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Cross-talk between the microbiota and H. pylori. Prolonged interaction between the microbiota and H. pylori may facilitate the outgrowth of communities of bacteria with a more carcinogenic profile, such as nitrosamine-producing species. Alternatively, the microbiota may promote a more virulent H. pylori with an enhanced carcinogenic potential. Yellow cell, dendritic cell; Orange cell, pro-inflammatory T cell.
