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To investigate\n            <jats:italic>H. pylori<\/jats:italic>\n            -induced gastric molecular alterations, we used a Mongolian gerbil model of gastric carcinogenesis. Histologic evaluation revealed varying levels of atrophic gastritis (a premalignant condition characterized by parietal and chief cell loss) in\n            <jats:italic>H. pylori<\/jats:italic>\n            -infected animals, and transcriptional profiling revealed a loss of markers for these cell types. We then assessed the spatial distribution and relative abundance of proteins in the gastric tissues using imaging mass spectrometry and liquid chromatography with tandem mass spectrometry. We detected striking differences in the protein content of corpus and antrum tissues. Four hundred ninety-two proteins were preferentially localized to the corpus in uninfected animals. The abundance of 91 of these proteins was reduced in\n            <jats:italic>H. pylori<\/jats:italic>\n            -infected corpus tissues exhibiting atrophic gastritis compared with infected corpus tissues exhibiting non-atrophic gastritis or uninfected corpus tissues; these included numerous proteins with metabolic functions. Fifty proteins localized to the corpus in uninfected animals were diffusely delocalized throughout the stomach in infected tissues with atrophic gastritis; these included numerous proteins with roles in protein processing. The corresponding alterations were not detected in animals infected with a\n            <jats:italic>H. pylori<\/jats:italic>\n            \u2206\n            <jats:italic>cagT<\/jats:italic>\n            mutant (lacking Cag type IV secretion system activity). These results indicate that\n            <jats:italic>H. pylori<\/jats:italic>\n            can cause loss of proteins normally localized to the gastric corpus as well as diffuse delocalization of corpus-specific proteins, resulting in marked changes in the normal gastric molecular partitioning into distinct corpus and antrum regions.\n          <\/jats:p>\n          <jats:sec>\n            <jats:title>IMPORTANCE<\/jats:title>\n            <jats:p>\n              A normal stomach is organized into distinct regions known as the corpus and antrum, which have different functions, cell types, and gland architectures. Previous studies have primarily used histologic methods to differentiate these regions and detect\n              <jats:italic>H. pylori<\/jats:italic>\n              -induced alterations leading to stomach cancer. In this study, we investigated\n              <jats:italic>H. pylori<\/jats:italic>\n              -induced gastric molecular alterations in a Mongolian gerbil model of carcinogenesis. We report the detection of numerous proteins that are preferentially localized to the gastric corpus but not the antrum in a normal stomach. We show that stomachs with\n              <jats:italic>H. pylori-<\/jats:italic>\n              induced atrophic gastritis (a precancerous condition characterized by the loss of specialized cell types) exhibit marked changes in the abundance and localization of proteins normally localized to the gastric corpus. These results provide new insights into\n              <jats:italic>H. pylori<\/jats:italic>\n              -induced gastric molecular alterations that are associated with the development of stomach cancer.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1128\/msystems.01098-23","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T14:03:06Z","timestamp":1701957786000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":15,"title":["Remodeling of the gastric environment in\n            <i>Helicobacter pylori<\/i>\n            -induced atrophic gastritis"],"prefix":"10.1128","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3106-0703","authenticated-orcid":false,"given":"Jennifer H. B.","family":"Shuman","sequence":"first","affiliation":[{"name":"Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aung Soe","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandy D.","family":"Westland","sequence":"additional","affiliation":[{"name":"Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaeli N.","family":"Bryant","sequence":"additional","affiliation":[{"name":"Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Blanca","family":"Piazuelo","sequence":"additional","affiliation":[{"name":"Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle L.","family":"Reyzer","sequence":"additional","affiliation":[{"name":"Mass Spectrometry Research Center, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"},{"name":"Department of Biochemistry, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audra M.","family":"Judd","sequence":"additional","affiliation":[{"name":"Mass Spectrometry Research Center, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Hayes","family":"McDonald","sequence":"additional","affiliation":[{"name":"Mass Spectrometry Research Center, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9857-4883","authenticated-orcid":false,"given":"Mark S.","family":"McClain","sequence":"additional","affiliation":[{"name":"Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"},{"name":"Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin L.","family":"Schey","sequence":"additional","affiliation":[{"name":"Mass Spectrometry Research Center, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"},{"name":"Department of Biochemistry, Vanderbilt University School of Medicine, Nashville, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly M. 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