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Updated: Aug 16, 2026

Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
Does eradication of Helicobacter pylori infection help normalize serum lipid and CRP levels?
Mehmet Kanbay1, Gürden Gür, Muammer Yücel
1Department of Internal Medicine, Baskent University Faculty of Medicine, Ankara, Turkey. drkanbay@yahoo.com
Insights
Eradicating Helicobacter pylori infection improved lipid profiles and reduced C-reactive protein (CRP) levels. This suggests H. pylori may be an independent risk factor for coronary artery disease.
Area of Science:
- Cardiology
- Gastroenterology
- Infectious Diseases
Background:
- The link between Helicobacter pylori infection and coronary artery disease risk factors remains unclear.
- Investigating the impact of H. pylori eradication on cardiovascular markers is crucial.
Purpose of the Study:
- To determine if eradicating H. pylori infection influences serum lipid levels and C-reactive protein (CRP).
- To assess H. pylori's role as a potential independent risk factor for coronary artery disease.
Main Methods:
- Seventy-eight H. pylori-positive patients received a 14-day eradication therapy.
- Serum total cholesterol, HDL, LDL, triglycerides, and CRP were measured pre- and post-treatment.
- Patients were divided into eradicated (Group A) and non-eradicated (Group B) groups.
Main Results:
- Group A (eradicated) showed significant decreases in CRP and increases in HDL levels (P < 0.05).
- No significant changes in LDL, total cholesterol, or triglycerides were observed in either group.
- Group B (non-eradicated) showed no significant changes in CRP or HDL levels.
Conclusions:
- H. pylori infection may negatively impact lipid metabolism, potentially increasing atherosclerosis risk.
- H. pylori eradication led to favorable changes in CRP and HDL, suggesting a link to cardiovascular health.
- H. pylori infection is proposed as an independent risk factor for coronary artery disease.
Abstract:
It is still unclear whether Helicobacter pylori infection is associated with risk factors for coronary artery disease. The aim of this study was to determine whether eradication of H. pylori infection affects serum lipid levels and C-reactive protein (CRP) levels. Seventy-eight patients who had H. pylori antigen positivity in their stools were enrolled. Clarithromycin, 1 g/day, amoxicillin, 2 g/day, and omeprazole, 40 mg/day, were given for 14 days. Serum total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglyceride (TG), and CRP were measured at baseline and 8 weeks after therapy. According to H. pylori stool antigen study after 8 weeks, individuals in whom H. pylori was eradicated were recruited as group A and those in whom H. pylori was not eradicated formed group B. Group A comprised 57 patients, and group B 21 patients. Patients in group A comprised 32 women and 25 men and their ages ranged from 35 to 59 years. Patients in group B included 13 women and 8 men, aged 32-61 years. No significant difference in LDL, TC, or TG serum levels were found between group A and group B. Although CRP and HDL serum levels were found to be the same before and after treatment in group B, CRP levels were found to decrease and HDL levels to increase significantly in group A (P < 0.05). We conclude that H. pylori infection may affect lipid metabolism in a way that could increase the risk of atherosclerosis. Thus H. pylori infection is an independent risk factor for coronary artery disease.
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