2000
DOI: 10.1136/bmj.320.7230.268
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Scientists discover how helicobacter survives gastric acid

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Cited by 7 publications
(5 citation statements)
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“…The bacteria neutralize stomach acids and cause gastric ulcer when they penetrate the gastric mucous lining [168]. Two types of H. pylori may be found in the gastric or mucosal lining: coccoid type and helical type [169, 170].…”
Section: Helicobacter Pylori Infection In Epithelial Cellsmentioning
confidence: 99%
“…The bacteria neutralize stomach acids and cause gastric ulcer when they penetrate the gastric mucous lining [168]. Two types of H. pylori may be found in the gastric or mucosal lining: coccoid type and helical type [169, 170].…”
Section: Helicobacter Pylori Infection In Epithelial Cellsmentioning
confidence: 99%
“…Primary H. pylori infection occurs during early childhood, with most adults in developing countries eventually becoming carriers [ 3 4 ]. Although the stomach is considered a sterile organ because of the acidic conditions (pH<4) [ 5 ], H. pylori can survive in the human stomach by activating a cytoplasmic urease, which converts urea into carbon dioxide and ammonia and thereby increases the pH of the environment [ 6 ]. The urease test used to diagnose H. pylori infection is based on this activity of the microbe: the urease test uses phenol red, which changes from yellow to pink or red as the pH increases [ 7 ].…”
Section: Introductionmentioning
confidence: 99%
“…This view dramatically changed with the discovery of the Gram-negative bacterium H. pylori in the 1980’s by Warren and Marshall 60 , that is a carcinogenic bacterial pathogen infecting the stomach of more than one-half of the world’s human population. This human pathogen is able to survive in the highly acidic environment within the stomach by producing cytoplasmic urease that, by catalysing the hydrolysis of urea into CO 2 and NH 4 , produces a neutralizing ammonia cloud around it 19 , 61 , 62 . However, most H. pylori avoid the acidic environment of the gastric lumen by swimming towards the mucosal cell surface (using their polar flagella and chemotaxis mechanisms) and may adhere and invade the gastric mucosal epithelial cells 63 , 64 .…”
Section: Resultsmentioning
confidence: 99%