Michael Helmrath · The Development of Spasmolytic Polypeptide/TFF2-Expressing Metaplasia (SPEM) During Gastric Repair Is Absent in the Aged Stomach.
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Article1 min read·Published Nov 2026

The Development of Spasmolytic Polypeptide/TFF2-Expressing Metaplasia (SPEM) During Gastric Repair Is Absent in the Aged Stomach.

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Article · Nov 2026 · 1 min read

In brief

In brief

This study investigates how age affects the emergence of spasmolytic polypeptide-expressing metaplasia (SPEM) during gastric ulcer healing. Research reveals that aged gastric tissue shows impaired SPEM development following parietal cell loss, potentially explaining reduced repair capacity and increased ulcer susceptibility in elderly patients.

Written by the GCMD Library team from the article.

Michael Helmrath

During aging, physiological changes in the stomach result in more tenuous gastric tissue that is less capable of repairing injury, leading to increased susceptibility to chronic ulceration. Spasmolytic polypeptide/trefoil factor 2-expressing metaplasia (SPEM) is known to emerge after parietal cell loss and during Helicobacter pylori infection, however, its role in gastric ulcer repair is unknown. …

Statements in this article

  1. During aging, physiological changes in the stomach result in less capable tissue for repairing injury, leading to increased susceptibility to chronic ulceration.

    Established
  2. Spasmolytic polypeptide/trefoil factor 2-expressing metaplasia (SPEM) emerges after parietal cell loss and during Helicobacter pylori infection.

    Established
  3. The role of SPEM in gastric ulcer repair is unknown.

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