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However it is unclear whether it is this or the direct translocation of a bacterial protein (Cag A) into gastric epithelial cells that is the primary cause of the disease, including gastric adenocarcinoma

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Physiol Rev 98(4):19111941

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Les causes principales incluent le vieillissement naturel (particulirement aprs 50 ans), le stress chronique, l'exposition la pollution et aux mtaux lourds , le tabagisme, la consommation d'alcool et certaines maladies mtaboliques

10.1016/j.aquaculture.2017.06.037 26