Prevalence, antibiotic resistance and molecular characterization of virulence factors of Helicobacter pylori strains isolated from patients with dyspepsia.

IF 1.3 4区 医学 Q4 IMMUNOLOGY
Elif Aydın, Ayten Nur Uzun, Duygu Perçin Renders, Aysun Çalışkan Kartal, Süleyman Coşgun
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Abstract

Helicobacter pylori is a major pathogen infecting over half of the global population, causing conditions like gastritis, ulcers, gastric cancer, and lymphoid tissue lymphoma. This study investigated the prevalence of H. pylori in 100 gastric biopsy samples from patients with dyspepsia and analyzed antibiotic resistance and virulence genes (cagA, vacA, iceA, and babA) using polymerase chain reaction (PCR). Diagnosis was performed via PCR, culture, rapid urease test, and histopathological examination, with antibiotic susceptibility assessed through the E-test method.The study was conducted between September 2022 and February 2023. The study found that 34% of samples were PCR-positive for H. pylori, while culture, histology examination, and rapid urease test showed positivity rates of 23%, 53%, and 63%, respectively. Alarmingly, antibiotic resistance was prevalent, with 100% resistance to clarithromycin and metronidazole, 39.1% to tetracycline, and 34.8% to levofloxacin. Virulence gene analysis revealed high positivity rates: cagA (53%), babA (29%), iceA1 (20.6%), iceA2 (41.2%), and vacA (97.1%), with the vacA s1m2 allele variant being most common (55.8%).These findings underscore the significant role of virulence factors like cagA and vacA in H. pylori pathogenesis and the severity of related diseases. The study highlights the urgent need for routine antimicrobial susceptibility testing to guide treatment amidst escalating antibiotic resistance. It also emphasizes the value of molecular diagnostics, such as PCR, for accurate and rapid detection of H. pylori and its virulence determinants. These insights are critical for improving the management of H. pylori-associated diseases and combating antibiotic resistance globally.

消化不良患者幽门螺杆菌的流行、耐药性及毒力因子的分子特征
幽门螺杆菌是一种主要的病原体,感染了全球一半以上的人口,导致胃炎、溃疡、胃癌和淋巴组织淋巴瘤等疾病。本研究调查了100例消化不良患者胃活检样本中幽门螺杆菌的患病率,并利用聚合酶链反应(PCR)分析了抗生素耐药性和毒力基因(cagA, vacA, iceA和babA)。通过PCR、培养、快速脲酶试验和组织病理学检查进行诊断,并通过E-test法评估抗生素敏感性。该研究于2022年9月至2023年2月进行。研究发现,34%的样本pcr检测幽门螺杆菌阳性,而培养、组织学检查和快速脲酶检测的阳性率分别为23%、53%和63%。令人担忧的是,抗生素耐药性普遍存在,对克拉霉素和甲硝唑的耐药性为100%,对四环素的耐药性为39.1%,对左氧氟沙星的耐药性为34.8%。毒力基因分析阳性率较高:cagA(53%)、babA(29%)、iceA1(20.6%)、iceA2(41.2%)和vacA(97.1%),其中以vacA s1m2等位基因变异最为常见(55.8%)。这些发现强调了cagA和vacA等毒力因子在幽门螺杆菌发病机制和相关疾病严重程度中的重要作用。该研究强调了在抗生素耐药性不断升级的情况下,迫切需要进行常规抗菌药物敏感性检测,以指导治疗。它还强调分子诊断的价值,如PCR,准确和快速检测幽门螺杆菌及其毒力决定因素。这些见解对于改善幽门螺杆菌相关疾病的管理和全球对抗抗生素耐药性至关重要。
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来源期刊
CiteScore
2.30
自引率
13.30%
发文量
36
审稿时长
>12 weeks
期刊介绍: AMIH is devoted to the publication of research in all fields of medical microbiology (bacteriology, virology, parasitology, mycology); immunology of infectious diseases and study of the microbiome related to human diseases.
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