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Updated: Dec 20, 2025

Author Spotlight: Detection and Treatment of Helicobacter pylori Infection
Published on: July 28, 2023
Application of 16S rRNA gene sequencing in Helicobacter pylori detection
Aleksander Szymczak1, Stanisław Ferenc2, Joanna Majewska1
1Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wrocław, Poland.
Abstract:
Helicobacter pylori is one of the major stomach microbiome components, promoting development of inflammation and gastric cancer in humans. H. pylori has a unique ability to transform into a coccoidal form which is difficult to detect by many diagnostic methods, such as urease activity detection, and even histopathological examination. Here we present a comparison of three methods for H. pylori identification: histological assessment (with eosin, hematoxylin, and Giemsa staining), polymerase chain reaction (PCR) detection of urease (ureA specific primers), and detection by 16S rRNA gene sequencing. The study employed biopsies from the antral part of the stomach (N = 40). All samples were assessed histologically which revealed H. pylori in eight patients. Bacterial DNA isolated from the bioptates was used as a template for PCR reaction and 16S rRNA gene sequencing that revealed H. pylori in 13 and in 20 patients, respectively. Thus, 16S rRNA gene sequencing was the most sensitive method for detection of H. pylori in stomach biopsy samples.
Insights
16S rRNA gene sequencing is the most sensitive method for detecting Helicobacter pylori in stomach biopsies. This bacterial species is linked to stomach inflammation and cancer, and its coccoidal form is hard to identify.
Area of Science:
- Microbiology
- Gastroenterology
- Molecular Diagnostics
Background:
- Helicobacter pylori is a key component of the stomach microbiome.
- H. pylori infection is associated with gastric inflammation and cancer.
- The bacterium can adopt a difficult-to-detect coccoidal form.
Purpose of the Study:
- To compare the sensitivity of three diagnostic methods for H. pylori detection.
- To evaluate histological assessment, PCR, and 16S rRNA gene sequencing.
Main Methods:
- Analysis of 40 stomach antral biopsy samples.
- Histological assessment using eosin, hematoxylin, and Giemsa staining.
- Polymerase chain reaction (PCR) targeting the ureA gene.
- 16S rRNA gene sequencing.
Main Results:
- Histology identified H. pylori in 8 out of 40 patients.
- PCR detected H. pylori in 13 out of 40 patients.
- 16S rRNA gene sequencing identified H. pylori in 20 out of 40 patients.
Conclusions:
- 16S rRNA gene sequencing demonstrated the highest sensitivity for H. pylori detection in stomach biopsies.
- Standard histological methods may underestimate H. pylori prevalence.
- Molecular methods like 16S rRNA sequencing offer improved diagnostic accuracy for H. pylori.
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