Is there an oxidative stress in children with Helicobacter pylori infection?
Duran Arslan1, Kader Kose, Tahir E Patiroglu
1Department of Pediatric Gastroenterology, Faculty of Medicine, Erciyes University, Talas Yolu, 38039, Kayseri, Turkey. duran@erciyes.edu.tr
Insights
Helicobacter pylori (HP) infection in children increases oxidative stress, specifically malondialdehyde (MDA) in gastric tissue, contributing to tissue damage. Antioxidant enzyme superoxide dismutase (SOD) levels did not differ significantly between infected and non-infected children.
Area of Science:
- Pediatric Gastroenterology
- Oxidative Stress Research
- Microbiology
Background:
- Helicobacter pylori (HP) infection is prevalent in children globally.
- HP infection is associated with gastrointestinal inflammation and tissue damage.
- The role of oxidative stress in HP-related pediatric gastrointestinal pathology requires further elucidation.
Purpose of the Study:
- To evaluate oxidative stress markers in children with HP infection.
- To examine the relationship between oxidative stress and inflammatory parameters in pediatric HP infection.
- To assess the impact of HP eradication therapy on oxidative stress.
Main Methods:
- A cohort of 39 children undergoing upper gastrointestinal endoscopy were analyzed.
- Malondialdehyde (MDA) levels and superoxide dismutase (SOD) activity were measured in gastric tissue and erythrocytes.
- HP infection was confirmed histologically.
Main Results:
- HP-positive children exhibited elevated MDA levels in gastric tissue, indicating increased lipid peroxidation.
- No significant differences in MDA levels were found in erythrocytes between HP-positive and HP-negative children.
- SOD activity in gastric tissue and erythrocytes did not differ between groups; however, tissue SOD activity increased post-treatment.
Conclusions:
- Oxidative stress, evidenced by elevated MDA, plays a role in gastric tissue damage associated with HP infection in children.
- Antioxidant enzyme SOD levels were not significantly altered by HP infection itself, but showed a trend towards increase after treatment.
- Further research is needed to fully understand the complex interplay between HP infection, oxidative stress, and gastrointestinal pathology in pediatric populations.
Objective:
To investigate the status of oxidative stress in children with Helicobacter pylori (HP) infection and their relationship with inflammatory parameters.
Methods:
At the Pediatric Gastroenterology Department of Erciyes University, Kayseri, Turkey, between January 2004 to August 2005, 39 children undergoing upper gastrointestinal endoscopy were investigated for malondialdehyde (MDA) levels and superoxide dismutase (SOD) activity in gastric tissue and erythrocytes, and presence of HP infection by means of histology.
Results:
There is an increase of the oxidative stress parameter, MDA, in gastric tissue, but not in erythrocytes in HP (+) patients. The antioxidant enzyme, SOD, levels both in gastric tissue and erythrocytes were not different between HP (+) and HP (-) patients. In 8 HP infected children after treatment with an anti-HP regimen, no change was observed except for tissue SOD activity, which is increased after therapy. No correlation was observed between histological findings and tissue, and erythrocyte MDA levels and SOD activities.
Conclusion:
Oxidative stress has some role in tissue damage in HP infection in children.
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