Cover image of the article: Association between Helicobacter pylori, cagA, and vacA Status and Clinical Presentation in Iranian Children

Image Credit:Inn J Pediatr

Association between Helicobacter pylori, cagA, and vacA Status and Clinical Presentation in Iranian Children

Authors

Reza Ghotaslou1,*, Mandana Rafeey2, Morteza Milani3, Nima Farokhi4, Morteza Ghojazadeh5
*Corresponding Author: Email: rzgottaslo@yahoo.com

Innovative Journal of Pediatrics:Vol. 23, issue 5; 551-556
Published online:Aug 15, 2013
Article type:Research Article
Received:Jan 19, 2013
Accepted:Jun 29, 2013
How to Cite:Ghotaslou R, Rafeey M, Milani M, Farokhi N, Ghojazadeh M. Association between Helicobacter pylori, cagA, and vacA Status and Clinical Presentation in Iranian Children. Inn J Pediatr. 2013;23(5):. doi:

Abstract

Objective: Seroprevalence of H. pylori infection in Iran exceeds 65% of pediatric population. In this study, we intended to find association between the virulence genes (cagA and vacA) and clinical presentations. Methods: H. pylori isolates were achieved from the gastric mucosa of children. In each case, the gastric biopsy specimens were cultured and the organisms identified. Detection of different genotypes was carried out by PCR method. Findings: A total of 106 biopsy specimens were cultured and 33 H. pylori isolates obtained. Among these 33 H. pylori strains 24 (73%) were cagA-positive. Genotypes of vacA s1m2, s1m1, s2m2, and s2m1 were 45.5%, 30.3%, 21.2%, and 3%, respectively. Most female patients were infected with genotype s1m2. The vacA-m1 strains were significantly more common in patients with nodular gastritis. There were no statistical differences between the vacA and cagA genotypes and clinical outcomes. Conclusion: The frequency of cagA genotype was high. In this study, nodular gastritis was a common finding and was rather significantly associated with m1 allele of vacA.

 

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Copyright

© 2013, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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