Characterizing antigenic determinants in Helicobacter pylori CagA capable of detecting serum antibodies in children

Min-Kyoung Shin1,2, Jin-Su Jun3, Soon-Wook Kwon1

  • 1Department of Microbiology, Gyeongsang National University School of Medicine, Jinju, Gyeongsangnam-do 52727, Korea.

Pathogens and Disease
|September 22, 2017
PubMed

Insights

This study identifies specific regions of the cytotoxin-associated gene A protein (CagA) that are useful for diagnosing Helicobacter pylori infection in children. These findings offer a promising new serological method for detecting H. pylori.

Area of Science:

  • Medical Microbiology
  • Immunology
  • Pediatric Gastroenterology

Background:

  • Helicobacter pylori infection is a common cause of gastric disorders.
  • Accurate diagnosis of H. pylori infection in children is crucial but challenging due to invasive methods.
  • Serological methods are preferred for pediatric diagnosis, necessitating the identification of suitable antigens.

Purpose of the Study:

  • To identify immunodominant regions of the cytotoxin-associated gene A protein (CagA) for H. pylori serodiagnosis in children.
  • To evaluate the diagnostic value of a partial recombinant CagA protein for detecting H. pylori infection.

Main Methods:

  • Subdividing CagA into 17 overlapping fragments for antigenic determinant analysis.
  • Immunoblot analysis using pooled serum from children with and without gastric symptoms.
  • Production of a partial recombinant CagA protein (683-749 amino acids) for serological testing.

Main Results:

  • Serum IgG reactivities were significantly higher (threefold) in children with gastric symptoms compared to those without.
  • Higher serum IgG reactivities correlated with stronger urease activity in gastric biopsies.
  • Identified specific epitope regions within CagA (683-749 amino acids) showing significant antigenicity.

Conclusions:

  • A partial recombinant CagA protein containing identified epitope regions is a valuable candidate antigen for H. pylori serodiagnosis in children.
  • This approach offers a non-invasive and potentially more accurate method for diagnosing H. pylori infection in pediatric populations.

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