Asociación de factores de virulencia de Helicobacter pylori con diferentes enfermedades gastrointestinales
Main Article Content
Abstract
Objective: To investigate Helicobacter pylori and its virulence factors, given the significant increase in its presence in gastrointestinal diseases. Bibliographic review: Helicobacter pylori is a gram-negative bacterium of probable oro-fecal transmission that colonizes the stomach of most people. This attacks epithelial cells of the stomach mucosa, and may be asymptomatic or cause various injuries in the gastrointestinal tract. However, the prevalence of its infection varies according to the presence of certain virulence factors produced by it. Bacterial genes are classified into different types based on the presence and expression level of CagA and VacA, cytotoxins that encode several virulence factors. In addition, they produce inflammatory mediators responsible for facilitating oncogenesis. The most common clinical picture is gastritis, which may lead to the appearance of peptic ulcers, gastric adenocarcinoma and non-Hodgkin's lymphoma. Final considerations: Helicobacter pylori is considered the most common etiological agent for cancers related to infection and various gastrointestinal diseases, and its eradication is of paramount importance in their prophylaxis, and its eradication is of paramount importance for the treatment and prevention of different gastrointestinal diseases.
Article Details
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
References
2. AMIEVA M e PEEK JRRM. Pathobiology of Helicobacter pylori induced gastric câncer. Gastroenterology, 2016; 150: 64-78.
3. ANSARI S e YAMAOKA Y. Survival of Helicobacter pylori in gastric acidic territory. Helicobacter: A 12386 ed. David Y Graham e Francis Megraud, 2017: 1-13.
4. BURUCOA C e AXON A. Epidemiology of Helicobacter pylori infection. Helicobacter: A 12403 ed. David Y Graham e Francis Megraud, 2017: 1-5.
5. CHEY WD, et al. ACG Clinical Guideline: Treatment of Helicobacter pylori Infection. Am J Gastroenterol, 2017; 112(2): 212-239.
6. COELHO E, et al. Molecular Mechanisms for Adhesion and Colonization of Human Gastric Mucosa by Helicobacter pylori and its Clinical Implications. Revista Científica da Ordem dos Médicos, 2016; 29(7-8): 476-483.
7. CORRAL JE, et al. Helicobacter pylori recurrence after eradication in Latin America: Implications for gastric cancer prevention. World J Gastrointest Oncol, 2017; 9(4): 184-193.
8. DÍAZ MM, et al. Gastric cancer: some considerations on risk factors and Helicobacter pylori. Rev Med Electron, 2018; 40(2): 433-444.
9. DOORAKKERS E, et al. Eradication of Helicobacter pylori and Gastric Cancer: A Systematic Review and Meta-analysis of Cohort Studies. JNCI J Natl Cancer Inst, 2016; 108(9): 1-9.
10. HORRIDGE DN, et al. Outer inflammatory protein a (OipA) of Helicobacter pylori is regulated by host cell contact and mediates CagA translocation and interleukin-8 response only in the presence of a functional cag pathogenicity island type IV secretion system. Pathog Dis, 2017; 75(8): ftx113.
11. HU Y, et al. Systematic review with meta-analysis: the global recurrence rate of Helicobacter pylori. Aliment Pharmacol Ther., 2017; 46(9): 773-779.
12. LADEIRA MSP, et al. Biopatologia do Helicobacter pylori. J Bras Patol Med Lab, 2003; 39(4): 335-42.
13. LEE KE, et al. Helicobacter pylori and interleukin-8 in gastric câncer. World journal of gastroenterology. 2013;19(45):8192-202.
14. MAHMOUDI L, et al. High efficacy of gemifloxacin-containing therapy in Helicobacter pylori eradication: a pilot empirical second-line rescue therapy. Medicine, 2016; 95(42): 1-5.
15. MITCHELL H e KATELARIS P. Epidemiology, clinical impacts and current clinical management of Helicobacter pylori infection. MJA, 2016; 204(10): 376-380.
16. MORAL-HERNÁNDEZ OD, et al. Multiple infections by EBV, HCMV and Helicobacter pylori are highly frequent in patients with chronic gastritis and gastric cancer from Southwest Mexico. Medicine, 2019; 98(3): 1-9.
17. NARVÁEZ CER, et al. Helicobacter pylori, peptic ulcer and gastric câncer. Rev Fac Med, 2018; 66(1): 103-106.
18. NEVES VHD, et al. Epidemiologia e fatores de risco associados às neoplasias gástricas: uma revisão de literatura. Revista Eletrônica Acervo Científico, 2021; 21: e6421.
19. NOTO JM e PEEK JRRM. The gastric microbiome, its interaction with Helicobacter pylori, and its potential role in the progression to stomach cancer. PLOS Pathogens, 2017; 13(10): 1-7.
20. QUERESHI N, et al. Probiotic therapy in Helicobacter pylori infection: a potential strategy against a serious pathogen? Applied Microbiology and Biotechnology, 2019; 103(4): 1573-1588.
21. RUGGE M, et al. Gastric cancer as preventable disease. Clin Gastroenterol Hepatol, 2017; 15(12): 1833-1843.
22. SAKITANI K, et al. Early detection of gastric cancer after Helicobacter pylori eradication due to endoscopic surveillance. Helicobacter: A 12503 ed. David Y Graham e Francis Megraud, 2018: 1-7.
23. VINAGRE RMDF, et al. Helicobacter pylori infection and immune profile of patients with diferente gastroduodenal diseases. Arq Gastroenterol, 2018; 55(2): 122-127.
24. YEH Y, et al. H. pylori isolates with amino acid sequence polymorphisms as presence of both HtrAL171 & CagL-Y58/E59 increase the risk of gastric câncer. Journal of Biomedical Science, 2019; 26(4): 1-8.
25. ZAVROS Y e MERCHANT JL. The immune microenvironment in gastric adenocarcinoma. Nat Rev Gastroenterol Hepatol, 2022; 19(7): 451-467.