AIM: To establish the most common vacA alleles in Helicobacter pylori ( H pylon) strains isolated from Chilean patients and its relationship with gastritis and gastroduodenal ulcers, METHODS: Two hundred and forty...AIM: To establish the most common vacA alleles in Helicobacter pylori ( H pylon) strains isolated from Chilean patients and its relationship with gastritis and gastroduodenal ulcers, METHODS: Two hundred and forty five Hpyloriclinical isolates were obtained from 79 biopsies from Chilean infected patients suffedng from gastrointestinal diseases. An average of 2-3 strains per patient was isolated and the vac4 genotype was analyzed by PCR and 3% agarose electrophoresis. Some genotypes were checked by DNA sequencing. RESULTS: The most prevalent vacA genotype in Chilean patients was slb ml (76%), followed by sla ml (21%). In oontrast, the s2 m2 genotype was scarcely represented (3%). The slb ml genotype was found most frequently linked to gastropathies (P〈0.05) rather than ulcers. Ulcers were found more commonly in male and older patients. Curiously, patents IMng in dties located North and far South of Santiago, thecapital and largest Chilean city, carried almost exclusively strains with the slb ml genotype. In contrast, patients from Santiago and cities located South of Santiago carded strains with either one or both sla ml and slb ml genotypes. Regarding the s2 m2 genotype, comparison with GenBank sequences revealed that Chilean s2 sequence was identical to those of Australian, American, and Colombian strains but quite different from those of Alaska and India. CONCLUSION: Differences in geographic distribution of the s and m vacA alleles in Chile and a relationship of slb ml genotype with gastritis were found. Sequence data in part support a hispanic origin for the vacA genotype. Asymmetric distribution of genotypes slb ml and s2 m2 recedes H Pyloristrain distribution in Spain and Portugal.展开更多
基金Supported by FONDECYT, Comision Nacional Cientifica y Tecnologica, Chile No.1000730 No.1030894 and No. 1000734 from and NIH No.DK54495
文摘AIM: To establish the most common vacA alleles in Helicobacter pylori ( H pylon) strains isolated from Chilean patients and its relationship with gastritis and gastroduodenal ulcers, METHODS: Two hundred and forty five Hpyloriclinical isolates were obtained from 79 biopsies from Chilean infected patients suffedng from gastrointestinal diseases. An average of 2-3 strains per patient was isolated and the vac4 genotype was analyzed by PCR and 3% agarose electrophoresis. Some genotypes were checked by DNA sequencing. RESULTS: The most prevalent vacA genotype in Chilean patients was slb ml (76%), followed by sla ml (21%). In oontrast, the s2 m2 genotype was scarcely represented (3%). The slb ml genotype was found most frequently linked to gastropathies (P〈0.05) rather than ulcers. Ulcers were found more commonly in male and older patients. Curiously, patents IMng in dties located North and far South of Santiago, thecapital and largest Chilean city, carried almost exclusively strains with the slb ml genotype. In contrast, patients from Santiago and cities located South of Santiago carded strains with either one or both sla ml and slb ml genotypes. Regarding the s2 m2 genotype, comparison with GenBank sequences revealed that Chilean s2 sequence was identical to those of Australian, American, and Colombian strains but quite different from those of Alaska and India. CONCLUSION: Differences in geographic distribution of the s and m vacA alleles in Chile and a relationship of slb ml genotype with gastritis were found. Sequence data in part support a hispanic origin for the vacA genotype. Asymmetric distribution of genotypes slb ml and s2 m2 recedes H Pyloristrain distribution in Spain and Portugal.