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Clinical and Diagnostic Laboratory Immunology, January 2001, p. 181-186, Vol. 8, No. 1
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.8.1.181-186.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Determination of Helicobacter pylori
Virulence by Simple Gene Analysis of the cag
Pathogenicity Island
Tsuneo
Ikenoue,*
Shin
Maeda,
Keiji
Ogura,
Masao
Akanuma,
Yuzo
Mitsuno,
Yasuo
Imai,
Haruhiko
Yoshida,
Yasushi
Shiratori, and
Masao
Omata
Department of Gastroenterology, Faculty of
Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo
113-8655, Japan
Received 10 May 2000/Returned for modification 4 August
2000/Accepted 20 September 2000
Nucleic acid amplification was performed for five loci in the
cag pathogenicity island (PAI) of Helicobacter
pylori (comprising cagA, the cagA
promoter region, cagE, cagT, and the left end
of cagII [LEC]), and gastric inflammation in patients
was evaluated. Of 204 H. pylori isolates from Japanese
patients (53 with peptic ulcer, 55 with gastric cancer, and 96 with
chronic gastritis), 197 (96.6%) were positive for all five loci. Two
isolates (1%) were negative for all five loci, and five isolates
(2.4%) were positive for only cagA and LEC. These latter
seven isolates were all from patients with mild chronic gastritis.
Neutrophil infiltration in gastric mucosa was significantly milder in
patients infected with partially or totally deleted-PAI strains than in
those with intact-PAI strains. The cagE gene
was a more accurate marker of an intact cag PAI than the
cagA gene, and cagE seemed to be more useful in discriminating between H. pylori strains causing
different rates of disease progression.
*
Corresponding author. Mailing address: Department
of Gastroenterology, Faculty of Medicine, University of
Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. Phone:
81-3-3815-5411 ext. 3070. Fax: 81-3-3814-0021. E-mail:
ikenoue-2im{at}h.u-tokyo.ac.jp.
Clinical and Diagnostic Laboratory Immunology, January 2001, p. 181-186, Vol. 8, No. 1
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.8.1.181-186.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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