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More ubiquitous carcinogenic microbes, such as Helicobacter pylori, induce cancer in less than 1% of infected people, while as many as one-sixth of people with opisthorchiasis will develop CCA. The mechanisms by which O. viverrini causes cancer are multi-factorial, involving mechanical irritation from the activities and movements of the flukes, immunopathology, dietary nitrosamines and the secretion of parasite proteins that promote a tumourigenic environment. Genomic and proteomic studies of the liver fluke secretome have accelerated the discovery of parasite proteins with known\/potential roles in pathogenesis and tumourigenesis, establishing a framework towards understanding, and ultimately preventing, the morbidity and mortality attributed to this highly carcinogenic parasite.<\/jats:p>\n                  <jats:p\/>","DOI":"10.1039\/c0mb00295j","type":"journal-article","created":{"date-parts":[[2011,2,11]],"date-time":"2011-02-11T04:52:26Z","timestamp":1297399946000},"page":"1367-1375","source":"Crossref","is-referenced-by-count":67,"title":["Infection with the carcinogenic human liver fluke,\n                    <i>Opisthorchis viverrini<\/i>"],"prefix":"10.1093","volume":"7","author":[{"given":"Michael J","family":"Smout","sequence":"first","affiliation":[{"name":"Queensland Tropical Health Alliance, James Cook University a , Cairns, QLD, Australia Alex.Loukas@jcu.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banchob","family":"Sripa","sequence":"additional","affiliation":[{"name":"Department of Pathology, Khon Kaen University b , Khon Kaen, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thewarach","family":"Laha","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Khon Kaen University c , Khon Kaen, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Mulvenna","sequence":"additional","affiliation":[{"name":"Queensland Tropical Health Alliance, James Cook University a , Cairns, QLD, Australia Alex.Loukas@jcu.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin B","family":"Gasser","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Immunology and Tropical Medicine, George Washington University d , Washington DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil D","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Immunology and Tropical Medicine, George Washington University d , Washington DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey M","family":"Bethony","sequence":"additional","affiliation":[{"name":"Department of Veterinary Science, The University of Melbourne e , Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J","family":"Brindley","sequence":"additional","affiliation":[{"name":"Department of Veterinary Science, The University of Melbourne e , Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Loukas","sequence":"additional","affiliation":[{"name":"Queensland Tropical Health Alliance, James Cook University a , Cairns, QLD, Australia Alex.Loukas@jcu.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2011,2,11]]},"reference":[{"key":"2026012913172147900_cit1","doi-asserted-by":"crossref","first-page":"397","DOI":"10.2307\/3285768","volume":"85","author":"Crompton","year":"1999","journal-title":"J. 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