothera-py,the prognosis of patients with unresectable or metastatic gastric adenocarcinoma remains poor.Recently,several molecular target agents have been investigated;in particular,trastuzumab represents the first target molecule showing improvements in overall survival in human epithelial growth factor 2-positive gastric cancer patients.New molecules targeting vascular epithelial growth factor,mammalian target of rapamycin,and anti hepatocyte growth factor-c-Met pathway are also under investigation,with interesting results.Anyway,it seems necessary to select more accurately the population to treat with new agents by the identification of new biomarkers in order to optimize the results.In this paper we review the actual'scenario'of targeted treatments,also focusing on the new agents in development for gastric cancer and gastro-esophageal carcinoma,discussing their efficacy and potential applications in clinical practice.Ferdinando De Vita Natale Di Martino Alessio Fabozzi Maria Maddalena Laterza Jole Ventriglia Beatrice Savastano Angelica Petrillo Valentina Gambardella Vincenzo Sforza Luigi Marano Annamaria Auricchio Gennaro Galizia Fortunato Ciardiello Michele Orditura 2014World Journal of Gastroenterology2014,20,40:12
16Rock-magnetic investigation of Siberia loess and its implication显示文摘Multiple-rock magnetic investigations conducted on the loess-paleosol sequences at Kurtak in Southwestern Siberia reveal that the mass-normalized low-field magnetic susceptibility profiles reflect changes in lithology between relatively unweathered primary loess of glacial periods and the interglacial paleosols. Maxima in susceptibility values correspond with the least-weathered loess horizons, and minima with the humic horizons of soils. Frequency-dependent susceptibility of the loess-paleosol sequences at Kurtak is very low and practically uniform, indicating the dominance of non-SP ferrimagnetic minerals and negligible pedogenesis. The history of temperature-dependence of susceptibility (IDS) and stepwise acquisition of the isothermal remanent magnetization (SIRM) have confirmed that magnetite is predominant magnetic mineral, and only few maghemite and probably hematite are present within the studied section. Anisotropy of the magnetic susceptibility (AMS) can be used to monitor tilt andKazansky Alexey Matasova Galina Zykina Valentina Petrovsky Eduard Jordanova Neli 2000Chinese Science Bulletin2000,45,23:12
17Nature:死亡的肿瘤细胞释放出胞内钾离子来阻断免疫系统显示文摘在一项新的研究中。来自美国国家癌症研究所和英国巴布拉汉研究所的研究人员发现当肿瘤组织死亡时从它当中泄露出来的一种无机离子起着阻止抗肿瘤免疫细胞发挥功能的作用。这一发现为开发调动免疫系统抵抗癌症的疗法提供一种新的方法。相关研究结果在线发表在Nature期刊上。Robert Eil, Suman K. Vodnala, David Clever, Christopher A. Klebanoff, Madhusudhanan Sukumar, Jenny H. Pan, Douglas C. Palmer, Alena Gros, Tori N. Yamamoto, Shashank J. Patel, Geoffrey C. Guittard, Zhiya Yu, David S. Schrump, W. Marston Linehan, Nicholas P. Restifo Christopher A. Klebanoff Valentina Carbonaro, Klaus Okkenhaug, Rahul Roychoudhuri 2016现代生物医学进展2016,16,31:12
18Role of endoscopic ultrasonography in the loco-regional staging of patients with rectal cancer显示文摘The prognosis of rectal cancer(RC) is strictly related to both T and N stage of the disease at the time of diagnosis. RC staging is crucial for choosing the best multimodal therapy: patients with high risk locally advanced RC(LARC) undergo surgery after neoadjuvant chemotherapy and radiotherapy(NAT); those with low risk LARC are operated on after a preoperative short-course radiation therapy; finally, surgery alone is recommended only for early RC. Several imaging methods are used for staging patients with RC: computerized tomography, magnetic resonance imaging, positron emission tomography, and endoscopic ultrasound(EUS). EUS is highly accurate for the loco-regional staging of RC, since it is capable to evaluate precisely the mural infiltration of the tumor(T), especially in early RC. On the other hand, EUS is less accurate in restaging RC after NAT and before surgery. Finally, EUS is indicated for follow-up of patients operated on for RC, where there is a need for the surveillance of the anastomosis. The aim of this review is to highlight the impact of EUS on the management of patients with RC, evaluating its role in both preoperative staging and follow-up of patients after surgery.Pietro Marone Mario de Bellis Valentina D'Angelo Paolo Delrio Valentina Passananti Elena Di Girolamo Giovanni Battista Rossi Daniela Rega Maura Claire Tracey Alfonso Mario Tempesta 2015World Journal of Gastrointestinal Endoscopy2015,7,7:11
19Irritable bowel syndrome and food interaction显示文摘Irritable bowel syndrome(IBS) is one of the most common gastrointestinal disorders in Western countries. Despite the high prevalence of this disorders, the therapeutic management of these patients is often unsatisfactory. A number of factors have been suggested to be involved in the pathogenesis of IBS, including impaired motility and sensitivity, increased permeability, changes in the gut microbiome and alterations in the brain-gut axis. Also food seems to play a critical role: the most of IBS patients report the onset or the exacerbation of their symptoms after the meals. Recently, an increasing attention has been paid to the role of food in IBS. In this review we summarize the most recent evidences about the role of diet on IBS symptoms. A diet restricted in fermentable, poorly absorbed carbohydrates and sugar alcohols has beneficial effects on IBS symptoms. More studies are needed to improve our knowledge about the relationship between food and IBS. However, in the foreseeable future, dietary strategies will represent one of the key tools in the therapeutic management of patients with IBS.Rosario Cuomo Paolo reozzi Francesco Paolo Zito Valentina Passananti Giovanni De Carlo Giovanni Sarnelli 2014World Journal of Gastroenterology2014,20,27:11
20Role of Helicobacter pylori infection on nutrition and metabolism显示文摘Helicobacter pylori(H. pylori) is a gram-negative pathogen that is widespread all over the world, infecting more than 50% of the world's population. It is etiologically associated with non-atrophic and atrophic gastritis, peptic ulcer and shows a deep association with primary gastric B-cell lymphoma and gastric adenocarcinoma. Recently, the medical research focused on the modification of the gastric environment induced by H. pylori infection, possibly affecting the absorption of nutrients and drugs as well as the production of hormones strongly implicated in the regulation of appetite and growth. Interestingly, the absorption of iron and vitamin B12 is impaired by H. pylori infection, while infected subjects have lower basal and fasting serum levels of ghrelin and higher concentration of leptin compared to controls. Since leptin is an anorexigenic hormone, and ghrelin stimulates powerfully the release of growth hormone in humans, H. pylori infection may finally induce growth retardation if acquired very early in the childhood and in malnourished children. This review is focused on the nutritional effects of H. pylori infection, such as the reduced bioavailability or the malabsorbption of essential nutrients, and of gastrointestinal hormones, as well as on the relationship between H. pylori and the metabolic syndrome.Francesco Franceschi Tortora Annalisa Di Rienzo Teresa D'Angelo Giovanna Gianluca Ianiro Scaldaferri Franco Gerardi Viviana Tesori Valentina Lopetuso Loris Riccardo Gasbarrini Antonio 2014World Journal of Gastroenterology2014,20,36:11
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