2007
DOI: 10.1111/j.1523-5378.2007.00529.x
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Pathogenesis ofHelicobacter pyloriInfection

Abstract: The clinical outcome of Helicobacter pylori infection is determined by a complex interaction between the bacterium and the host. The main bacterial factors associated with pathogenicity comprise outer membrane proteins, including BabA, SabA, OipA, AlpA, and AlpB, the vacuolating cytotoxin VacA and the products of cagPAI. The multitude of putative virulence factors makes it extremely difficult to test the contribution of each individual factor. Much effort has been put into identifying the mechanism associated … Show more

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Cited by 49 publications
(37 citation statements)
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“…The pathogenesis of H. pylori infection is complex, and additional pathogenic factors, host factors, and their intramolecular cross talk continue to be discovered (18,(42)(43)(44)(45)(46)(47). Although H. pylori infection causes chronic gastric inflammation, the immune escape of H. pylori infection, particularly under high levels of IFN-g, has been less commonly reported.…”
Section: Discussionmentioning
confidence: 99%
“…The pathogenesis of H. pylori infection is complex, and additional pathogenic factors, host factors, and their intramolecular cross talk continue to be discovered (18,(42)(43)(44)(45)(46)(47). Although H. pylori infection causes chronic gastric inflammation, the immune escape of H. pylori infection, particularly under high levels of IFN-g, has been less commonly reported.…”
Section: Discussionmentioning
confidence: 99%
“…H. pylori also induces apoptosis of eukaryotic cells through bacterial molecules, such as vacuolating cytotoxin A (Vac A) (Yahiro et al, 1997;Gebert et al, 2003) and CagA, which is encoded by the cytotoxin-associated gene A. These virulence factors, along with host genetic and environmental factors, constitute a complex network to regulate chronic gastric injury and infl ammation, which is involved in a multistep process leading to gastric carcinogenesis (Isomoto et al, 2010;Maeda and Mentis, 2007). Other bacteria, such as the mycoplasmas that cause pneumonia, arthritis and infertility, usually exist in human respiratory, alimentary and genital tracts and they are surface epithelial parasites requiring exogenous cholesterol for membrane stability and cell entry (Metz and Kraft, 2010;Roediger, 2004;Hartmann, 2009).…”
Section: Introductionmentioning
confidence: 99%
“…[11][12][13][14] H. pylori infection is so common and as many as 50% of the world population is infected with, 15 and a good mean of detection, with the best combination of simplicity, sensitivity, specificity, cost-effectiveness and rapid accurate results, is necessary to guarantee the correct treatment and preventing unnecessary further investigations for these patients or those with negative H. pylori gastric diseases. This guided us to look for an optimization of the widely used rapid urease test that combines all the characteristics to be an excellent confidential cheap and widely available test for the detection of H. pylori.…”
Section: Discussionmentioning
confidence: 99%