Prevalence of Helicobacter pylori vacA, cagA, iceA and oipA genotypes in Tunisian patients 英文参考文献.docVIP
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Prevalence of Helicobacter pylori vacA, cagA, iceA and oipA genotypes in Tunisian patients 英文参考文献
BenMansouretal.AnnalsofClinicalMicrobiologyandAntimicrobials2010,9:10
/content/9/1/10
REVIEW
OpenAccess
PrevalenceofHelicobacterpylorivacA,cagA,iceA
andoipAgenotypesinTunisianpatients
KhansaBenMansour1*,ChédliaFendri1,MeriemZribi1,AfefMasmoudi1,MounirLabbene2,AzzaFillali3,
NabilBenMami4,TaoufikNajjar5,AhmedMeherzi6,TaharSfar7,ChristopheBurucoa8
Abstract
Background:DistinctvirulencefactorsofH.pylorihavebeendescribed:thevaculatingcytotoxin(vacA),the
cytotoxinassociatedgene(cagA),theinducedbycontactwithepitheliumfactorAntigen(iceAgene)andthe
outermembraneproteinoipA.InTunisia,therearenodataregardingthepatternofH.pylorigenotypes;therefore,
thisprospectiveandmulticentrestudywasthefirsttobedoneinTunisiaandaimedtoinvestigatetheprevalence
ofthevacA,cagA,iceAandoipAgenotypesofH.pyloriisolatesfromTunisianpatientswithpepticulceration,
gastriccancer,MALTlymphomaandgastritis.
Methods:H.pyloriwasculturedfromendoscopicbiopsiesobtainedfrom281Tunisianpatients.ThevacAalleles,
cagA,iceAandoipAgenotypesweredeterminedbyPCR.
Results:ThevacAs1m1,s1m2ands2m2wererespectivelyfoundin10.7%,12.5%and45.6%ofstrains.Thes2m1
genotypewasnotdetectedinourstudy.ThecagAwasfoundin61.6%ofisolates.TheiceA1andtheiceA2
genotypeswererespectivelyisolatedin60.2%andin16%ofstrains.TheoipAgenotypewasdetectedin90.8%of
strains.ConsideringthevacAandiceAgenotypes,thepresenceofmultipleH.pyloristrainsinasinglebiopsy
specimenwasfoundrespectivelyin31.4%and23.8%.Thecomparisonbetweenstrainsisolatedfromantrumand
fundusshowedthatTunisianpatientswereinfectedwithtwoormorestrainsofdifferentcagA,vacA,iceAand
oipAgenotypesandthediscordancewasrespectivelyin9.6%,4.6%,8.9%and8.5%ofstrains.
Conclusion:Ourresultsshowedthatin46%(131strainsamong281),theH.pyloristrainswerehighlyvirulentin
relationofthethreeorfourvirulentfactorstheycouldcarry.Thesefindingweredescribedbeforeintheliterature.
TunisianpatientswerecolonizedbyoneormultiplestrainsofH.pyloriinthesametimeinrelationofpresenceof
vacAm1/m2andiceA1/iceA2inthesamebiopsy.Thediscordance
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