Advantage of 16S rRNA amplicon sequencing in Helicobacter pylori diagnosis

Autor: Yoshio Yamaoka, Takashi Matsumoto, Dashdorj Azzaya, Boldbaatar Gantuya, Duger Davaadorj, Khasag Oyuntsetseg, Tomohisa Uchida, Batsaikhan Saruuljavkhlan, Nyamdorj Oyunbileg, Hashem B. El–Serag
Rok vydání: 2021
Předmět:
Zdroj: Helicobacter
ISSN: 1523-5378
1083-4389
DOI: 10.1111/hel.12790
Popis: BACKGROUND 16S rRNA amplicon sequencing is an accurate method of detecting microbial infection without culture. It is unclear if sequencing has additional benefits over routine diagnostic methods for Helicobacter pylori testing. METHODS We enrolled Mongolian volunteers with dyspepsia. Using routine diagnostic methods, positive H. pylori was defined as positive results on histology/immunohistochemistry, culture, rapid urease test, or serology; negative H. pylori was defined by negative results from all these tests. We performed 16S rRNA sequencing on gastric biopsy specimens and calculated cutoffs for operational taxonomic units (OTUs) and relative abundance (RA) to define positive results using ROC curves. RESULTS We examined 161 individuals with a mean age of 43.6 years, and 64.6% were women. Using routine diagnostic methods, 122 (75.8%) participants were H. pylori positive, the sensitivity and specificity for 16S rRNA sequencing were 94.3% and 82.1% or 93.4% and 82.1% when cutoff values were set to 1113 (OTU number) or 4.4% RA, respectively (both p
Databáze: OpenAIRE