Helicobacter pylori antibody responses and evolution of precancerous gastric lesions in a Chinese population.

Pan, Kai-Feng; Formichella, Luca; Zhang, Lian; Zhang, Yang; Ma, Jun-Ling; Li, Zhe-Xuan; Liu, Cong; Wang, Yu-Mei; Goettner, Gereon; Ulm, Kurt; Classen, Meinhard; You, Wei-Cheng; Gerhard, Markus

doi:10.1002/ijc.28560

Benutzer: Gast

journal article

Titel:: Helicobacter pylori antibody responses and evolution of precancerous gastric lesions in a Chinese population.
Dokumenttyp:: Journal Article; Research Support, Non-U.S. Gov't
Autor(en):: Pan, Kai-Feng; Formichella, Luca; Zhang, Lian; Zhang, Yang; Ma, Jun-Ling; Li, Zhe-Xuan; Liu, Cong; Wang, Yu-Mei; Goettner, Gereon; Ulm, Kurt; Classen, Meinhard; You, Wei-Cheng; Gerhard, Markus
Abstract:: Helicobacter pylori-specific proteins are involved in gastric carcinogenesis. To investigate the seroprevalence of six H. pylori-specific antibodies in patients with different gastric histology, and the impact of seropositivities on the evolution of precancerous gastric lesions, a follow-up study was conducted in Linqu County, China. The seropositivities for CagA, VacA, GroEL, UreA, HcpC and gGT were assessed by recomLine analysis in 573 H. pylori-positive subjects and correlated with evolution of precancerous gastric lesions. We found that the score of H. pylori recomLine test was significantly increased in subjects with chronic atrophic gastritis (CAG, p < 0.0001) or intestinal metaplasia (IM, p = 0.0125), and CagA was an independent predictor of advanced gastric lesions, adjusted odds ratios (ORs) were 2.54 (95% CI = 1.42-4.55) for IM and 2.38 (95% CI = 1.05-5.37) for dysplasia (DYS). Moreover, seropositivities for CagA and GroEL were identified as independent predictors for progression of gastric lesions in a longitudinal study, and ORs were 2.89 (95% CI = 1.27-6.59) and 2.20 (95% CI = 1.33-3.64), respectively. Furthermore, the risk of progression was more pronounced in subjects with more than three positive antigens (p(for) trend = 0.0003). This population-based study revealed that seropositivities for CagA and GroEL might be potential markers to identify patients infected with high-risk H. pylori strains, which are related to the development of GC in a Chinese high-risk population, and recomLine test might serve as a tool for risk stratification.
Zeitschriftentitel:: Int J Cancer
Jahr:: 2014
Band / Volume:: 134
Heft / Issue:: 9
Seitenangaben Beitrag:: 2118-25
Sprache:: eng
Volltext / DOI:: doi:10.1002/ijc.28560
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/24155048
Print-ISSN:: 0020-7136
TUM Einrichtung:: Institut für Medizinische Mikrobiologie, Immunologie und Hygiene; Institut für Medizinische Statistik und Epidemiologie
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