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Helicobacter pylori Infection of the Gastric Epithelium Promotes Programmed Death Ligand 1 Expression and the Formation of Premalignant Lesions

Helicobacter pylori (H. pylori) is the number one risk factor for gastric cancer. Currently the 5‐year‐survival rate for gastric cancer is only 29%. Our laboratory has reported that H. pylori infection results in the up‐regulation of the Sonic Hedgehog (SHH) signaling pathway mediated by an increase in the transcriptional activity of NF‐kB. In addition, H. pylori infection induces the expression of programmed death ligand 1 (PD‐L1) on gastric epithelial cells. This expression inhibits T cell proliferation and effector function.