Prevalence of vacA, cagA, and iceA Virulence Factors of Helicobacter Pylori Isolated from Gastro-duodenal Patients

Ahmed Husham Salman, A. A. Hawezy
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Abstract

Back ground: Helicobacter pylori are bacteria colonize in the human epithelial cells of the gastrointestinal tract. Its infection causes different diseases, including chronic gastritis, peptic ulcers, gastric lymphoma and adenocarcinoma. H. pylori have many virulence factors attributing in one or more biological functions. Objective: Detecting the prevalence of virulence factor genes vacA, cagA, iceA among strain of H. pylori using molecular technique (PCR). Materials and methods: Sixty patients (27 male and 33 female), aged 18 and above included in the present study who showed signs and symptoms of H. pylori, and undergo endoscopy between period of November 2019 and February 2020. RUT and PCR test done to detect the presence of H. pylori infection, also PCR used to detect the three virulence factors. Results: Result showed that 44 patients, 21 (47.7%) male and 23 (52.3%) female were detected as positive H. pylori infections, among them 13 (29.5%) above 50 years, and 31 (70.4%) were below 50 years. While prevalence of the virulence factors vacA, cagA, and iceA were (100%), (84.1%), and (34.1%) respectively. Conclusion: It can be concluded that the frequency and prevalence of these genes are differed and showed significant differences among them. Also, PCR test is sensitive and accurate for detection of H. pylori virulence genes.
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胃十二指肠病人幽门螺杆菌分离株vacA、cagA和iceA毒力因子的流行
背景:幽门螺杆菌是人类胃肠道上皮细胞中定植的细菌。它的感染引起不同的疾病,包括慢性胃炎、消化性溃疡、胃淋巴瘤和腺癌。幽门螺旋杆菌具有多种毒力因子,它们具有一种或多种生物学功能。目的:应用分子PCR技术检测幽门螺杆菌毒力因子基因vacA、cagA、iceA的流行情况。材料与方法:2019年11月至2020年2月期间,本研究纳入60例18岁及以上出现幽门螺旋杆菌体征和症状的患者,其中男性27例,女性33例。采用RUT和PCR检测是否存在幽门螺杆菌感染,并采用PCR检测三种毒力因子。结果:44例患者中,男性21例(47.7%),女性23例(52.3%),其中50岁以上13例(29.5%),50岁以下31例(70.4%)。毒力因子vacA、cagA和iceA的检出率分别为(100%)、(84.1%)和(34.1%)。结论:这些基因的频率和患病率存在差异,且在不同基因间存在显著性差异。PCR检测幽门螺杆菌毒力基因灵敏、准确。
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