Helicobacter pylori - Can the mechanisms of pathogenesis guide us towards novel strategies for treatment and prevention?

被引:8
作者
Falk, P [1 ]
机构
[1] WASHINGTON UNIV, SCH MED, DEPT MOL BIOL & PHARMACOL, ST LOUIS, MO 63110 USA
关键词
Helicobacter pylori; pathogenesis; infection; inflammation; adenocarcinoma;
D O I
10.1046/j.1365-2796.1996.75881000.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Helicobacter pylori establishes a chronic infection in the stomach of humans. The infection is associated with a low grade inflammatory response in the epithelium that can develop into chronic active gastritis, peptic ulcer disease or neoplasia. Antibiotics have dramatically decreased the rate of recurrence of peptic ulcers. However, antibiotic resistance is already evident, casting doubts on the future efficacy of these strategies. The link between childhood infection and severe health problems, including increased risk for gastric tumours motivate efforts to develop vaccines. Characterization of the molecular mechanisms of pathogenesis will pave the way for novel strategies for treatment and prevention of H. pylori infection.
引用
收藏
页码:319 / 332
页数:14
相关论文
共 93 条
[1]   Potential role of molecular mimicry between Helicobacter pylori lipopolysaccharide and host Lewis blood group antigens in autoimmunity [J].
Appelmelk, BJ ;
SimoonsSmit, I ;
Negrini, R ;
Moran, AP ;
Aspinall, GO ;
Forte, JG ;
DeVries, T ;
Quan, H ;
Verboom, T ;
Maaskant, JJ ;
Ghiara, P ;
Kuipers, EJ ;
Bloemena, E ;
Tadema, TM ;
Townsend, RR ;
Tyagarajan, K ;
Crothers, JM ;
Monteiro, MA ;
Savio, A ;
DeGraaff, J .
INFECTION AND IMMUNITY, 1996, 64 (06) :2031-2040
[2]  
Araneo BA, 1996, ZBL BAKT-INT J MED M, V283, P431
[3]   NATURALLY-OCCURRING CHRONIC GASTRITIS AND C-PYLORI INFECTION IN THE RHESUS-MONKEY - A POTENTIAL MODEL FOR GASTRITIS IN MAN [J].
BASKERVILLE, A ;
NEWELL, DG .
GUT, 1988, 29 (04) :465-472
[4]   IMMUNOLOGICAL ACTIVITY OF LIPOPOLYSACCHARIDE OF HELICOBACTER-PYLORI ON HUMAN PERIPHERAL MONONUCLEAR BLOOD-CELLS IN COMPARISON TO LIPOPOLYSACCHARIDES OF OTHER INTESTINAL BACTERIA [J].
BIRKHOLZ, S ;
KNIPP, U ;
NIETZKI, C ;
ADAMEK, RJ ;
OPFERKUCH, W .
FEMS IMMUNOLOGY AND MEDICAL MICROBIOLOGY, 1993, 6 (04) :317-324
[5]  
BLASER MJ, 1995, CANCER RES, V55, P2111
[6]   ATTACHMENT OF HELICOBACTER-PYLORI TO HUMAN GASTRIC EPITHELIUM MEDIATED BY BLOOD-GROUP ANTIGENS [J].
BOREN, T ;
FALK, P ;
ROTH, KA ;
LARSON, G ;
NORMARK, S .
SCIENCE, 1993, 262 (5141) :1892-1895
[7]  
BRANDTZAEG P, 1992, INFLAMM BOWEL DIS, P95
[8]   A model of host-microbial interactions in an open mammalian ecosystem [J].
Bry, L ;
Falk, PG ;
Midtvedt, T ;
Gordon, JI .
SCIENCE, 1996, 273 (5280) :1380-1383
[9]   SCREENING OF MICROORGANISMS FOR NITROSATION CATALYSIS AT PH-7 AND KINETIC-STUDIES ON NITROSAMINE FORMATION FROM SECONDARY-AMINES BY ESCHERICHIA-COLI STRAINS [J].
CALMELS, S ;
OHSHIMA, H ;
VINCENT, P ;
GOUNOT, AM ;
BARTSCH, H .
CARCINOGENESIS, 1985, 6 (06) :911-915
[10]   ABH AND RELATED HISTO-BLOOD GROUP ANTIGENS - IMMUNOCHEMICAL DIFFERENCES IN CARRIER ISOTYPES AND THEIR DISTRIBUTION [J].
CLAUSEN, H ;
HAKOMORI, S .
VOX SANGUINIS, 1989, 56 (01) :1-20