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Updated: Jul 3, 2026

Mouse Models Of Helicobacter Infection And Gastric Pathologies
Published on: October 18, 2018
Potential relationship between Helicobacter pylori and ischemic heart disease: any pathogenic model?
M Berrutti1, R Pellicano, S Fagoonee
1Department of Gastro-Hepatology, S. Giovanni Battista Hospital (Molinette), Turin, Italy.
Insights
Helicobacter pylori (H. pylori) infection may contribute to ischemic heart disease (IHD) through indirect inflammatory pathways or direct effects on platelets. However, H. pylori is not the sole cause of IHD, necessitating a comprehensive approach.
Area of Science:
- Cardiology
- Gastroenterology
- Infectious Diseases
Background:
- Helicobacter pylori (H. pylori) is a known cause of gastroduodenal diseases.
- Emerging evidence links H. pylori infection to extragastric conditions, including ischemic heart disease (IHD).
Purpose of the Study:
- To explore the potential pathogenic mechanisms connecting H. pylori infection to the development of IHD.
- To evaluate the indirect and direct roles of H. pylori in IHD pathogenesis.
Main Methods:
- Review of existing literature on H. pylori and IHD.
- Analysis of proposed indirect mechanisms involving chronic inflammation and cytokine elevation.
- Consideration of direct mechanisms, such as H. pylori-induced platelet aggregation.
Main Results:
- Direct detection of H. pylori DNA in coronary arteries is rare, suggesting an indirect pathogenic pathway is more likely.
- Chronic H. pylori infection may lead to elevated bloodstream cytokine levels, contributing to inflammation associated with IHD.
- Certain H. pylori strains demonstrate the ability to induce platelet aggregation, potentially playing a role in acute IHD events.
Conclusions:
- Ischemic heart disease (IHD) is a multifactorial condition, and H. pylori is not the sole causative agent.
- Establishing H. pylori or other infections as definitive causes of IHD requires a multidisciplinary investigative approach.
Abstract:
Helicobacter pylori (H.pylori), causal agent of several gastroduodenal diseases, has been involved in diverse aspects of many extragastric manifestations, including ischemic heart disease (IHD). The present paper focuses on the potential pathogenic mechanisms relating H. pylori to IHD. Since H. pylori DNA has been detected in the coronary arteries only in sporadic occasions, and considering that long-term inflammation might raise cytokine levels in the bloodstream, an indirect pathway is more plausible. Moreover, the evidence that some strains of H. pylori induce platelet aggregation supports a role in the acute phase of IHD. In conclusion, because IHD is a multifactorial disease, it is evident that H. pylori is not the only cause. Thus, the definition of H. pylori or other infectious agents as culprits requires a multidisciplinary approach.
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