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烟台地区hpylori感染与胃肠疾病流行病学分析

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中国现代医药杂志 2007年第2期9卷 105-106页

作者：栾材富孙成铭寇新明山东省烟台毓璜顶医院 264000

自发现幽门螺杆菌（hpylori）以来，Hp与胃肠道疾病的研究就成为胃肠病工作者的热门课题。Hp的出现使慢性胃炎和消化性溃疡病面临着一场发病学和治疗学上的革命。世界卫生组织已将Hp列入Ⅰ类致癌因子，Hp与胃癌的研究也倍受人们关注，... 详细信息

自发现幽门螺杆菌（hpylori）以来，Hp与胃肠道疾病的研究就成为胃肠病工作者的热门课题。Hp的出现使慢性胃炎和消化性溃疡病面临着一场发病学和治疗学上的革命。世界卫生组织已将Hp列入Ⅰ类致癌因子，Hp与胃癌的研究也倍受人们关注，从基础到临床，从流行病学到致病机理，包括其分子机制的研究都在不断深入。本文对烟台地区Hp相关性胃病进行调查，以期找出本地区易感因素，从而为本地区预防Hp感染提供理论参考依据。

关键词： hpylori 流行病学分析烟台地区 Hp感染胃肠疾病 Hp相关性胃病消化性溃疡病世界卫生组织

Diagnostic accuracy of a rapid fecal test to confirm H pylori eradication after therapy: Prospective comparison with a laboratory stool test

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World Journal of Gastroenterology 2007年第33期13卷 4484-4488页

作者： Lucio Trevisani Viviana Cifalà Nadia Fusetti Giuseppe Gilli Paola Tombesi Marco Torchiaro Sergio Boccia Vincenzo Abbasciano Digestive Endoscopy Centre Medical Department S Anna Hospital Ferrara Italy Health Physics Department S Anna HospitalFerrara Italy

AIM: To investigate the clinical performances of rapidstool test (ImmunoCard STAT HpSA, Meridian DiagnosticInc.) in the evaluation of eradication therapy of H pyloriand to compare it with a well-known and validatedlaboratory stool test (Amplified IDEA Hp StAR, Dako).METHODS: Stool samples of 122 patients wereevaluated after eradication therapy of H pylori. H pyloristatus was assessed by 13C-urea breath test (UBT).Stool specimens were tested using either the rapidimmunoassay kit or the laboratory immunoassay ***: Forty-three patients were infected and 79non-infected. Sensitivity and specificity of ImmunoCardSTAT and Hp StAR were 58.14% and 76.4%, and97.47% and 98.73%, respectively (P > 0.05). Overallagreement between the two tests was 92.6% (113 of122 cases).CONCLUSION: ImmunoCard STAT seems to haverather low performances, and it cannot be regarded as areliable tool in the post-treatment setting. Also Hp StARcannot be recommended to confirm H pylori eradicationafter treatment.

关键词： hpylori Diagnosis Feces

H pylori infection in patients with Behcet's disease

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World Journal of Gastroenterology 2007年第21期13卷 2983-2985页

作者： Osman Ersoy Reyhan Ersoy Ozlem Yayar Huseyin Demirci Semih Tatlican Department of Gastroenterology Hacettepe University Faculty of MedicineAnkaraTurkey Department of Endocrinology Ankara Ataturk Education and Research HospitalAnkaraTurkey Department of Internal Medicine Ankara Diskapi Education and Research HospitalAnkaraTurkey Department of Dermatology Ankara Diskapi Education and Research HospitalAnkaraTurkey

AIM:To evaluate endoscopic findings and the prevalence of H pylori in patients with Behcet's disease (BD) who have upper gastrointestinal symptoms. METHODS:The patients with BD diagnosed according to the International Study Group and followed up in the Department of Dermatology and other related departments and who had any upper gastrointestinal complaints,were included in this study. Forty-five patients with BD and 40 patients in the control group were evaluated by upper gastrointestinal endoscopy and two biopsied specimens were taken during endoscopy for H pylori . A two-week triple therapy for H pylori eradication was administered to H pylori positive patients. Two months after the treatment,the patients were evaluated by urea-breath test for eradication control. RESULTS:Patients with BD had a mean age of 36.2 ± 11.4 years (18-67 years). The mean follow-up time was 35 ± 14 mo (16-84 mo). Aphthous or deep ulcer in esophagus,stomach and duodenum had never been confirmed by endoscopic examination. Most gastric lesions were gastric erosion (40%) and the most duodenal lesions were duodenitis (17.5%) in two groups. H pylori was positive in 33 patients (73.3%) with BD. The two-week triple eradication therapy was successful in 75% of the patients. There was no difference between the groups in respect to prevalence of H pylori (73.3% vs 75%,P > 0.05),and eradication rate (75% vs 70%,P > 0.05). CONCLUSION:Endoscopic findings,eradication rate and prevalence of H pylori were similar in patients withBD and control group.

关键词： hpylori Behcet's disease Vasculitis endoscopic findings aphthous ulcer

H pylori receptor MHC classⅡcontributes to the dynamic gastric epithelial apoptotic response

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World Journal of Gastroenterology 2006年第33期12卷 4689-4693页

作者： David A Bland Giovanni Suarez Ellen J Beswick Johanna C Sierra Victor E Reyes the University of Texas Medical Branch at Galveston TX 77555-0366 United States

AIM： To investigate the role of MHC class Ⅱ in the modulation of gastric epithelial cell apoptosis induced by H pylori infection. METHODS： After stimulating a human gastric epithelial cell line with bacteria or agonist antibodies specific for MHC class Ⅱ and CD95, the quantitation of apoptotic and anti-apoptotic events, including caspase activation, BCL-2 activation, and FADD recruitment, was performed with a fluorometric assay, a cytometric bead array, and confocal microscopy, respectively. RESULTS： Pretreatment of N87 cells with the anti-MHC class ⅡIgM antibody RFD1 resulted in a reduction in global caspase activation at 24 h of H pylori infection. When caspase 3 activation was specifically measured, crosslinking of MHC class Ⅱ resulted in markedly reduced caspase activation, while simple ligation of MHC class Ⅱ did not. Crosslinking of MHC class Ⅱ also resulted in an increased activation of the anti-apoptosis molecule BCL-2 compared to simple ligation. Confocal microscope analysis demonstrated that the pretreatment of gastric epithelial cells with a crosslinking anti-MHC class Ⅱ IgM blocked the recruitment of FADD to the cell surface. CONCLUSION： The ability of MHC class Ⅱ to modulate gastric epithelial apoptosis is at least partially dependent on its crosslinking. The crosslinking of this molecule has anti-apoptotic effects during the earlier time points of hpylori infection. This effect is possibly mediated by the ability of MHC class Ⅱ to modulate the activation of the pro-apoptotic receptor Fas by blocking the recruitment of the accessory molecule FADD, and this delay in apoptosis induction could allow for prolonged cytokine secretion by hpylori-infected gastric epithelial cells.

关键词： hpylori Epithelium Apoptosis Class Ⅱ MHC

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Diet,H pylori infection and gastric cancer:Evidence and controversies

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World Journal of Gastroenterology 2007年第21期13卷 2901-2912页

作者： Alba Rocco Gerardo Nardone Department of Clinical and Experimental Medicine Gastroenterology UnitUniversity "Federico Ⅱ"Naples Italy

Despite decreasing incidence and mortality rates, gastric cancer (GC) still remains the fourth most common cancer and the second most common cause of cancer-related deaths worldwide. Due to the limited treatment options, at present, prevention is likely to be the only effective means of controlling this disease. The success of a prevention strategy depends upon the understanding of etiological and pathogenic mechanisms underlying gastric carcinogenesis. The etiology of GC is multi-factorial, however, in the recent years, mounting evidence suggests that environmental factors play a key role. The most important environmental factors implicated in the pathogenesis of GC are diet and H pylori infection. Thus, modifications in lifestyle and dietary habit associated with eradication of H pylori infection could hypothetically represent the most promising potential targets for GC prevention. In this review we will address the evidence and the controversies on the role of these agents in noncardia GC by focusing on retrospective and prospective observational studies and interventional trials.

关键词： Gastric cancer hpylori Diet Observational studies Interventional dietary trials

Human β-defensin-3 induction in H pylori-infected gastric mucosal tissues

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World Journal of Gastroenterology 2006年第36期12卷 5793-5797页

作者： K Kawauchi A Yagihashi N Tsuji N Uehara D Furuya D Kobayashi N Watanabe Department of Clinical Laboratory Medicine Sapporo Medical University School of Medicine Sapporo Japan

AIM: To examine human β-defensin-3 (hBD-3) expression in inflamed gastric mucosal tissues or MKN45 gastric cancer cells with or without H pylori infection for better understanding the innate immune response to H pylori. METHODS: We used reverse transcription-polymerase chain reactions and immunohistochemistry to examine hBD-3 expression in inflamed gastric mucosal tissues or MKN45 gastric cancer cells with or without H pylori. Effects of hBD-3 against H pylori were also evaluated. RESULTS: The mean mRNA expression of hBD-3 in H pylori -positive specimens was significantly higher than that in H pylori-negative specimens (P = 0.0002, Mann-Whitney). In addition, unlike uninfected samples, 8 of 15 (53.33%) infected mucosal samples expressed hBD-3 protein. H pylori dose-dependently induced mRNA expression of hBD-3 in MKN45 cells, an effect inhibited by adding anti-toll-like receptor (TLR)-4 antibody. HBD-3 protein completely inhibited H pylori growth. CONCLUSION: Our results suggest that like hBD-2, hBD-3 may be involved in the pathophysiology of H pylori-induced gastritis.

关键词： Human β-defensin-2 Human β-defensin-3 hpylori Gastric mucosa

Increased plasma malondialdehyde and fructosamine in anemic H pylori infected patients:Effect of treatment

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World Journal of Gastroenterology 2007年第5期13卷 796-800页

作者： G Vijayan RC Sundaram Zachariah Bobby Abdoul Hamide N Selvaraj N Rattina Dasse Department of Biochemistry Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry 605006 India Department of Medicine Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry 605006 India

AIM： TO unravel the possible association of malondialdehyde （MDA） and fructosamine in anemic H pylori infected patients and to observe the alteration in MDA and fructosamine levels in these patients after treatment for one month. METHODS： Fructosamine, MDA and glucose were estimated in 22 anemic H pylori infected patients and 16 healthy controls. Hematological parameters were also evaluated in both the groups using Sysmex-K-100 automated cell counter. The H pylori infected patients were randomly divided into two groups. hpylori infected patients in Group Ⅰ received both iron supplementation and anti-H pylori therapy, while patients in Group Ⅱ received only iron supplementation. All the biochemical and hematological parameters were estimated after one month of treatment. RESULTS： In anemic H pylori infected patients, while MDA （5.41 ± 2.16 vs 2.26 ± 0.50; P 〈 0.05） and fructosamine （2.64 ± 0.93 vs 1.60 ± 0.35; P 〈 0.05） were significantly increased, iron （32.72 ± 14.93 vs 110.25 ± 26.58; P 〈 0.05）, hemoglobin （6.9 ± 2.6 vs 12.66 ± 0.74; P 〈 0.05） and ferritin （28.82 ± 16.27 vs 140.43 ± 30.72; P 〈 0.05） levels were significantly decreased compared with the controls. With partial correlation analysis, fructosamine was found to have a significant positive correlation with MDA. In Group I, while MDA level decreased significantly （3.11 ± 1.73 vs 5.50 ± 2.46; P 〈 0.05）, there was a significant increase in iron （84.09 ± 29.51 vs 36.09 ± 17.81; P 〈 0.05）, hemoglobin （10.40 ± 1.11 vs 7.42 ± 1.90; P 〈 0.05） and ferritin （116.91 ± 63.34 vs 30.46 ± 17.81; P 〈 0.05） levels after one month. There was no significant change in the levels of fructosamine in group Ⅰ after treatment. Similarly, no significant alterations were noted in the levels of IDA, fructosamine, hemoglobin or ferritin in Group Ⅱ patients after one month of treatment. CONCLUSION： An increased level of fructosamine and MDA was found in anemic H pylori infected patients. Present data supports the premise that lipid p

关键词： hpylori Anemia Fructosamine Malondialdehyde Iron Glycation

Effects of H pylori infection on gap-junctional intercellular communication and proliferation of gastric epithelial cells in vitro

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World Journal of Gastroenterology 2007年第41期13卷 5497-5500页

作者： Ran Tao Miao-Feng Hu Jin-Tu Lou Yong-Liang Lei Central Laboratory Children's Hospital School of Medicine Zhejiang University Hangzhou 310003 Zhejiang Province China

AIM： To explore the effects of H pylori infection on gap-junctional intercellular communication （GJIC） and proliferation of gastric epithelial cells in vitro. METHODS： A human gastric epithelial cell line （SGC- 7901） cultured on coverslips was exposed overnight to intact H pylori （CagA^＋ or CagA^- strains） and sonicated extracts, respectively. GJIC between the cells was detected by fluorescence redistribution after photobleaching （FRAP） technique. Proliferation of SGC cells was determined by methylthiazolyl tetrazolium （MTT） assay. RESULTS： When compared with control in which cells were cultured with simple medium alone, both CagA^＋ and CagA^- H pylori isolates could inhibit GJIC （CagA^＋： F = 57.98, P 〈 0.01; CagA^-： F = 29.59, P 〈 0.01） and proliferation （CagA^＋： F = 42.65, P 〈 0.01; CagA^-： F = 58.14, P 〈 0.01） of SGC-7901 cells. Compared with CagA^- strains, CagA^＋ H pylori more significantly downregulated GJIC of gastric cells （intact hpylori： t = 13.86, P 〈 0.01; sonicated extracts： t = 11.87, P 〈 0.01） and inhibited proliferation gastric cells to a lesser extent in vitro （intact H pylori： t = 3.06, P 〈 0.05; sonicated extracts： t = 3.94, P 〈 0.01）. CONCLUSION： Compared with CagA^- H pylori strains, CagA^＋ strains down-regulate GJIC of gastric epithelial cells more significantly and inhibit proliferation of gastric cells to a lesser extent in vitro. H pylori, especially CagA^＋ strains, may play an important role in gastric carcinogenesis.

关键词： hpylori Gap-junctional intercellular communication Gastric epithelial cell CagA Fluorescence redistribution after photobleaching Methylthiazolyl tetrazolium assay

Relevance of MUC1 mucin variable number of tandem repeats polymorphism in H pylori adhesion to gastric epithelial cells

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World Journal of Gastroenterology 2008年第9期14卷 1411-1414页

作者： Natália R Costa Nuno Mendes Nuno T Marcos Celso A Reis Thomas Caffrey Michael A Hollingsworth Filipe Santos-Silva Institute of Molecular Pathology and Immunology University of PortoPorto 4200-465Portugal Institute of Molecular Pathology and Immunology University of Porto Porto 4200-465Portugal Medical Faculty University of Porto Porto 4200-465Portugal Eppley Institute for Research in Cancer and Allied Diseases University of Nebraska Medical CenterOmaha 68198-6805United States Institute of Molecular Pathology and Immunology University of PortoPorto 4200-465Portugal

AIM:To evaluate the influence of MUC1 mucin variable number of tandem repeats (VNTR) variability on H pylori adhesion to gastric cells. METHODS: Enzyme linked immunosorbent assay (ELISA)-based adhesion assays were performed to measure the adhesion of different H pylori strains (HP26695 and HPTx30a) to gastric carcinoma cell lines (GP202 and MKN45) and GP202 clones expressing recombinant MUC1 with different VNTR lengths. RESULTS: Evaluation of adhesion results shows that H pylori pathogenic strain HP26695 has a significantly higher (P < 0.05) adhesion to all the cell lines and clones tested, when compared to the non-pathogenic strain HPTx30a. Bacteria showed a significantly higher (P < 0.05) adhesion to the GP202 cell line, when compared to the MKN45 cell line. Furthermore, both strains showed a significantly higher (P < 0.05) adhesion to GP202 clones with larger MUC1 VNTR domains. CONCLUSION: This work shows that MUC1 mucin variability conditions H pylori binding to gastric cells. The extent of bacterial adhesion depends on the size of theMUC1 VNTR domain. The adhesion is further dependent on bacterial pathogenicity and the gastric cell line. MUC1 mucin variability may contribute to determine H pylori colonization of the gastric mucosa.

关键词： hpylori MUC1 Variable number of tandem repeats Polymorphism Adhesion Mucin Gastric Infection