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AA. Gastric C I 06. ppt - Università degli studi di Pavia

AA. Gastric C I 06. ppt - Università degli studi di Pavia

AA. Gastric C I 06. ppt - Università degli studi di Pavia

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GASTRIC ADENOCARCINOMA<br />

Genetics. III. Intestinal - type GC<br />

* in multistep process of intestinal - type<br />

carcinogenesis, genetic pathway <strong>di</strong>vided into 3<br />

subpathways:<br />

- intestinal metaplasia → adenoma →<br />

carcinoma;<br />

- intestinal metaplasia → carcinoma, and<br />

- de novo;<br />

* infection with HP is a strong trigger for<br />

hyperplasia of hTERT+ (human telomerase reverse<br />

transcriptase, regulating human telomers and<br />

senescence) “stem cells” in intestinal metaplasia

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