cagA positive Helicobacter pylori in Brazilian children related to chronic gastritis



Título del documento: cagA positive Helicobacter pylori in Brazilian children related to chronic gastritis
Revista: The brazilian journal of infectious diseases
Base de datos: PERIÓDICA
Número de sistema: 000290977
ISSN: 1413-8670
Autores: 1

2
3
Instituciones: 1Faculdade de Medicina de Marilia, Hemocentro, Marilia, Sao Paulo. Brasil
2Faculdade de Medicina de Marilia, Departamento de Patologia, Marilia, Sao Paulo. Brasil
3Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Sao Paulo. Brasil
Año:
Periodo: Ago
Volumen: 10
Número: 4
Paginación: 254-258
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés Helicobacter pylori is a spiral-shaped Gram-negative bacterium. It colonizes the gastric mucosa of humans and persists for decades if not treated. Helicobacter pylori infection affects more than half of the world's population and invariably results in chronic gastritis. The cagA gene is present in about 60 to 70% of H. pylori strains; it encodes a high-molecular-weight protein (120 to 140 kDa) and several investigators have noted a correlation between strains that possess cagA and the severity of gastric mucosal inflammation. We examined the relation between cagA status in H. pylori strains and chronic gastritis with inflammatory processes in children from Marília, São Paulo, Brazil. One-hundred-twenty-one children were analyzed histopathologically and by polymerase chain reaction (PCR) to detect H. pylori and cagA. We then looked for an association between cagA presence and inflammatory infiltration. Using histology and PCR, we found 47% H. pylori positive infection; 29 children were diagnosed with chronic gastritis, while 28 showed normal mucosa by histopathological analysis. CagA presence was genotyped in both groups, and an inflammatory infiltrate was studied in all infected children with chronic gastritis. We found cagA strains in 20 of 29 (69%) children with chronic gastritis and 18 of 28 (64%) with normal mucosa, demonstrating a strong relationship between the strains and the inflammatory process. We found a positive association between an inflammatory process associated with H. pylori of cagA+ strains and chronic gastritis
Disciplinas: Biología,
Química,
Medicina
Palabras clave: Bacterias,
Bioquímica,
Gastroenterología,
Helicobacter pylori,
Cepas,
Infiltrado inflamatorio,
Niños,
Gastritis crónica
Keyword: Biology,
Chemistry,
Medicine,
Bacteria,
Biochemistry,
Gastroenterology,
Helicobacter pylori,
Strains,
Inflammatory infiltrate,
Children,
Chronic gastritis
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