Skip to main content

Advertisement

Log in

Genetic Determinants of Autoimmune Gastritis

  • Published:
BioNanoScience Aims and scope Submit manuscript

Abstract

Autoimmune gastritis (AIG) is an immuno-mediated disease characterized by the production of antibodies to the parietal cells of the stomach, which leads to the loss of the internal Castle factor and decrease in the production of hydrochloric acid. Diagnosis of AIG remains difficult due to the lack of symptoms at early stages, ineffective or costly screening strategies, and incomplete established etiology. Patients with AIG are at high risk of developing malignant neoplasms and neuroendocrine tumors, and they would greatly benefit from any means to predict the likelihood of developing and the severity of a possible disease. Here, we aim to summarize data on the genetic nature of AIG. We will also describe the clinical picture of AIG, Helicobacter pylori association with it, and elaborate on the pathogenesis of the disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Kahaly, G. J., & Frommer, L. (2019). Autoimmune polyglandular diseases, 2019. Best Practice & Research Clinical Endocrinology & Metabolism, 33(6), 101344. https://doi.org/10.1016/j.beem.2019.101344

    Article  Google Scholar 

  2. Lerner, A., Jeremias, P., & Matthias, T. (2016). The world incidence and prevalence of autoimmune diseases is increasing, 2016. International Journal of Colorectal Diseas, 3(4), 151–155. https://doi.org/10.12691/ijcd-3-4-8

    Article  Google Scholar 

  3. Wiersinga, W., M. (2018). Hashimoto’s Thyroiditis, 2018. In: Vitti P, Hegedüs L, eds. Thyroid diseases. Endocrinology. Springer International Publishing:205-247. https://doi.org/10.1007/978-3-319-45013-1_7

  4. Global Prevalence of Celiac Disease. Celiac Disease Foundation. Published August 23, 2018. Accessed December 29, 2021. https://celiac.org/about-the-foundation/featured-news/2018/08/global-prevalence-of-celiac-disease/

  5. Smith, H., R., Brown A. (2021). Rheumatoid arthritis (RA): practice essentials, background, pathophysiology. Published online July 22, 2021. Accessed January 7, 2022. https://emedicine.medscape.com/article/331715-overview#a5

  6. Bergqvist, C., & Ezzedine, K. (2020). Vitiligo: A review, 2020. Dermatology, 236(6), 571–592. https://doi.org/10.1159/000506103

    Article  Google Scholar 

  7. Lenti, M. V., Rugge, M., Lahner, E., et al. (2020). Autoimmune gastritis, 2020. Nature Reviews. Disease Primers, 6(1), 56. https://doi.org/10.1038/s41572-020-0187-8

    Article  Google Scholar 

  8. Carmel, R. (1996). Prevalence of undiagnosed pernicious anemia in the elderly, 1996. Archives of Internal Medicine, 156(10), 1097–1100.

    Article  Google Scholar 

  9. Busada, J. T., Peterson, K. N., Khadka, S., et al. (2021). Glucocorticoids and androgens protect from gastric metaplasia by suppressing group 2 innate lymphoid cell activation, 2021. Gastroenterology, 161(2), 637-652.e4. https://doi.org/10.1053/j.gastro.2021.04.075

    Article  Google Scholar 

  10. Massironi, S., Cavalcoli, F., Rossi, R. E., et al. (2013). Chronic autoimmune atrophic gastritis associated with primary hyperparathyroidism: A transversal prospective study, 2013. European Journal of Endocrinology., 168(5), 755–761. https://doi.org/10.1530/EJE-12-1067

    Article  Google Scholar 

  11. Chen, W. C., Warner, R. R. P., Harpaz, N., Zhu, H., Roayaie, S., & Kim, M. K. (2019). Gastric neuroendocrine tumor and duodenal gastrinoma with chronic autoimmune atrophic gastritis, 2019. Pancreas, 48(1), 131–134. https://doi.org/10.1097/MPA.0000000000001204

    Article  Google Scholar 

  12. Adar, T., Friedman, M., Rodgers, L. H., Shannon, K. M., Zukerberg, L. R., & Chung, D. C. (2019). Gastric cancer in Lynch syndrome is associated with underlying immune gastriti, 2019. Journal of Medical Genetics, 56(12), 844–845. https://doi.org/10.1136/jmedgenet-2018-105757

    Article  Google Scholar 

  13. Belkovets, A., V, Kurilovich, S., A., Maksimov V., N., Scherbakova L., V., (2020). Genetic polymorphism of the inflammatory cytokines IL-1β and IL-6 in patients with serologically identified atrophic gastritis, 2020. Experimental and Clinical Gastroenterology. (10):25–32. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-182-10-25-32

  14. De Re, V., Repetto, O., De Zorzi, M., et al. (2019). Polymorphism in toll-like receptors and helicobacter pylori motility in autoimmune atrophic gastritis and gastric cancer, 2019. Cancers, 11(5), 648. https://doi.org/10.3390/cancers11050648

    Article  Google Scholar 

  15. Lahner, E., & Annibale, B. (2009). Pernicious anemia: New insights from a gastroenterological point of view, 2009. World Journal of Gastroenterology, 15(41), 5121. https://doi.org/10.3748/wjg.15.5121

    Article  Google Scholar 

  16. Rustgi, S. D., Bijlani, P., & Shah, S. C. (2021). Autoimmune gastritis, with or without pernicious anemia: Epidemiology, risk factors, and clinical management, 2021. Therapeutic Advances in Gastroenterology, 14, 175628482110387. https://doi.org/10.1177/17562848211038771

    Article  Google Scholar 

  17. Dimitrova Kovacheva-Slavova M., Asenov Angelov T., Yankov Valkov H., Ilianov Iliev H., Georgiev Vladimirov B. (2021). Current view on autoimmune gastritis, 2021. In: Maria Roesler B, ed. Gastritis - New Approaches and Treatments. IntechOpen 2019. https://doi.org/10.5772/intechopen.87006

  18. Kamada, T., Haruma, K., Suehimi, M., et al. (2020). Prevalence and clinical characteristics of autoimmune gastritis in patients with severe atrophic gastritis, 2020. General Surgery, 5, 6.

    Google Scholar 

  19. Anaya, J. M., Gómez, L., & Castiblanco, J. (2006). Is there a common genetic basis for autoimmune diseases? 2006. Clinical and Developmental Immunology, 13(2–4), 185–195. https://doi.org/10.1080/17402520600876762

    Article  Google Scholar 

  20. Kulnigg-Dabsch, S. (2016). Autoimmune gastritis, 2016. Wiener Medizinische Wochenschrift, 166(13–14), 424–430. https://doi.org/10.1007/s10354-016-0515-5

    Article  Google Scholar 

  21. De Block, C. E. M., De Leeuw, I. H., & Van Gaal, L. F. (2008). Autoimmune gastritis in type 1 diabetes: A clinically oriented review, 2008. The Journal of Clinical Endocrinology & Metabolism, 93(2), 363–371. https://doi.org/10.1210/jc.2007-2134

    Article  Google Scholar 

  22. Youssefi, M., Tafaghodi, M., Farsiani, H., Ghazvini, K., & Keikha, M. (2021). Helicobacter pylori infection and autoimmune diseases; is there an association with systemic lupus erythematosus, rheumatoid arthritis, autoimmune atrophy gastritis and autoimmune pancreatitis? A systematic review and meta-analysis study, 2021. Journal of Microbiology, Immunology and Infection, 54(3), 359–369. https://doi.org/10.1016/j.jmii.2020.08.011

    Article  Google Scholar 

  23. Weck, M. N., & Brenner, H. (2008). Association of Helicobacter pylori infection with chronic atrophic gastritis: Meta-analyses according to type of disease definition, 2008. International Journal of Cancer, 123(4), 874–881. https://doi.org/10.1002/ijc.23539

    Article  Google Scholar 

  24. Wanstrat, A., & Wakeland, E. (2001). The genetics of complex autoimmune diseases: Non-MHC susceptibility genes, 2001. Nature Immunology, 2(9), 802–809. https://doi.org/10.1038/ni0901-802

    Article  Google Scholar 

  25. Baxter, A. G., Jordan, M. A., Silveira, P. A., Wilson, W. E., & Van Driel, I. R. (2005). Genetic control of susceptibility to autoimmune gastritis, 2005. International Reviews of Immunology, 24(1–2), 55–62. https://doi.org/10.1080/08830180590884404

    Article  Google Scholar 

  26. Silveira, P. A., Wilson, W. E., Esteban, L. M., Jordan, M. A., van Driel, I. R., & Baxter, A. G. (2001). Identification of the Gasa3 and Gasa4 autoimmune gastritis susceptibility genes using congenic mice and partitioned, segregative and interaction analyses, 2001. Immunogenetics, 53(9), 741–750. https://doi.org/10.1007/s00251-001-0391-y

    Article  Google Scholar 

  27. Rodriguez-Castro, K. I., Franceschi, M., Miraglia, C., et al. (2018). Autoimmune diseases in autoimmune atrophic gastritis. Acta Bio Medica Atenei Parmensis, 89(8-S), 100–103. https://doi.org/10.23750/abm.v89i8-S.7919

    Article  Google Scholar 

  28. Larina, A. A., Troshina, E. A., & Ivanova, O. N. (2014). Autoimmune polyglandular syndromes in the adults: the genetic and immunological diagnostic criteria, 2014. Problems of Endocrinology, 60(3), 43–52. https://doi.org/10.14341/probl201460343-52. (In Russ.).

    Article  Google Scholar 

  29. Larina, A. A., & Troshina, E. A. (2013). Autoimmune diseases associated with type 1 diabetes mellitus: possible interplay, 2013. Problems of Endocrinology, 59(1), 35–43. https://doi.org/10.14341/probl201359135-43. (In Russ.).

    Article  Google Scholar 

  30. Husebye, E. S., Anderson, M. S., & Kämpe, O. (2018). Autoimmune polyendocrine syndromes, 2018. New England Journal of Medicine, 378(26), 2543–2544. https://doi.org/10.1056/NEJMc1805308

    Article  Google Scholar 

  31. Batdyeva, A. H., & Popov, A. A. (2017). Znachenie genov sistemy HLA pri prognozirovanii mul’tifaktornyh zabolevanij, 2017. Bulletin of Medical internet Conferences, 7(6), 1069. (In Russ.).

    Google Scholar 

  32. Valitova ER, Yanova TI, Polyakova VV, Berezina OI, Bodunova NA, Bordin DS. (2021). Modern views on ethyopathogenesis and achalasia treatment, 2021. EPh 17(28):62–70. https://doi.org/10.33978/2307-3586-2021-17-28-62-70

  33. Ungar, B., Mathews, J. D., Tait, B. D., & Cowling, D. C. (1981). HLA-DR patterns in pernicious anaemia, 1981. BMJ, 282(6266), 768–770. https://doi.org/10.1136/bmj.282.6266.768

    Article  Google Scholar 

  34. Lahner, E., Spoletini, M., Buzzetti, R., et al. (2010). HLA-DRB1*03 and DRB1*04 are associated with atrophic gastritis in an Italian population, 2010. Digestive and Liver Disease, 42(12), 854–859. https://doi.org/10.1016/j.dld.2010.04.011

    Article  Google Scholar 

  35. Oksanen, A. M. (2010). Immunogenetic characteristics of patients with autoimmune gastritis, 2010. World Journal of Gastroenterology, 16(3), 354. https://doi.org/10.3748/wjg.v16.i3.354

    Article  MathSciNet  Google Scholar 

  36. Laisk, T., Lepamets, M., Koel, M., et al. (2021). Genome-wide association study identifies five risk loci for pernicious anemia, 2021. Nature Communications, 12(1), 3761. https://doi.org/10.1038/s41467-021-24051-6

    Article  Google Scholar 

  37. Li X, Thomsen H, Sundquist K, Sundquist J, Försti A, Hemminki K. (2021). Familial risks between pernicious anemia and other autoimmune diseases in the population of Sweden, 2021. Rego M, ed. Autoimmune Diseases. 1–5. https://doi.org/10.1155/2021/8815297

  38. Idris, A. B., Idris, E. B., Ataelmanan, A. E., et al. (2021). First insights into the molecular basis association between promoter polymorphisms of the IL1B gene and Helicobacter pylori infection in the Sudanese population: Computational approach, 2021. BMC Microbiology, 21(1), 16. https://doi.org/10.1186/s12866-020-02072-3

    Article  Google Scholar 

  39. Thye, T., Burchard, G. D., Nilius, M., Müller-Myhsok, B., & Horstmann, R. D. (2003). Genomewide linkage analysis identifies polymorphism in the human interferon-γ receptor affecting Helicobacter pylori infection, 2003. The American Journal of Human Genetics., 72(2), 448–453. https://doi.org/10.1086/367714

    Article  Google Scholar 

  40. Lubani, M. M., Al-Saleh, Q. A., Teebi, A. S., Moosa, A., & Kalaoui, M. H. (1991). Cystic fibrosis and Helicobacter pylori gastritis, megaloblastic anaemia, subnormal mentality and minor anomalies in two siblings: A new syndrome? 1991. European Journal of Pediatrics, 150(4), 253–255. https://doi.org/10.1007/BF01955524

    Article  Google Scholar 

  41. Boz, V., Valencic, E., Girardelli, M., et al. (2021). Case report: refractory autoimmune gastritis responsivE to abatacept in LRBA deficiency, 2021. Frontiers in Immunology, 12, 619246. https://doi.org/10.3389/fimmu.2021.619246

    Article  Google Scholar 

  42. Cuchet-Lourenço, D., Eletto, D., Wu, C., et al. (2018). Biallelic RIPK1 mutations in humans cause severe immunodeficiency, arthritis, and intestinal inflammation, 2018. Science, 361(6404), 810–813. https://doi.org/10.1126/science.aar2641

    Article  Google Scholar 

  43. Soto-Solís, R., Romano-Munive, A. F., Santana de Anda, K., & Barreto-Zuñiga, R. (2019). Factores relacionados a tumores neuroendocrinos gástricos, 2019. Revista de Gastroenterología de México, 84(1), 52–56. https://doi.org/10.1016/j.rgmx.2018.03.002. (In Spa.).

    Article  Google Scholar 

  44. Embutnieks, Yu. V., Voynovan, I. N., Kolbasnikov, S. V., & Bordin, D. S. (2017). Autoimmune gastritis: Pathogenesis, modern approaches to diagnosi and treatment, 2017. Pharmateca, S5, 8–15. (In Russ.).

    Google Scholar 

  45. Di Mario, F., Moussa, A. M., Caruana, P., et al. (2003). ‘Serological biopsy’ in first-degree relatives of patients with gastric cancer affected by Helicobacter pylori infection? 2003. Scandinavian Journal of Gastroenterology., 38(12), 1223–1227. https://doi.org/10.1080/00365520310007044

    Article  Google Scholar 

  46. Yu, G., Wang, G. X., Wang, H. G., Mo, F. F., & Tang, B. B. (2019). The value of detecting pepsinogen and gastrin-17 levels in serum for pre-cancerous lesion screening in gastric cancer, 2019. Neoplasma, 66(04), 637–640. https://doi.org/10.4149/neo_2018_180825N647

    Article  Google Scholar 

  47. Paloheimo, L., Tiusanen, T., Suovaniemi, O., & Syrjänen, K. (2021). Serological biomarker test (GastroPanel®) in the diagnosis of functional gastric disorders, Helicobacter pylori and atrophic gastritis in patients examined for dyspeptic symptoms, 2021. Anticancer Research, 41(2), 811–819. https://doi.org/10.21873/anticanres.14833

    Article  Google Scholar 

  48. Belkovets, A. V., Ozhiganova, N. V., Antipenko, A. G., & Kurilovich, S. A. (2020). Autoimmune gastritis in clinical practice, 2020. Experimental and Clinical Gastroenterology, 10, 142–147. https://doi.org/10.31146/1682-8658-ecg-182-10-142-147. (In Russ.).

    Article  Google Scholar 

  49. Lenti, M. V., Lahner, E., Bergamaschi, G., et al. (2019). Cell blood count alterations and patterns of anaemia in autoimmune atrophic gastritis at diagnosis: A multicentre study, 2019. Journal of Clinical Medicine, 8(11), 1992. https://doi.org/10.3390/jcm8111992

    Article  Google Scholar 

  50. Diagnosis of Pernicious Anaemia | Pernicious Anaemia Society. Accessed January 10, 2022. https://pernicious-anaemia-society.org/diagnosis/

  51. Zhang, N., Li, R. H., Ma, L., et al. (2019). Subacute combined degeneration, pernicious anemia and gastric neuroendocrine tumor occured simultaneously caused by autoimmune gastritis, 2019. Frontiers in Neuroscience, 13, 1. https://doi.org/10.3389/fnins.2019.00001

    Article  Google Scholar 

  52. Martin, K., & Bajbouj, M. (2019). OLGA-Gastritis Staging – Prediktor für das Magenkarzinom? 2019. Zeitschrift fur Gastroenterologie, 57(06), 781–782. https://doi.org/10.1055/a-0894-6203. (In Germ.).

    Article  Google Scholar 

  53. Livzan, M. A., Gaus, O. V., Mozgovoi, S. I., & Bordin, D. S. (2021). Chronic autoimmune gastritis: Modern diagnostic principles, 2021. Diagnostics, 11(11), 2113. https://doi.org/10.3390/diagnostics11112113

    Article  Google Scholar 

  54. Kalkan, Ç., & Soykan, I. (2016). Polyautoimmunity in autoimmune gastritis. European Journal of Internal Medicine, 31, 79–83. https://doi.org/10.1016/j.ejim.2016.03.025

    Article  Google Scholar 

  55. Derevyanko, O. S., Ibragimova, L. I., Ragimov, M. R., & Nikonova, T. V. (2018). Autoimmune gastritis: comorbid pathology in type 1 diabetes, 2018. Diabetes Mellitus, 21(5), 404–408. https://doi.org/10.14341/DM9465. (In Russ.).

    Article  Google Scholar 

  56. Levkina, M. V., Bondarenko, E. A., & Shilova, L. N. (2018). Autoimmunnye poliglanduljarnye sindromy, 2018. Lekarstvennyj vestnik., 12(2), 41–45. (In Russ.).

    Google Scholar 

  57. Zingone, F., Marsilio, I., Fassan, M., et al. (2021). Duodenal histological findings and risk of coeliac disease in subjects with autoimmune atrophic gastritis: A retrospective evaluation, 2021. Digestion, 102(4), 615–621. https://doi.org/10.1159/000510354

    Article  Google Scholar 

  58. Yao, J. C., Hassan, M., Phan, A., et al. (2008). One hundred years after “carcinoid”: Epidemiology of and prognostic factors for neuroendocrine tumors in 35,825 cases in the United States, 2008. Journal of Clinical Oncology, 26(18), 3063–3072. https://doi.org/10.1200/JCO.2007.15.4377

    Article  Google Scholar 

  59. Magris, R., De Re, V., Maiero, S., et al. (2020). Low pepsinogen I/II ratio and high gastrin-17 levels typify chronic atrophic autoimmune gastritis patients with gastric neuroendocrine tumors, 2020. Clinical Journal of Gastroenterology, 11(9), e00238.

    Google Scholar 

  60. Treatment by cancer type. NCCN. Accessed January 7, 2022. https://www.nccn.org/guidelines/category_1

  61. Benítez, J., Marra, R., Reyes, J., & Calvete, O. (2020). A genetic origin for acid–base imbalance triggers the mitochondrial damage that explains the autoimmune response and drives to gastric neuroendocrine tumours, 2020. Gastric Cancer, 23(1), 52–63. https://doi.org/10.1007/s10120-019-00982-4

    Article  Google Scholar 

  62. Venerito, M., Radünz, M., Reschke, K., Reinhold, D., Frauenschläger, K., Jechorek, D., Di Mario, F., & Malfertheiner, P. (2015). Autoimmune gastritis in autoimmune thyroid disease. Alimentary Pharmacology & Therapeutics, 41, 686–693. https://doi.org/10.1111/apt.13097

    Article  Google Scholar 

  63. Nehme, F., Rowe, K., Palko, W., Tofteland, N., & Salyers, W. (2014). Autoimmune metaplastic atrophic gastritis and association with neuroendocrine tumors of the stomach, 2014. Clinical Journal of Gastroenterology, 13(3), 299–307. https://doi.org/10.1007/s12328-019-01074-7

    Article  Google Scholar 

  64. Vannella, L., Lahner, E., Osborn, J., & Annibale, B. (2013). Systematic review: Gastric cancer incidence in pernicious anaemia, 2013. Alimentary Pharmacology & Therapeutics, 37(4), 375–382. https://doi.org/10.1111/apt.12177

    Article  Google Scholar 

  65. Weise, F., Vieth, M., Reinhold, D., et al. (2020). Gastric cancer in autoimmune gastritis: A case-control study from the German centers of the staR project on gastric cancer research, 2020. United European Gastroenterology Journal, 8(2), 175–184. https://doi.org/10.1177/2050640619891580

    Article  Google Scholar 

  66. Anderson, W. F., Rabkin, C. S., Turner, N., Fraumeni, J. F., Rosenberg, P. S., & Camargo, M. C. (2018). The changing face of noncardia gastric cancer incidence among US non-Hispanic whites, 2018. JNCI: Journal of the National Cancer Institute, 110(6), 608–615. https://doi.org/10.1093/jnci/djx262

    Article  Google Scholar 

Download references

Acknowledgements

This paper was supported by the Kazan Federal University Strategic Academic Leadership Program (PRIORITY-2030).

Funding

None.

Author information

Authors and Affiliations

Authors

Contributions

Concept and design of the study: Vera Polyakova, Natalia Bodunova, Igor Khatkov, Dmitry Bordin, Tatiana Yanova.

Collection and processing of materials: Vera Polyakova, Tatiana Yanova.

Statistical processing: Airat Bilyalov, Philipp Sviridov, Konstantin Rumyantsev.

Text writing: Vera Polyakova, Natalia Bodunova, Konstantin Rumyantsev, Dmitry Bordin, Philipp Sviridov, Tatiana Yanova.

Corresponding author

Correspondence to Vera Polyakova.

Ethics declarations

Research Involving Humans and Animals

None.

Informed Consent

Informed consent was signed by patient before the procedure.

Conflict of Interest

The authors declare no competing interests.

Additional information

Data are presented only in this review.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Polyakova, V., Bodunova, N., Rumyantsev, K. et al. Genetic Determinants of Autoimmune Gastritis. BioNanoSci. 13, 322–329 (2023). https://doi.org/10.1007/s12668-023-01068-3

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12668-023-01068-3

Keywords

Navigation