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Author Spotlight: Detection and Treatment of Helicobacter pylori Infection
Published on: July 28, 2023
Correlation between expression of MMP-9 and MMP-3 in Helicobacter pylori infected patients with different
Nader Bagheri1, Marzieh Sadeghiani1, Ghorbanali Rahimian2
1Cellular and Molecular Research Center, Basic Health Sciences Institute, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Background And Study Aims:
Helicobacter pylori (H. pylori) has been implicated in the pathogenesis of most important gastro-duodenal diseases, such as gastritis, peptic ulcer disease (PUD) and gastric cancer. H. pylori upregulates the expression and activity of several matrix metalloproteinases (MMPs) in the gastric mucosa, but the role of MMP-3 and MMP-9 in infected patients with H. pylori have not been clearly defined yet. We examined mucosal MMP-3 and MMP-9 mRNA levels in gastric mucosa of H. pylori infected patients and evaluated the effects of virulence factors cagA and vacA allelic variants on these levels. We also determined correlation between mucosal MMP-3 and MMP-9 mRNA levels and types of disease.
Patients And Methods:
Total RNA was extracted from gastric biopsies of 50 H. pylori-infected patients and 50 H. pylori-negative patients. Mucosal MMP-3 and MMP-9 mRNA expression level in H. pylori-infected and non-infected gastric biopsies were determined by real time-polymerase chain reaction (PCR). Presence of vacA (vacuolating cytotoxin A) and cagA (cytotoxin associated gene A) virulence factors were evaluated using PCR.
Results:
The levels of MMP-3 in gastric mucosa were not different between H. pylori-positive and H. pylori-negative patients. There was no correlation between MMP-3 mRNA expression and virulence factor (cagA and vacA allelic variants) and the different types of disease (gastritis and PUD) in infected patients. But MMP-9 mRNA expression was significantly higher in biopsies of H. pylori-infected patients compared to H. pylori-negative patients. Also mucosal MMP-9 mRNA expression in H. pylori-infected patients was significantly associated with cagA status PUD.
Conclusion:
Our results suggest that MMP-9 might be involved in the pathogenesis of H. pylori. PUD could be associated with cag PAI-dependent MMP-9 upregulation.
Insights
Matrix metalloproteinase-9 (MMP-9) mRNA levels are elevated in Helicobacter pylori (H. pylori) infected patients, suggesting its role in H. pylori pathogenesis. Peptic ulcer disease may be linked to MMP-9 upregulation.
Area of Science:
- Gastroenterology
- Molecular Biology
- Pathogenesis Research
Background:
- Helicobacter pylori (H. pylori) infection is a major cause of gastro-duodenal diseases.
- The role of matrix metalloproteinases (MMPs), specifically MMP-3 and MMP-9, in H. pylori pathogenesis is not fully understood.
- Virulence factors like cagA and vacA may influence MMP expression in H. pylori-infected gastric mucosa.
Purpose of the Study:
- To investigate mucosal MMP-3 and MMP-9 mRNA levels in H. pylori-infected patients.
- To evaluate the impact of H. pylori virulence factors (cagA, vacA) on MMP-3 and MMP-9 expression.
- To determine the correlation between MMP levels and disease types (gastritis, peptic ulcer disease).
Main Methods:
- Gastric biopsies were collected from 50 H. pylori-infected and 50 H. pylori-negative individuals.
- Real-time PCR was used to quantify MMP-3 and MMP-9 mRNA expression levels.
- PCR analysis identified the presence of cagA and vacA virulence factors.
Main Results:
- MMP-3 mRNA levels did not differ significantly between H. pylori-positive and negative patients.
- MMP-3 expression showed no correlation with virulence factors or disease type.
- MMP-9 mRNA levels were significantly higher in H. pylori-infected patients compared to controls.
- MMP-9 expression was associated with cagA status and peptic ulcer disease in infected patients.
Conclusions:
- MMP-9 may play a significant role in the pathogenesis of H. pylori infection.
- Upregulation of MMP-9, potentially dependent on the cag pathogenicity island (cag PAI), is associated with peptic ulcer disease in H. pylori-infected individuals.
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