H. Pylori‐Facilitated TERT/Wnt/β‐Catenin Triggers Spasmolytic Polypeptide‐Expressing Metaplasia and Oxyntic Atrophy

Abstract Persistent H. pylori infection triggers the repair program of the mucosa, such as spasmolytic polypeptide‐expressing metaplasia (SPEM). However, the mechanism underlying the initiation of SPEM in gastric tissues by H. pylori remains unclear. Here, an increase in telomerase reverse transcrip...

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Main Authors: Lijiao He, Xiao Zhang, Shengwei Zhang, Yi Wang, Weichao Hu, Jie Li, Yunyi Liu, Yu Liao, Xue Peng, Jianjun Li, Haiyan Zhao, Liting Wang, Yang‐Fan Lv, Chang‐Jiang Hu, Shi‐Ming Yang
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Advanced Science
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Online Access:https://doi.org/10.1002/advs.202401227
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author Lijiao He
Xiao Zhang
Shengwei Zhang
Yi Wang
Weichao Hu
Jie Li
Yunyi Liu
Yu Liao
Xue Peng
Jianjun Li
Haiyan Zhao
Liting Wang
Yang‐Fan Lv
Chang‐Jiang Hu
Shi‐Ming Yang
author_facet Lijiao He
Xiao Zhang
Shengwei Zhang
Yi Wang
Weichao Hu
Jie Li
Yunyi Liu
Yu Liao
Xue Peng
Jianjun Li
Haiyan Zhao
Liting Wang
Yang‐Fan Lv
Chang‐Jiang Hu
Shi‐Ming Yang
author_sort Lijiao He
collection DOAJ
description Abstract Persistent H. pylori infection triggers the repair program of the mucosa, such as spasmolytic polypeptide‐expressing metaplasia (SPEM). However, the mechanism underlying the initiation of SPEM in gastric tissues by H. pylori remains unclear. Here, an increase in telomerase reverse transcriptase (TERT) protein expression is observed in chief cells upon infection with cagA‐positive H. pylori. Tert knockout significantly ameliorated H. pylori‐induced SPEM and single‐cell RNA sequencing demonstrated that the Wnt/β‐Catenin pathway is suppressed in gastric cells with Tert knockout. Mechanism study revealed that CagA elevated TERT abundance by disrupting the interaction between TERT and its novel E3 ligase, SYVN1. Interestingly, Nitazoxanide effectively relieved SPEM via inhibition of the Wnt/β‐Catenin signaling in vivo. This results clarified the mechanism underlying which CagA activated the TERT/Wnt/β‐Catenin pathway, thus promoting the dedifferentiation of chief cells and the occurrence of SPEM in gastric mucosa. This highlights a molecular basis for targeting CagA‐activated Wnt signaling in chief cells for the treatment of gastric precancerous lesions.
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institution Kabale University
issn 2198-3844
language English
publishDate 2025-01-01
publisher Wiley
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spelling doaj-art-3dc5e45b1b5644eb9090f094d0c32f952025-01-20T13:04:18ZengWileyAdvanced Science2198-38442025-01-01123n/an/a10.1002/advs.202401227H. Pylori‐Facilitated TERT/Wnt/β‐Catenin Triggers Spasmolytic Polypeptide‐Expressing Metaplasia and Oxyntic AtrophyLijiao He0Xiao Zhang1Shengwei Zhang2Yi Wang3Weichao Hu4Jie Li5Yunyi Liu6Yu Liao7Xue Peng8Jianjun Li9Haiyan Zhao10Liting Wang11Yang‐Fan Lv12Chang‐Jiang Hu13Shi‐Ming Yang14Department of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Pathology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaDepartment of Gastroenterology The Second Affiliated Hospital of Army Medical University Chongqing 400037 ChinaAbstract Persistent H. pylori infection triggers the repair program of the mucosa, such as spasmolytic polypeptide‐expressing metaplasia (SPEM). However, the mechanism underlying the initiation of SPEM in gastric tissues by H. pylori remains unclear. Here, an increase in telomerase reverse transcriptase (TERT) protein expression is observed in chief cells upon infection with cagA‐positive H. pylori. Tert knockout significantly ameliorated H. pylori‐induced SPEM and single‐cell RNA sequencing demonstrated that the Wnt/β‐Catenin pathway is suppressed in gastric cells with Tert knockout. Mechanism study revealed that CagA elevated TERT abundance by disrupting the interaction between TERT and its novel E3 ligase, SYVN1. Interestingly, Nitazoxanide effectively relieved SPEM via inhibition of the Wnt/β‐Catenin signaling in vivo. This results clarified the mechanism underlying which CagA activated the TERT/Wnt/β‐Catenin pathway, thus promoting the dedifferentiation of chief cells and the occurrence of SPEM in gastric mucosa. This highlights a molecular basis for targeting CagA‐activated Wnt signaling in chief cells for the treatment of gastric precancerous lesions.https://doi.org/10.1002/advs.202401227CagAH. pylori infectionnitazoxanideSPEMTERT
spellingShingle Lijiao He
Xiao Zhang
Shengwei Zhang
Yi Wang
Weichao Hu
Jie Li
Yunyi Liu
Yu Liao
Xue Peng
Jianjun Li
Haiyan Zhao
Liting Wang
Yang‐Fan Lv
Chang‐Jiang Hu
Shi‐Ming Yang
H. Pylori‐Facilitated TERT/Wnt/β‐Catenin Triggers Spasmolytic Polypeptide‐Expressing Metaplasia and Oxyntic Atrophy
Advanced Science
CagA
H. pylori infection
nitazoxanide
SPEM
TERT
title H. Pylori‐Facilitated TERT/Wnt/β‐Catenin Triggers Spasmolytic Polypeptide‐Expressing Metaplasia and Oxyntic Atrophy
title_full H. Pylori‐Facilitated TERT/Wnt/β‐Catenin Triggers Spasmolytic Polypeptide‐Expressing Metaplasia and Oxyntic Atrophy
title_fullStr H. Pylori‐Facilitated TERT/Wnt/β‐Catenin Triggers Spasmolytic Polypeptide‐Expressing Metaplasia and Oxyntic Atrophy
title_full_unstemmed H. Pylori‐Facilitated TERT/Wnt/β‐Catenin Triggers Spasmolytic Polypeptide‐Expressing Metaplasia and Oxyntic Atrophy
title_short H. Pylori‐Facilitated TERT/Wnt/β‐Catenin Triggers Spasmolytic Polypeptide‐Expressing Metaplasia and Oxyntic Atrophy
title_sort h pylori facilitated tert wnt β catenin triggers spasmolytic polypeptide expressing metaplasia and oxyntic atrophy
topic CagA
H. pylori infection
nitazoxanide
SPEM
TERT
url https://doi.org/10.1002/advs.202401227
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