Colonization of Mexican patients by multiple Helicobacter pylori strains with different vacA and cagA genotypes.

Abstract:

:Helicobacter pylori virulence determinants have not previously been studied in detail in Latin Americans with H. pylori infections. We characterized the vacA (vacuolating cytotoxin gene A) and cagA (cytotoxin-associated gene A) types of more than 400 single-colony isolates from 20 patients in Mexico City. For 17 patients H. pylori strains of two or more different vacA genotypes were isolated from gastric biopsy specimens, indicating infection with two or more strains of H. pylori. The most frequent vacA genotype was s1b/m1. vacA diversity was more marked than that described previously, in that isolates from seven patients had untypeable vacA midregions and isolates from nine patients had type s1 signal sequence coding regions which could not be further subtyped. Previously undescribed vacA type s2/m1 strains were found in five patients. All patients were infected with cagA-positive strains, but occasionally, these coexisted with small numbers of cagA-negative strains. In conclusion, coinfection with multiple H. pylori strains is common in Mexico, and vacA in these strains is genetically more diverse than has been described in other populations.

journal_name

J Clin Microbiol

authors

Morales-Espinosa R,Castillo-Rojas G,Gonzalez-Valencia G,Ponce de León S,Cravioto A,Atherton JC,López-Vidal Y

doi

10.1128/JCM.37.9.3001-3004.1999

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

3001-4

issue

9

eissn

0095-1137

issn

1098-660X

journal_volume

37

pub_type

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