Helicobacter pylori infection as a protective factor against multiple sclerosis risk in females
| Autor: | Jason Burton, M. Pedrini, Alexander J.T. Wood, Alexandra Seewann, Barry J. Marshall, William M. Carroll, Kirsten A Bennett, Ian James, Allan G. Kermode |
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| Přispěvatelé: | Neurology, NCA - Neuroinflamation |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Multiple Sclerosis Adolescent Protective factor Disease Gastroenterology Helicobacter Infections Young Adult Immune system Hygiene hypothesis Recurrence Internal medicine medicine Humans Age of Onset Aged Aged 80 and over Sex Characteristics biology Helicobacter pylori business.industry Surrogate endpoint Multiple sclerosis Western Australia Middle Aged Multiple Sclerosis Chronic Progressive Protective Factors medicine.disease biology.organism_classification Psychiatry and Mental health Immunology biology.protein Surgery Female Neurology (clinical) Antibody business |
| Zdroj: | Pedrini, M J F, Seewann, A, Bennett, K A, Wood, A J T, James, I, Burton, J, Marshall, B J, Carroll, W M & Kermode, A G 2015, ' Helicobacter pylori infection as a protective factor against multiple sclerosis risk in females ', Journal of Neurology, Neurosurgery and Psychiatry, vol. 86, no. 6, pp. 603-607 . https://doi.org/10.1136/jnnp-2014-309495 Journal of Neurology, Neurosurgery and Psychiatry, 86(6), 603-607. BMJ Publishing Group |
| ISSN: | 0022-3050 |
| DOI: | 10.1136/jnnp-2014-309495 |
| Popis: | Background In recent years, a relationship between Helicobacter pylori and many disease conditions has been reported, however, studies in its relationship with multiple sclerosis (MS) have had contradictory results. Objective To determine the association between the H. pylori infection and MS. Methods 550 patients with MS were included in the study and were matched by gender and year of birth to 299 controls. Patients were assessed for clinical and demographic parameters. An enzyme immunoassay was used to detect the presence of specific IgG antibodies against H. pylori in the serum sample of both groups. Results H. pylori seropositivity was found to be lower in the patients with MS than in controls (16% vs 21%) with the decrease pertaining to females (14% vs 22%, p=0.027) but not males (19% vs 20%, p=1.0). When adjusted for age at onset, year of birth and disease duration, H. pylori seropositive females presented with a lower disability score than seronegative females (p=0.049), while among males the reverse was true (p=0.025). There was no significant association between H. pylori seropositivity and relapse rate. Conclusions Our results could reflect a protective role of H. pylori in the disease development. However, it may be that H. pylori infection is a surrogate marker for the ‘hygiene hypothesis’, a theory which postulates that early life infections are essential to prime the immune system and thus prevent allergic and autoimmune conditions later in life. The fact that the association between H. pylori seropositivity and MS risk was seen almost exclusively in females requires further investigation. |
| Databáze: | OpenAIRE |
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