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Updated: Jul 13, 2026

Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
[Helicobacter pylori detected in atheroma plaque]
G Ghirardi1, F Maldonado, L Guzmán
1Servicio de Anatomía Patológica y Departamento de Cardiologia, Hospital Córdoba, Córdoba, Argentina.
Insights
Helicobacter pylori infection was detected in over 40% of atherosclerotic plaques, suggesting a link between this bacterium and atherosclerosis. This finding highlights the potential role of H. pylori in cardiovascular disease development.
Area of Science:
- Cardiovascular Pathology
- Infectious Disease Research
- Immunohistochemistry
Background:
- Atherosclerosis and coronary illness (CI) are often linked to chronic inflammation and infection.
- Previous studies suggest a correlation between Helicobacter pylori infection and CI, particularly with virulent strains.
Purpose of the Study:
- To immunohistochemically detect the presence of H. pylori in atherosclerotic plaques from various vascular regions.
- To investigate the association between H. pylori and inflammatory cells within these plaques.
Main Methods:
- Analyzed 34 atherosclerotic plaques (25 male, 9 female) using immunohistochemistry (IHC).
- Tissues underwent formalin fixation, formic acid decalcification (if needed), paraffin embedding, and H&E staining.
- Employed a biotin-streptavidin-HRP-DAB IHC system with citrate-based antigen retrieval for H. pylori detection.
Main Results:
- Helicobacter pylori was identified in 14 out of 34 cases (41.17%).
- The detected bacteria were associated with chronic inflammatory cell infiltration within the plaques.
- Bacterial presence was observed in both the vascular wall and lumen.
Conclusions:
- The findings demonstrate the presence of H. pylori in a significant proportion of atherosclerotic plaques.
- This suggests a potential role for H. pylori infection in the pathogenesis of atherosclerosis.
- Further research is warranted to elucidate the mechanisms linking H. pylori to cardiovascular disease.
Introduction:
In general, infection and chronic inflammation have been implied as etiologic agents for atheroesclerosis and in particular coronary illness (CI). Several studies have correlated the infection of Helicobacter pylori with CI, especially with virulent strains (lineage Cag A).
Objective:
Demonstrate the immunohistochemical presence of H. Pylori in atheroscletotic plaques obtained from endarterectomy of different vascular regions.
Material And Methods:
34 atherosclerotic plaques of different vascular areas were studied, (25 men and 9 women). The tissues were fixed with 10% neutral buffered-formalin and decalcifying in formic acid 5% was used when necessary. The tissue sections were included in paraffin, cut and colored with H&E and subjected to Immunohistochemistry (IHC) of H. Pylori. Briefly, tissues were deparaffinized and thermally treated with a citrate-based solution of antigenic retrieval (ImmunoDNA Retriever with Citrate, BIO SB, Santa Barbara, CA) using a water bath at 95 degrees C for 1 hour. The IHC was conducted using a high sensitivity Biotin-Streptavidin-HRP-DAB IHC system (ImmunoDetector HRP/DAB, BIO SB). The microscopic observation evaluated the presence of mononuclear inflammatory cells and the identification of the bacteria in the wall or the vascular lumen.
Results:
Of the 34 cases studied 14 were positive, where one could identify the bacillus in their different forms (41,17%) associated with chronic inflammation.
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