• Title/Summary/Keyword: Serum gastrin

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Serum Gastrin and the Pepsinogen I/II Ratio as Markers for Diagnosis of Premalignant Gastric Lesions

  • Shafaghi, Afshin;Mansour-Ghanaei, Fariborz;Joukar, Farahnaz;Sharafkhah, Maryam;Mesbah, Alireza;Askari, Kurosh;Geranmayeh, Siamak;Mehrvarz, Alireza;Souti, Fatemeh;Sokhanvar, Homayoon;Fakhrieh, Saba;Aminian, Keyvan;Yousefi-Mashhour, Mahmud;Khosh-Sorur, Mahmud;Rasoulian, Javid
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3931-3936
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    • 2013
  • Background: Iran is a country with very high incidences of stomach cancer, especially in Northern parts. Here we assessed prognostic value of serum screening biomarkers among people >50 years old for early detection of precancerous lesions in a hot spot for gastric carcinoma in Guilan Province, North Iran. Methods: A cross-sectional population-based survey was conducted on 1,390 residents of Lashtenasha city with the mean age (SD) of 61.8 (9.02) years old (50.8% females) to assess the association of gastrin and the pepsinogen (PG) I/II ratio with premalignant gastric lesions. Blood samples were taken for CBC, blood group, and serologic exams (PGI, PGII, and gastrin 17) from each subject. Expert gastroenterologists performed upper GI endoscopy and ROC curves were generated to determine appropriate cutoff points. Results: Mean values of PGI, PGII, PGI/PGII and gastrin were significantly different between patients with and without atrophy or metaplasia (P<0.05). To diagnose atrophy and intestinal metaplasia, a significantly higher AUC was observed for the PGI/PGII ratio (70 and 72%, respectively) compared to the PGI (56, 55%), PGII (63, 64%) and gastrin (59, 61%) (all p<0.001). Conclusions: Biomarker tests such as the PGI/II ratio can be used in the screening and diagnosis of subjects at high gastric cancer risk in our region.

Differences in the Levels of Gastric Cancer Risk Factors Between Nanjing and Minqing Counties, China

  • Xie, Xiang-Quan;Zheng, Kui-Cheng;Wu, Bing-Shan;Chen, Tie-Hui;Lai, Shan-Rong;Lin, Zai-Sheng;Aoki, Kazuo
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.5
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    • pp.281-287
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    • 2014
  • Objectives: In Fujian Province, China, gastric cancer is one of the leading causes of mortality among all malignant tumors. Nanjing county and Minqing county are located in inland Fujian and have similar general demographics. However, the adjusted mortality rate of gastric cancer in Minqing was found to be much higher than that in Nanjing. We sought to explore factors associated with this increased risk of gastric cancer between the two counties. Methods: We recruited 231 and 224 residents from Nanjing and Minqing, respectively, and analyzed differences between their dietary habits, Helicobacter pylori infection rates, and concentrations of serum pepsinogen I, pepsinogen II, gastrin-17, and ratio of pepsinogen I:II. Results: Subjects in Minqing had more first-degree relatives who had been diagnosed with upper gastrointestinal tumor, more unhealthy dietary habits, a higher Helicobacter pylori positive rate, and greater proportion of abnormal serum gastrin-17 than those in Nanjing did. Conclusions: The factors that differed between these two counties might indicate that residents in Minqing have a higher risk for developing gastric cancer than those in Nanjing do.

Diagnostic Values of Serum Levels of Pepsinogens and Gastrin-17 for Screening Gastritis and Gastric Cancer in a High Risk Area in Northern Iran

  • Nejadi-Kelarijani, Fatemeh;Roshandel, Gholamreza;Semnani, Shahryar;Ahmadi, Ali;Faghani, Behzad;Besharat, Sima;Akhavan-Tabib, Atefeh;Amiriani, Taghi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.17
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    • pp.7433-7436
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    • 2014
  • Background: Gastric cancer (GC) is the second cause of cancer related death in the world. It may develop by progression from its precancerous condition, called gastric atrophy (GA) due to gastritis. The aim of this study was to evaluate the accuracy of serum levels of pepsinogens (Pg) and gastrin-17 (G17) as non-invasive methods to discriminate GA or GC (GA/GC) patients. Materials and Methods: Subjects referred to gastrointestinal clinics of Golestan province of Iran during 2010 and 2011 were invited to participate. Serum levels of PgI, PgII and G17 were measured using a GastroPanel kit. Based on the pathological examination of endoscopic biopsy samples, subjects were classified into four groups: normal, non-atrophic gastritis, GA, and GC. Receiver operating curve (ROC) analysis was used to determine cut-off values. Indices of validity were calculated for serum markers. Results: Study groups were normal individuals (n=74), non-atrophic gastritis (n=90), GA (n=31) and GC patients (n=30). The best cut-off points for PgI, PgI/II ratio, G17 and HP were $80{\mu}g/L$, 10, 6 pmol/L, and 20 EIU, respectively. PgI could differentiate GA/GC with high accuracy (AUC=0.83; 95%CI: 0.76-0.89). The accuracy of a combination of PgI and PgI/II ratio for detecting GA/GC was also relatively high (AUC=0.78; 95%CI: 0.70-0.86). Conclusions: Our findings suggested PgI alone as well as a combination of PgI and PgI/II ratio are valid markers to differentiate GA/GC. Therefore, Pgs may be considered in conducting GC screening programs in high-risk areas.

The Effect of Hwangryunhaedoktang on the Toxicity of Dried Mylabris phalerata Extract (황련해독탕(黃蓮解毒湯)이 반묘(斑猫)의 독성에 미치는 영향)

  • Kim, Seong-Mo;Choi, Hong-Sik;Seo, Bu-Il
    • The Korea Journal of Herbology
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    • v.25 no.2
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    • pp.41-54
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    • 2010
  • Objectives : This study was carried out to investigate the anti-toxicity effect of Hwangryunhaedoktang on the dried Mylabris phalerata extract containing cantharidin in ICR mouse. Methods : Dried Mylabris phalerata extracts were orally administered at dosage level 2000, 1000, 500, 250 and 125mg/kg, respectively with and/or without administration of Hwangryunhaedoktang 200mg/kg. During 2 weeks, the changes of body weight, mortality, $LD_{50}$, macroscopic changes of gastrointestinal tract and liver, changes of serum gastrin and somatostatin levels were observed. Results : Decrease of body weight gains was observed in dried Mylabris phalerata extract-dosing groups, but it was significantly developed in Hwangryunhaedoktang extract-dosing groups after dosaging. Increase of mortality rates was observed in dried Mylabris phalerata extract-dosing groups, but it was significantly developed in Hwangryunhaedoktang extract-dosing groups after dosaging. The $LD_{50}$ of dried Mylabris phalerata extract in male mice significantly increased in a case of concomitant used of Hwangryunhaedoktang 268.86 vs 662.05mg/kg. Clinical signs were observed in dried Mylabris phalerata extract-dosing groups, but it was significantly developed in Hwangryunhaedoktang extract-dosing groups after dosaging after dosaging. Increase of number of hemorrhagic and/or erythematous spots in the gastrointestinal tracts, enlargement and congestion in the liver were observed in dried Mylabris phalerata extract-dosing groups, but it was significantly developed in Hwangryunhaedoktang extract-dosing groups after dosaging. Increase of serum gastrin level was observed in dried Mylarbis phalerata extract-dosing groups, these state of abnormal increase was significantly developed in Hwangryunhaedoktang extract-dosing groups after dosaging. Decrease of serum somatostatin level was observed in dried Mylabris phalerata extract-dosing groups, these state of abnormal decrease was significantly developed in Hwangryunhaedoktang extract-dosing groups after dosaging. Conclusions : We could conclude that the Hwangryunhaedoktang has anti-toxicity effect on the dried Mylabris phalerata extract containing cantharidin.

Effects of Combined Electro-Acupuncture at Zusanli(ST36) and Moxibustion at Weishu(BL21) on the Serum Gastrin Level in Rats (족삼리(足三里)와 위유(胃兪)의 경혈배합(經穴配合)과 병용자극(竝用刺戟)이 정상(正常) 백서(白鼠) 위기능(胃機能)에 미치는 영향(影響))

  • Yun, Min-young;Kim, Kyung-sik;Hwang, Woo-jun;Lee, Geon-mok;Lee, Ok-ja;Kim, Hong-hoon;Yun, Jung-an;Yu, Yun-cho;Park, Jong-un;Cho, Nam-geun
    • Journal of Acupuncture Research
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    • v.21 no.5
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    • pp.45-58
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    • 2004
  • It is well known that both of acupuncture and moxibustion are effective for treatment of human disease. For years, they have been utilizing a electro-acupuncture (EA) and moxibustion in attempt to manage gastric symptom. However, the data of combined EA and moxibustion on clinical effectiveness is conflicting and the action of combineAd acupoints is not well known. BL21 and ST36 which belong to bladder Meridian and stomach meridian are acupuncture points frequently used for healing gastrointestinal disease in oriental medicine. The present study was conducted to see the effects produced by combined electro-acupuncture(EA) and moxibustion using BL21 and ST36 on serum gastrin level in rats. In experiment, male Spraque-Dawley rats(body wt 140-160g) were selected. EA (2 Hz, intensity ; 10 times muscle twitch threshold) was applied for 30 minutes to ST36 under halothane anesthesia. Moxibustion($1.6{\pm}0.3 mg$, 5 times of a day) was applied during 3 days to BL21 under halothane anesthesia. Synergy effects of combined EA and moxibustion might be in according to stimulated method and used acupoints. The change of serum gastrin levels produced by combined EA and moxibustion is shown after vagotomy. These data suggested that many factors, such as the selection of acupoints, the stimulated EA methods, are capable of affecting combined EA and moxibustion effects and those effects may be not related with nervous system.

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Ulcer Healing Effects of Vitamin E on Chronic Gastric Ulcer Induced by Alcohol in Young Adult Rats (알코올로 유도한 만성위궤양 흰쥐 모델에서 비타민 E 보충이 위궤양 치유에 미치는 영향)

  • Mo, Jung-Min;Lee, Sun-Hye;Park, Mi-Na;Lee, Yeon-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.37 no.3
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    • pp.309-316
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    • 2008
  • This study was carried out to examine the effects of vitamin E on chronic gastric ulcer induced by alcohol treatment in rats. Chronic gastric ulcer model was established by oral administration of 70% ethanol at one time and supply of 15% ethanol for additional 7 days. Male Sprague-Dawley rats, approximately 200 g, were fasted for 24 hours and orally gavaged with 1 mL of 70% ethanol for the induction of acute ulcer. A supply of 15% ethanol dissolved in distilled water for 7 days were followed to maintain chronic gastric ulcer. Acute ulcer group was sacrificed at 3 hours after oral administration of 1 mL of 70% ethanol. Chronic groups were divided into three groups according to vitamin E levels; low-vitamin E (LVE, 0 mg/mL oil/day), normalvitamin E (NVE, 1 mg/mL oil/day) and high-vitamin E (HVE, 10 mg/mL oil/day). These groups were fed vitamin E free diets which were made of vitamin E free vitamin mix followed AIN-93M pattern for 7 days. Histological findings of congestion, hemorrhage and necrosis in gastric tissue were shown severely in acute ulcer group and LVE group of chronic ulcer groups. The concentration of gastrin in serum was significantly higher in LVE group. The content of histamine in stomach was lower in acute ulcer group but there was no significant difference among the chronic groups regardless of vitamin E levels. Content of malondialdehyde (MDA) in gastric tissue was higher in HVE group and activities of antioxidant enzyme, glutathione peroxidase (GPx) and catalase, were lower in HVE group. Myeloperoxidase (MPO) activities as a marker of neutrophils infiltration was significantly higher in LVE group. These results suggested that vitamin E supplementation has positive effects on healing of alcohol-induced chronic gastric ulcer through alleviation of gastric tissue injuries and reduction of the MPO activity in gastric tissue and gastrin in serum.

Experimental Study of Moxibustion's Parameters (구의 Parameters에 대한 실험 연구 -시구의 장수, 일수, 용량, 경혈의 양측효과 비교 및 기전을 중심으로-)

  • Oh Inn Kun;Yun Jeong Ahn;Yu Yun Cho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.5
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    • pp.1356-1361
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    • 2004
  • Moxa-combustion therapy make use of heat stimulus and chemicals result form when cauterize the skin with moxa cones to medical cares. However, recently moxibustion have been utilized less than acupuncture for treatment of disease in a practicing oriental physicians. To determine variable parameters (the numbers, the times, the quantities, the locations) affected moxibustion's effects, the gastrin serum level in rats were observed. In experiment, male Spraque-Dawley rats (body wt. 140-160g) were selected. Anything is performed to normal group. Control group were only anesthetized with inhalation in normal group. Experimental group were anesthetized and cauterized with moxa at BL21 by way of direct moxibustion. The size of moxa cone is 1.6±0.2㎎. The moxibustion as 5 times a day for five days has shown most significant effects and the moxibustion as a aquantity of 1, 5, 10 times moxa united one respectly, inverse to quantity in effects. The moxibustion for five days has also shown an most significant effects. The moxibustion at unilateral acupoints BL21 have less effects than bilateral one and these effects had no difference between control group after vagotomy. This results indicate that moxibustion's effects are not direct proportion to moxa cone size and frequency but imply that there is adequate value of moxibustion.