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Published on: June 18, 2016
Reactive oxygen species activity, mucosal lipoperoxidation and glutathione in Helicobacter pylori-infected gastric
1Department of Internal Medicine, Ewha Women's University, College of Medicine, Seoul, Korea.
Background And Aim:
Helicobacter pylori is considered as the major pathogen in Helicobacter pylori-associated gastroduodenal disease, but the mechanism of its action has not been fully explained. This study was performed to assess the reactive oxygen species activity and the damage in Helicobacter pylori-infected gastric mucosa.
Methods:
Gastric biopsy specimens were obtained from 308 patients undergoing endoscopy. Gastric mucosal damage was assessed by using luminol enhanced chemiluminescence, thiobarbituric acid-reactive substance, and mucosal glutathione.
Results:
The chemiluminescence and thiobarbituric acid-reactive substance-equivalent levels in the mucosa of patients with Helicobacter pylori-positive gastric mucosa (43.8 +/- 134.9 c.p.m./microg tissue, 157.0 +/- 96.2 nmol/g tissue, respectively) were significantly higher than in those with Helicobacter pylori-negative mucosa (6.8 +/- 20.3 c.p.m./microg tissue, 110.0 +/- 51.6 nmol/g tissue, respectively; P=0.000, P=0.016, respectively). The glutathione levels in the mucosa of patients with Helicobacter pylori-positive gastric mucosa (159.3 +/- 76.6 nmol/microg tissue) were significantly lower than in those with Helicobacter pylori-negative gastric mucosa (212.3 +/- 134.3 nmol/microg tissue; P=0.008). After the data were divided according to the presence of Helicobacter pylori, there were no significant differences in chemiluminescence, thiobarbituric acid-reactive substance, and glutathione among the different macroscopic findings within Helicobacter pylori-positive and -negative gastric mucosa.
Conclusions:
Helicobacter pylori infection plays a pathological role in many gastrointestinal diseases through excessive mucosal-reactive oxygen species production, pronounced membrane damage, and the depletion of gastric anti-oxidants.
Insights
Helicobacter pylori infection increases reactive oxygen species and membrane damage in gastric mucosa. This leads to lower levels of protective antioxidants, contributing to gastroduodenal diseases.
Area of Science:
- Gastroenterology
- Microbiology
- Pathophysiology
Background:
- Helicobacter pylori is a major pathogen in gastroduodenal diseases.
- The precise mechanisms of H. pylori's action remain incompletely understood.
- This study investigates oxidative stress and mucosal damage in H. pylori infection.
Purpose of the Study:
- To assess reactive oxygen species (ROS) activity in H. pylori-infected gastric mucosa.
- To evaluate the extent of mucosal damage associated with H. pylori infection.
- To determine the levels of antioxidants in H. pylori-infected gastric tissue.
Main Methods:
- Gastric biopsy specimens were collected from 308 patients undergoing endoscopy.
- Luminol-enhanced chemiluminescence was used to measure ROS activity.
- Thiobarbituric acid-reactive substance (TBARS) assay and mucosal glutathione levels assessed lipid peroxidation and antioxidant status, respectively.
Main Results:
- H. pylori-positive gastric mucosa showed significantly higher chemiluminescence and TBARS levels compared to H. pylori-negative mucosa.
- Glutathione levels were significantly lower in H. pylori-positive gastric mucosa.
- No significant differences in measured parameters were observed among macroscopic findings within H. pylori-positive or -negative groups.
Conclusions:
- H. pylori infection contributes to gastrointestinal pathology via excessive ROS production.
- The infection causes significant membrane damage in the gastric mucosa.
- Depletion of gastric antioxidants is a key consequence of H. pylori infection.
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