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.

Peerj
|May 23, 2020
PubMed

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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