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Published on: June 18, 2016
Organ-specific autoantibodies in children with Helicobacter pylori infection
Graziella Guariso1, Francesca Brotto, Daniela Basso
1Department of Pediatrics, University of Padua, Italy. guariso@pediatria.unipd.it
Insights
Children with Helicobacter pylori infection show higher rates of organ-specific autoantibodies, particularly gastric autoantibodies. This finding suggests a potential link between H. pylori and the development of autoimmune conditions in childhood.
Area of Science:
- Pediatric Gastroenterology
- Immunology
- Infectious Diseases
Background:
- Helicobacter pylori (H. pylori) infection is common in children.
- The association between H. pylori and autoimmune conditions is not fully understood.
- Organ-specific autoantibodies may indicate an increased risk for autoimmune diseases.
Purpose of the Study:
- To compare the prevalence of organ-specific autoantibodies in H. pylori-infected children versus H. pylori-negative children.
- To investigate the relationship between autoantibodies and target organ status in children.
- To explore the potential role of H. pylori infection in triggering autoimmune responses.
Main Methods:
- A cohort of 124 children with dyspepsia was studied, divided into H. pylori-positive (56) and H. pylori-negative (68) groups.
- Sera were tested for various organ-specific autoantibodies, including parietal cell autoantibodies (PCA) and intrinsic factor autoantibodies (IFA).
- Gastric autoantibodies, H. pylori status, and histological features were analyzed.
Main Results:
- Organ-specific autoantibodies were significantly more frequent in H. pylori-infected children (p < .0001).
- Gastric autoantibodies, specifically PCA and IFA, were notably higher in the H. pylori-positive group (p = .0004).
- The presence of autoantibodies was not linked to clinical or biohumoral signs of disease.
Conclusions:
- Childhood H. pylori infection is associated with an increased prevalence of organ-specific autoantibodies.
- These autoantibodies appear in the absence of overt clinical or biohumoral disease markers.
- H. pylori infection in childhood may be a trigger for autoimmune gastritis and other autoimmune diseases.
Background:
We compared the prevalence of organ-specific autoantibodies in a group of Helicobacter pylori infected children and a group of uninfected children and investigated the relationship between the presence of relevant autoantibodies and the status of the target organs.
Patients And Methods:
One hundred and twenty-four children with dyspepsia (54 boys, 70 girls; mean age 10.5 years; range 4-19) underwent gastroscopy: 56 had H. pylori infection (31 girls, 25 boys), while 68 (37 girls and 31 boys), were H. pylori-negative. All sera were tested for the presence of: parietal cell autoantibodies (PCA), intrinsic factor autoantibodies (IFA), microsomial autoantibodies, thyroglobulin autoantibodies, islet cell autoantibodies, glutamic acid decarboxylase autoantibodies, adrenal cortex autoantibodies, steroid-producing cell autoantibodies; gastrin, pepsinogen A, pepsinogen C and anti-H. pylori antibodies. The histological features and the ureA and cagA genes were also considered.
Results:
The frequency of organ-specific autoantibodies was higher in patients with H. pylori infection than in uninfected patients (chi2-test p < .0001). Specifically gastric autoantibodies were significantly higher: seven of the 56 H. pylori-positive children were PCA-positive and one was IFA-positive (chi2-test p = .0004). The presence of autoantibodies was not associated with any clinical or biohumoral signs of disease.
Conclusions:
Our study detected a relationship between H. pylori infection in childhood and the presence of organ-specific autoantibodies unassociated with any clinical or biohumoral signs of disease. Helicobacter pylori infection in childhood could trigger the onset of clinical autoimmune gastritis, and/or other clinical autoimmune diseases.
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