Host-bacterial interactions in Helicobacter pylori infection

Manuel R. Amieva, Emad M. El-Omar

Research output: Contribution to journalLiterature review

376 Citations (Scopus)

Abstract

Helicobacter pylori are spiral-shaped gram-negative bacteria with polar flagella that live near the surface of the human gastric mucosa. They have evolved intricate mechanisms to avoid the bactericidal acid in the gastric lumen and to survive near, to attach to, and to communicate with the human gastric epithelium and host immune system. This interaction sometimes results in severe gastric pathology. H pylori infection is the strongest known risk factor for the development of gastroduodenal ulcers, with infection being present in 60%-80% of gastric and 95% of duodenal ulcers.(1) H pylori is also the first bacterium to be classified as a definite carcinogen by the World Health Organization's International Agency for Research on Cancer because of its epidemiologic relationship to gastric adenocarcinoma and gastric mucosa-associated lymphoid tissue lymphoma.(2) In the last 25 years, since H pylori was first described and cultured, a complete paradigm shift has occurred in our clinical approach to these gastric diseases, and more than 20,000 scientific publications have appeared on the subject. From the medical point of view, H pylori is a formidable pathogen responsible for much morbidity and mortality worldwide. However, H pylori infection occurs in approximately half of the world population, with disease being an exception rather than the rule. Understanding how this organism interacts with its host is essential for formulating an intelligent strategy for dealing with its most important clinical consequences. This review offers an insight into H pylori host-bacterial interactions.

Original languageEnglish
Pages (from-to)306-323
Number of pages18
JournalGastroenterology
Volume134
Issue number1
DOIs
Publication statusPublished - Jan 2008

Keywords

  • gastric epithelial-cells
  • interleukin-1 gene polymorphisms
  • neutrophil-activating protein
  • CAG pathogenicity island
  • acid-suppressive therapy
  • antigen-binding adhesin
  • outer-membrane proteins
  • necrosis-factor-alpha
  • IV secretion systems
  • toll-like receptors

Cite this

Host-bacterial interactions in Helicobacter pylori infection. / Amieva, Manuel R.; El-Omar, Emad M.

In: Gastroenterology, Vol. 134, No. 1, 01.2008, p. 306-323.

Research output: Contribution to journalLiterature review

Amieva, Manuel R. ; El-Omar, Emad M. / Host-bacterial interactions in Helicobacter pylori infection. In: Gastroenterology. 2008 ; Vol. 134, No. 1. pp. 306-323.
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