Relationship between Helicobacter pylori virulence factors and regulatory cytokines as predictors of clinical outcome.

Abstract:

:Helicobacter pylori infection is highly prevalent in Chile (73%). Usually a minority of infected patients develops complications such as ulcers and gastric cancer that have been associated with the presence of virulence factors (cagA, vacA) and host T helper response (Th1/Th2). Our aim was to evaluate the relationship between strain virulence and host immune response, using a multiple regression approach for the development of a model based on data collected from H. pylori infected patients in Chile. We analyzed levels of selected cytokines determined by ELISA (interleukin (IL)-12, IL-10, interferon (IFN)-gamma and IL-4) and the presence of cagA and vacA alleles polymorphisms determined by PCR in antral biopsies of 41 patients referred to endoscopy. By multiple regression analysis we established a correlation between bacterial and host factors using clinical outcome (gastritis and duodenal ulcer) as dependent variables. The selected model was described by: clinical outcome=0.867491 (cagA)+0.0131847 (IL-12/IL-10)+0.0103503 (IFN-gamma/IL-4) and it was able to explain over 90% of clinical outcomes observations (R(2)=96.4). This model considers that clinical outcomes are better explained by the interaction of host immune factors and strain virulence as a complex and interdependent mechanism.

journal_name

Microbes Infect

journal_title

Microbes and infection

authors

Serrano C,Diaz MI,Valdivia A,Godoy A,Peña A,Rollan A,Kirberg A,Hebel E,Fierro J,Klapp G,Venegas A,Harris PR

doi

10.1016/j.micinf.2006.12.012

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

428-34

issue

4

eissn

1286-4579

issn

1769-714X

pii

S1286-4579(07)00024-X

journal_volume

9

pub_type

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