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World J Clin Oncol. Nov 24, 2025; 16(11): 110453
Published online Nov 24, 2025. doi: 10.5306/wjco.v16.i11.110453
Gastric organoids: A promising model for studying “inflammation-cancer” transition in atrophic gastritis
Chang Liu, Chen-Heng Wu, Yue-Bo Jia, Jun-Xin Qiu, Xin-Yuan Li, Jiang-Hong Ling
Chang Liu, Chen-Heng Wu, Yue-Bo Jia, Xin-Yuan Li, Jiang-Hong Ling, Department of Gastroenterology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
Jun-Xin Qiu, Department of Traditional Chinese Medicine, Jinshan Hospital of Fudan University, Shanghai 201508, China
Co-first authors: Chang Liu and Chen-Heng Wu.
Co-corresponding authors: Xin-Yuan Li and Jiang-Hong Ling.
Author contributions: Liu C and Wu CH conceived the review topic, designed the structure, and drafted the manuscript; Jia YB and Qu JX created the figures and tables; Li XY and Ling JH provided senior oversight, edited the full text, and approved the final version; Liu C and Wu CH contributed equally to this manuscript and should be regarded as the co-first authors; Li XY and Ling JH contributed equally to this manuscript and should be regarded as the co-corresponding authors. All authors read and approved the final manuscript.
Supported by National Traditional Chinese Medicine Advantageous Specialty Project of National Administration of Traditional Chinese Medicine; and Shuguang Hospital Siming Foundation Research Special Project, No. SGKJ-202304.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jiang-Hong Ling, Department of Gastroenterology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 185 Pu’an Road, Huangpu District, Shanghai 201203, China. ljh18817424778@163.com
Received: June 9, 2025
Revised: July 21, 2025
Accepted: October 27, 2025
Published online: November 24, 2025
Processing time: 167 Days and 18.5 Hours
Core Tip

Core Tip: Existing models are difficult to simulate the complex process of atrophic gastritis to gastric cancer, and gastric organoid technology provides a more accurate platform for studying this mechanism. Helicobacter pylori infection triggers activation of key oncogenic signaling pathways, DNA damage, and epigenetic alterations through its virulence factors and induced persistent inflammation. The gradual development of intestinal metaplasia and spasmodic polypeptide-expressing metaplasia accelerates the completion of inflammation-cancer transition under the combined action of tumor microenvironment of immunosuppression, metabolic abnormalities, and matrix remodeling. The gastric organoid model successfully simulates the spatiotemporal dynamics of inflammation-cancer transition, and provides a powerful in vitro research platform.