原创力文档prevalence of helicobacter pylori vaca, caga, icea and oipa genotypes in tunisian patients幽门螺杆菌vaca患病率、caga工商东亚和oipa突尼斯患者的基因型.pdfVIP
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prevalence of helicobacter pylori vaca, caga, icea and oipa genotypes in tunisian patients幽门螺杆菌vaca患病率、caga工商东亚和oipa突尼斯患者的基因型
Ben Mansour et al. Annals of Clinical Microbiology and Antimicrobials 2010, 9:10
/content/9/1/10
REVIEW Open Access
Prevalence of Helicobacter pylori vacA, cagA, iceA
and oipA genotypes in Tunisian patients
1* 1 1 1 2 3
Khansa Ben Mansour , Chédlia Fendri , Meriem Zribi , Afef Masmoudi , Mounir Labbene , Azza Fillali ,
4 5 6 7 8
Nabil Ben Mami , Taoufik Najjar , Ahmed Meherzi , Tahar Sfar , Christophe Burucoa
Abstract
Background: Distinct virulence factors of H. pylori have been described: the vaculating cytotoxin (vacA), the
cytotoxin associated gene (cagA), the induced by contact with epithelium factor Antigen (iceA gene) and the
outer membrane protein oipA. In Tunisia, there are no data regarding the pattern of H. pylori genotypes; therefore,
this prospective and multicentre study was the first to be done in Tunisia and aimed to investigate the prevalence
of the vacA, cagA, iceA and oipA genotypes of H. pylori isolates from Tunisian patients with peptic ulceration,
gastric cancer, MALT lymphoma and gastritis.
Methods: H. pylori was cultured from endoscopic biopsies obtained from 281 Tunisian patients. The vacA alleles,
cagA, iceA and oipA genotypes were determined by PCR.
Results: The vacA s1m1, s1m2 and s2m2 were respectively found in 10.7%, 12.5% and 45.6% of strains. The s2m1
genotype was not detected in our study. The cagA was found in 61.6% of isolates. The iceA1 and the iceA2
genotypes were respectively isolated in 60.2% and in 16% of strains. The oipA genotype was detected in 90.8% of
strains. Considering the vacA and iceA genotypes, the presence of multiple H. pylori strains in a s
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