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Am J Physiol Gastrointest Liver Physiol 286: G515-G520, 2004; doi:10.1152/ajpgi.00475.2003
0193-1857/04 $5.00
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THEMES

Inflammation and Cancer II. Role of chronic inflammation and cytokine gene polymorphisms in the pathogenesis of gastrointestinal malignancy

Mairi Macarthur, Georgina L. Hold, and Emad M. El-Omar

Department of Medicine and Therapeutics, Institute of Medical Sciences, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, United Kingdom

It is well established that cancer arises in chronically inflamed tissue, and this is particularly notable in the gastrointestinal tract. Classic examples include Helicobacter pylori-associated gastric cancer, hepatocellular carcinoma, and inflammatory bowel disease-associated colorectal cancer. There is growing evidence to suggest that this association is not coincidental but may indeed be causal. In this review, we discuss the role of chronic inflammation and cytokine gene polymorphisms in the pathogenesis of gastrointestinal malignancy and outline some of the possible mechanisms involved.

chronic inflammation; carcinogenesis; reactive oxygen species; cyclooxygenase-2; cytokines; cytokine polymorphisms



Address for reprint requests and other correspondence: E. M. El-Omar, Dept. of Medicine and Therapeutics, Institute of Medical Sciences, Univ. of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, UK (E-mail: e.el-omar{at}abdn.ac.uk).




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