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Updated: Aug 7, 2026

Mouse Models Of Helicobacter Infection And Gastric Pathologies
Published on: October 18, 2018
Infiltration of Helicobacter pylori in the gastric mucosa
Nirag C Jhala1, Gene P Siegal, Katrin Klemm
1Department of Pathology, University of Alabama at Birmingham, 619, 6th Ave S, Birmingham, AL 35233, USA.
Abstract:
It is our hypothesis that if Helicobacter pylori could be demonstrated conclusively to have transgressed the mucosal surface into the lamina propria, this would help explain how H pylori recruits inflammatory cells. We report our immunohistochemical and electron microscopic findings that demonstrate that H pylori can be detected in the lamina propria of the stomach, offering evidence of its invasive potential. We stained 67 endoscopic gastric biopsy specimens with Warthin-Starry silver and immunoperoxidase stains for H pylori. In addition, transmission electron microscopy was performed on 1 case. The presence of surface H pylori was associated significantly with active (P < .0001) and chronic (P < .0001) inflammation. H pylori could not be identified in the lamina propria using the Warthin-Starry silver stain alone. Immunoreactivity for H pylori in the lamina propria was detected in 20 (30%) of 67 gastric biopsy specimens. Transmission electron microscopy confirmed the immunohistochemical findings. H pylori can infiltrate the lamina propria of the gastric mucosa, thereby proving morphologic evidence of its invasive capability.
Insights
Helicobacter pylori can invade the stomach's lamina propria, explaining its inflammatory cell recruitment. This study provides morphologic evidence of H. pylori invasive capability using advanced microscopy techniques.
Area of Science:
- Gastroenterology
- Microbiology
- Pathology
Background:
- Helicobacter pylori infection is a major cause of gastritis and peptic ulcers.
- The mechanism by which H. pylori recruits inflammatory cells to the gastric mucosa is not fully understood.
- Previous studies have primarily focused on H. pylori presence on the mucosal surface.
Purpose of the Study:
- To investigate the invasive potential of Helicobacter pylori into the gastric lamina propria.
- To determine if H. pylori presence in the lamina propria correlates with gastric inflammation.
- To provide morphologic evidence of H. pylori's invasive capability.
Main Methods:
- Immunohistochemical staining (Warthin-Starry silver and immunoperoxidase) of 67 gastric biopsy specimens for H. pylori.
- Transmission electron microscopy (TEM) on one case to confirm findings.
- Statistical analysis to correlate H. pylori presence with inflammation levels.
Main Results:
- H. pylori was detected in the lamina propria of 30% (20/67) of gastric biopsy specimens using immunohistochemistry.
- Warthin-Starry silver stain alone failed to identify H. pylori in the lamina propria.
- TEM confirmed the presence of H. pylori within the lamina propria.
- Surface H. pylori presence was significantly associated with both active (P < .0001) and chronic (P < .0001) inflammation.
Conclusions:
- Helicobacter pylori can actively infiltrate the gastric lamina propria.
- This invasion provides a potential mechanism for H. pylori-induced inflammatory cell recruitment.
- Morphologic evidence supports H. pylori's invasive capability beyond the mucosal surface.
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