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Consistent with the findings from yeast in the current work, our previous characterizations of FL-associated V-ATPase mutants in human cells also found that when an FL-associated V-ATPase mutant is expressed, ATF4/Gcn4 is strongly induced 18 , suggesting that the V-ATPase-dependent autophagy pathway shares conserved regulatory mechanisms in eukaryotes

This can be due to weakening of the stomach lining (also known as atrophic gastritis), or to medications that reduce stomach acid