文章摘要
黄敬敬1 魏良洲2 战淑慧1 董开芯1 王传芳1 苏艳华1 董全江1△.幽门螺杆菌毒力基因型与胃癌的相关性研究[J].,2012,12(18):3525-3528
幽门螺杆菌毒力基因型与胃癌的相关性研究
The Correlation between Virulence Genotypes of HelicobacterPylori and Gastric Cancer
  
DOI:
中文关键词: 幽门螺杆菌  cagA  vacA  iceA1  毒力
英文关键词: Helicobacter pylori  cagA  vacA  iceA1  Virulence
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作者单位
黄敬敬1 魏良洲2 战淑慧1 董开芯1 王传芳1 苏艳华1 董全江1△ 青岛大学医学院附属青岛市立医院消化内科及中心实验室 
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中文摘要:
      目的:研究中国东部地区幽门螺杆菌(H. pylori)cagA、vacA 和iceA1 毒力基因型的分布状况及其与胃癌的相关性。方法:从 52 例病人胃黏膜活检组织(31 例慢性浅表性胃炎,21 例胃癌)中分离培养H. pylori,用PCR 方法扩增分离菌株的cagA、iceA1、 vacAs, i, m 区毒力基因片段,统计并分析上述毒力因素与胃癌发生的相关性。结果:在52 例菌株中,cagA、vacAs1/i1/m1、 vacAs1/i1/m2 和iceA1 的阳性率分别是92.3%(48/52),48.1%(25/52),48.1%(25/52),90.4%(47/52);所有的胃癌分离株中均为 cagA(+)vacAs1/i1(+)型,vacAm1、vacAm2 和iceA1 在胃癌组中的阳性率分别是47.6%(10/21),52.4%(11/21),95.2%(20/21),与 胃炎组相比,上述基因型的阳性率差异均无显著统计学意义(P>0.05)。结论:cagA、vacAs1/i1/m1、vacAs1/i1/m2 和iceA1 是中国东 部地区H. pylori 的优势基因型;cagA、vacAs1、vacAi1 和iceA1 毒力基因型的存在与胃癌的发生无相关性。
英文摘要:
      Objective: To investigate the prevalence of virulent genotypes of Helicobacter pylori (H. pylori) and the relationship between virulence factors and gastric cancer. Methods: H. pylori were cultured from gastric biopsies obtained from 31 patients with chronic gastritis and 21 with gastric cancer. The virulence genes, cagA, iceA1, vacA s, i and m regions were amplified by using PCR and the relationship between virulence factors and gastric cancer was analyzed. Results: The prevalence of cagA, vacAs1/i1/m1, vacAs1/ i1/m2 and iceA1 in 52 isolates were 92.3% (48/52), 48.1% (25/52), 48.1% (25/52), 90.4% (47/52), respectively. All the gastric cancer isolates were cagA (+) vacAs1/i1 (+), and the positive rates of vacAm1, vacAm2 and iceA1 in group of gastric cancer were 47.6% (10/21), 52.4%(11/21), 95.2%(20/21), respectively. There were no statistically significant differences in the positive rates of all the genotypes above compared with the positive rates in gastritis isolates (P>0.05). Conclusions: The majority of H. pylori isolated from East China possess virulent genotypes are cagA, vacAs1/i1/m1, vacAs1/i1/m2 and iceA1 positive. It appeared that the virulence factors of H. pylori had no significant association with gastric cancer.
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