2015
DOI: 10.4014/jmb.1501.01099
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Association of Helicobacter pylori cagA Gene with Gastric Cancer and Peptic Ulcer in Saudi Patients

Abstract: This study was conducted to assess the relationship between occurrence of gastric cancer and peptic ulcer, and the presence of H. pylori cagA gene and anti-CagA IgG, and to estimate the value of these antibodies in detecting infection by cagA gene-positive H. pylori strains in Saudi patients. The study included 180 patients who were subjected to upper gastrointestinal endoscopy in Taif province and Western region of Saudi Arabia (60 gastric cancer, 60 peptic ulcer, and 60 with non-ulcer dyspepsia). Gastric bio… Show more

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Cited by 18 publications
(11 citation statements)
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References 47 publications
(72 reference statements)
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“…However, the received ORs for CagA and VacA m1 in the atrophic group were in the same range as reported by Gao et al [ 30 ], but in contrast to Gao et al [ 30 ], we could not observe significant ORs for the seroresponse to antigen HP0231. Furthermore, CagA seropositivity could also be associated with ulcer (OR = 2.5) as observed in our study, which is in accordance with previous studies [ 31 , 32 ], but the 95% CI did not show a significance. However, it has to be mentioned that high variability of the S/CO values in the different groups was observed, and due to small sample sets, 95% CIs were very broad.…”
Section: Discussionsupporting
confidence: 92%
“…However, the received ORs for CagA and VacA m1 in the atrophic group were in the same range as reported by Gao et al [ 30 ], but in contrast to Gao et al [ 30 ], we could not observe significant ORs for the seroresponse to antigen HP0231. Furthermore, CagA seropositivity could also be associated with ulcer (OR = 2.5) as observed in our study, which is in accordance with previous studies [ 31 , 32 ], but the 95% CI did not show a significance. However, it has to be mentioned that high variability of the S/CO values in the different groups was observed, and due to small sample sets, 95% CIs were very broad.…”
Section: Discussionsupporting
confidence: 92%
“…When compared to histology, the relative sensitivity of serology, RUT, and culture was 90%, 81%, and 63%, respectively, while their relative specificity was 47%, 92%, and 93%, respectively. In addition, Saber et al reported that compared to PCR, the relative specificity and sensitivity of an anti-cagA IgG serologic test were 89.6% and 91.6%, respectively [81]. Serologic tests using serum and salivary were also considered in a study conducted in Abha, Saudi Arabia, by El-Mekki et al [82].…”
Section: Guidelines For the Diagnosis Of H Pylori Infectionmentioning
confidence: 99%
“…Helicobacter pylori infects roughly half of the world’s human population and shares responsibility for gastric complications including stomach ulcers and gastric adenocarcinoma through its infection of gastric epithelial cells [ 172 , 173 , 174 ]. H. pylori utilizes a type IV protein secretion system (T4SS) involving the cytotoxin-associated gene L (CagL) adhesion tip protein to infect target cells with the virulence factor, cytotoxin-associated gene A (CagA) [ 175 , 176 ].…”
Section: Bacterial Use Of Non-ecm Integrin Ligandsmentioning
confidence: 99%