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Updated: Oct 7, 2026

Quantitative Polymerase Chain Reaction (qPCR)-Based Rapid Diagnosis of Helicobacter pylori Infection and Antibiotic Resistance
Published on: July 28, 2023
Enzyme biotypes of Helicobacter pylori isolated from Penang, Peninsular Malaysia
Abstract:
A total of 52 clinical strains of Helicobacter pylori were characterized on the basis of preformed enzyme production with API ZYM kits. Using the biotyping schemes as defined by Reina and Alomar (1989), Kung et al (1989) and Matsumoto et al (1996), 15.3% (8/52), 13.5% (7/52) and 11.5% (6/52) of the isolates were not biotypable, respectively. Two enzymes, valine arylamidase and cystine arylamidase could be additionally used to differentiate between isolates. Our isolates were either negative or positive for both the enzymes or positive only for cystine arylamidase. We propose the incorporation of these two enzymes into the Matsumoto et al (1996) biotyping scheme to biotype strains into additional enzyme biotypes.
Insights
This study analyzed Helicobacter pylori enzyme production for improved biotyping. Incorporating valine and cystine arylamidase enzymes can enhance strain differentiation in Helicobacter pylori identification.
Area of Science:
- Microbiology
- Clinical Diagnostics
Background:
- Helicobacter pylori is a significant human pathogen.
- Accurate biotyping of H. pylori strains is crucial for epidemiological studies and understanding virulence.
- Existing biotyping schemes have limitations in classifying all clinical isolates.
Purpose of the Study:
- To evaluate the utility of preformed enzyme production for differentiating clinical isolates of Helicobacter pylori.
- To assess the effectiveness of existing biotyping schemes and identify areas for improvement.
- To propose an enhanced biotyping method for H. pylori.
Main Methods:
- Characterization of 52 clinical Helicobacter pylori strains using API ZYM kits for preformed enzyme analysis.
- Application of established biotyping schemes (Reina and Alomar, Kung et al., Matsumoto et al.).
- Analysis of valine arylamidase and cystine arylamidase activity for strain differentiation.
Main Results:
- A notable percentage of H. pylori isolates were not biotypable using existing schemes (15.3% to 11.5%).
- Valine arylamidase and cystine arylamidase showed potential for differentiating isolates.
- Observed patterns included negative for both, positive for both, or positive only for cystine arylamidase.
Conclusions:
- Existing Helicobacter pylori biotyping schemes are insufficient for complete strain characterization.
- Valine arylamidase and cystine arylamidase are valuable enzymes for enhancing H. pylori strain differentiation.
- Incorporating these enzymes into the Matsumoto et al. (1996) scheme can create additional, informative enzyme biotypes.
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