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Publication : Streptococcus anginosus promotes gastric inflammation, atrophy, and tumorigenesis in mice.

First Author  Fu K Year  2024
Journal  Cell Volume  187
Issue  4 Pages  882-896.e17
PubMed ID  38295787 Mgi Jnum  J:346089
Mgi Id  MGI:7613859 Doi  10.1016/j.cell.2024.01.004
Citation  Fu K, et al. (2024) Streptococcus anginosus promotes gastric inflammation, atrophy, and tumorigenesis in mice. Cell 187(4):882-896.e17
abstractText  Streptococcus anginosus (S. anginosus) was enriched in the gastric mucosa of patients with gastric cancer (GC). Here, we show that S. anginosus colonized the mouse stomach and induced acute gastritis. S. anginosus infection spontaneously induced progressive chronic gastritis, parietal cell atrophy, mucinous metaplasia, and dysplasia in conventional mice, and the findings were confirmed in germ-free mice. In addition, S. anginosus accelerated GC progression in carcinogen-induced gastric tumorigenesis and YTN16 GC cell allografts. Consistently, S. anginosus disrupted gastric barrier function, promoted cell proliferation, and inhibited apoptosis. Mechanistically, we identified an S. anginosus surface protein, TMPC, that interacts with Annexin A2 (ANXA2) receptor on gastric epithelial cells. Interaction of TMPC with ANXA2 mediated attachment and colonization of S. anginosus and induced mitogen-activated protein kinase (MAPK) activation. ANXA2 knockout abrogated the induction of MAPK by S. anginosus. Thus, this study reveals S. anginosus as a pathogen that promotes gastric tumorigenesis via direct interactions with gastric epithelial cells in the TMPC-ANXA2-MAPK axis.
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