2004
DOI: 10.1172/jci20925
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Helicobacter pylori persistence: biology and disease

Abstract: Helicobacter pylori are bacteria that have coevolved with humans to be transmitted from person to person and to persistently colonize the stomach. Their population structure is a model for the ecology of the indigenous microbiota. A well-choreographed equilibrium between bacterial effectors and host responses permits microbial persistence and health of the host but confers risk of serious diseases, including peptic ulceration and gastric neoplasia.

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Cited by 771 publications
(561 citation statements)
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References 126 publications
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“…This may reflect the strain that we used, the route of exposure, or may simply mean that we did not account for some crucial piece of the puzzle that is yet unknown about the transmission of H. pylori via water. The genetic variability of H. pylori strains is vast,33 so it may be possible that some strains lack the capability to persist in water, but instead are transmitted only via other exposures, such as person‐to‐person or fecal‐oral routes 4…”
Section: Discussionmentioning
confidence: 99%
“…This may reflect the strain that we used, the route of exposure, or may simply mean that we did not account for some crucial piece of the puzzle that is yet unknown about the transmission of H. pylori via water. The genetic variability of H. pylori strains is vast,33 so it may be possible that some strains lack the capability to persist in water, but instead are transmitted only via other exposures, such as person‐to‐person or fecal‐oral routes 4…”
Section: Discussionmentioning
confidence: 99%
“…This process occurs most often during early childhood and lasts throughout life in the absence of any adequate eradication therapy [1]. Not all people colonized with this bacteria exhibit disease symptoms, but importantly this condition predisposes towards their development [2].…”
Section: Introductionmentioning
confidence: 99%
“…The acute phase is followed by a decreased antimicrobial response of the host organism and chronic H. pylori infection. Some people may develop gastric and duodenal ulcers, gastric cancer or mucosal associated lymphoid tissue (MALT) lymphoma [1].…”
Section: Introductionmentioning
confidence: 99%
“…This infection has been associated with various gastroduodenal diseases and gastric cancers (1)(2)(3)(4). H. pylori colonization is typically followed by infiltration of the gastric mucosa by polymorphonuclear leukocytes, macrophages, and lymphocytes (5,6).…”
mentioning
confidence: 99%