Startseite Examining the effect of Helicobacter pylori cagPAI variety on gene expression pattern related to gastric cancer
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Examining the effect of Helicobacter pylori cagPAI variety on gene expression pattern related to gastric cancer

  • Alireza Ahmadzadeh EMAIL logo , Mohsen Rashidi , Zhaleh Mohsenifar , Fariborz Faeghi , Mostafa Rezaei-Tavirani , Nayebali Ahmadi , Mohammad Reza Zali , Masoud Alebouyeh EMAIL logo , Mehdi feizi und Zobayde Ahmadzadeh
Veröffentlicht/Copyright: 6. März 2023
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Abstract

Objectives

We aimed to determine possible association between heterogeneity of Helicobacter pylori cytotoxin-associated gene pathogenicity island and gene expression profiles in patients with distinct histopathological changes.

Methods

Gastric biopsies were obtained from seventy five patients. Microbiological and pathological examinations were done and intactness of Helicobacter pylori cagPAI was determined by PCR using 11 pairs of primers flanking cagζ-cagA regions and cagPAI empty site. Alterations at mRNA levels of eight genes were investigated by real-time PCR and their association with cagPAI intactness and histopathological changes examined statistically.

Results

A larger proportion of cagPAI positive strains colonized patients with SAG (52.4%), followed by CG (33.3%), and IM (14.3%). Intact cagPAI was found in 87.5% of the strains obtained from patients with SAG, while significantly lower frequency was detected among those with CG (12.5%) and IM (0%). No significant difference was found among the studied histological groups and fold changes in gene expression of gastric biopsies of Helicobacter pylori infected patients with distinct cagPAI status. However, in each histological group, the strains with more complete gene cluster induced (ErbB2, CCNE1, CTNNB1, and MMP7 in SAG and IM groups) or reduced (TP53, in CG group) expression of the GC associated genes in relatively higher levels. APC, TP53 and E-cadherin were down-regulated in patients with SAG and IM compared with CG patients, irrespective to the status of cagPAI integrity.

Conclusions

Helicobacter pylori strains that carry more complete cagPAI segment could induce remarkably higher levels of mRNA changes of GC associated genes in all histopathological groups.


Corresponding authors: Alireza Ahmadzadeh, PhD, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, E-mail: ; and Masoud Alebouyeh, PhD, Foodborne and Waterborne Diseases Research Center, Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran; and Pediatric Infections Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Postal code: 1985717411 Tehran, Iran, Phone: 00982122432518, Fax: 00982122432517, E-mail:

Acknowledgments

This article was supported by Research Institute for Gastroenterology and Liver Disease, Shahid Beheshti University of Medical Sciences, Tehran, Iran. We would like to appreciate all staff of Foodborne and Waterborne Diseases Research Center that helped us for this study.

  1. Research funding: None declared.

  2. Author contributions: Alireza Ahmadzadeh do main part of the experiments and wrote initial draft of the manuscript; Mohsen Rashidi cultured the biopsies and the isolates; Zhaleh Mohsenifar performed all pathological examinations; Fariborz Faeghi help in data analysis; Mostafa Rezaei-Tavirani and Nayebali Ahmadi were involved in statistical analysis; Mohammad Reza Zali provided parts of the samples; Masoud Alebouyeh designed the study, supervised the research, reviewed and revised the manuscript; Mehdi feizi and Zobayde Ahmadzadeh were study counselor.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: protocols approved by the ethical review committee at Shahid Beheshti University of Medical Sciences.

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Received: 2022-05-19
Accepted: 2023-02-08
Published Online: 2023-03-06

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