vacA s1m1 genotype and cagA EPIYA-ABC pattern are predominant among Helicobacter pylori strains isolated from Mexican patients with chronic gastritis
Autor: | Judit Alarcón-Millán, Iván Cruz-del Carmen, Adolfo Román-Román, Gloria Fernández-Tilapa, José De Sampedro-Reyes, Dinorah Nashely Martínez-Carrillo, Verónica I. Martínez-Santos, Josefina Atrisco-Morales |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
0301 basic medicine
Male Chronic gastritis Polymerase Chain Reaction 0302 clinical medicine Genotype biology Stomach VacA EPIYA motifs General Medicine Middle Aged CagA Gastritis BabA 030211 gastroenterology & hepatology Female medicine.symptom Research Article Microbiology (medical) Adult Virulence Microbiology digestive system Helicobacter Infections 03 medical and health sciences Bacterial Proteins Gastroscopy medicine Humans Allele Mexico Alleles Aged Antigens Bacterial Molecular epidemiology Helicobacter pylori medicine.disease biology.organism_classification bacterial infections and mycoses digestive system diseases Clinical Microbiology 030104 developmental biology chronic gastritis Chronic Disease bacteria H. pylori |
Zdroj: | Journal of Medical Microbiology |
ISSN: | 1473-5644 0022-2615 |
Popis: | Purpose. Virulent genotypes of Helicobacter pylori vacA s1m1/cagA+/babA2+ have been associated with severe gastric diseases. VacA, CagA and BabA are polymorphic proteins, and their association with the disease is allele-dependent. The aims of this work were: (i) to determine the prevalence of H. pylori by type of chronic gastritis; (ii) to describe the frequency of cagA, babA2 and vacA genotypes in strains from patients with different types of chronic gastritis; (iii) to characterize the variable region of cagA alleles. Methodology. A total of 164 patients with chronic gastritis were studied. Altogether, 50 H. pylori strains were isolated, and the status of cagA, babA2 and vacA genotypes was examined by PCR. cagA EPIYA segment identification was performed using PCR and sequencing of cagA fragments of six randomly selected strains. Results/Key findings. The overall prevalence of H. pylori was 30.5 %. Eighty percent of the isolated strains were vacA s1m1, and the cagA and babA2 genes were detected in 74 and 32 % of the strains, respectively. The most frequent genotypes were vacA s1m1/cagA+/babA2- and vacA s1m1/cagA+/babA2 +, with 40 % (20/50) and 28 % (14/50), respectively. In cagA +, the most frequent EPIYA motif was -ABC (78.4 %), and EPIYA-ABCC and -ABCCC motifs were found in 10.8 % of the strains. A modified EPIYT-B motif was found in 66.6 % of the sequenced strains. Conclusion. H. pylori strains carrying vacA s1m1, cagA + and babA2 - genotypes were the most prevalent in patients with chronic gastritis from the south of Mexico. In the cagA + strains, the EPIYA-ABC motif was the most common. |
Databáze: | OpenAIRE |
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