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Updated: Oct 3, 2025

Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
Targeting and killing the Ever-Challenging ulcer bug
Daniela Lopes-de-Campos1, Catarina Leal Seabra2, Rita M Pinto1
1LAQV, REQUIMTE, Departamento de Ciencias Químicas, Faculdade de Farmacia, Universidade do Porto, Portugal.
Abstract:
TreatingHelicobacter pylori(H. pylori) infections has been a never-ending challenge, which has contributed to the high incidence of gastric cancer. The antibiotics commonly used are not reaching the infection site in its active state and in a concentration high enough to effectively kill the bacteria. In this context, amoxicillin-loaded lipid nanoparticles with carefully chosen materials were developed, namely dioleoylphosphatidylethanolamine (DOPE) as a targeting agent and Tween®80 and linolenic acid as antimicrobial agents. This work shows the ability of these nanoparticles in (i) targeting the bacteria (imaging flow cytometry) and inhibiting their adhesion to MKN-74 cells (bacteria-gastric cells adhesion model); (ii) killing the bacteria even as an antibiotic-free strategy (time-kill kineticstudies, scanning electron microscopy, and bacterial membrane permeability studies); (iii)overcoming gastrointestinal features using a newly developedin vitroinfection model that includes both physical (epithelial cells and mucus) and the chemical (acid medium) barriers; and in (iv) being incorporated in a floating system that can increase the retention time at the stomach. Overall, this work presents an effective nanosystem to deal with the ulcer-bug. Besides, it also provides two innovative tools transferable to other fields-anin vitroinfection model and a floating system to incorporate nanoparticles.
Insights
Novel amoxicillin-loaded lipid nanoparticles effectively target and eliminate Helicobacter pylori infections. This advanced nanosystem overcomes gastrointestinal barriers and enhances stomach retention, offering a promising strategy against the ulcer-causing bacteria.
Area of Science:
- Nanotechnology
- Microbiology
- Gastroenterology
Background:
- Helicobacter pylori infections are a persistent challenge, contributing to gastric cancer due to ineffective antibiotic delivery.
- Current treatments struggle to achieve adequate antibiotic concentrations at the infection site.
Purpose of the Study:
- To develop amoxicillin-loaded lipid nanoparticles for enhanced H. pylori treatment.
- To evaluate the nanoparticles' targeting, bacteria-killing, and gastrointestinal barrier-overcoming capabilities.
- To assess the potential of a stomach-retention floating system for nanoparticle delivery.
Main Methods:
- Development of lipid nanoparticles using DOPE, Tween®80, and linolenic acid.
- Evaluation of bacterial targeting and adhesion inhibition using imaging flow cytometry and cell models.
- Assessment of antibacterial efficacy through time-kill kinetics, SEM, and membrane permeability studies.
- Testing in a novel in vitro gastrointestinal infection model and incorporation into a floating system.
Main Results:
- Nanoparticles demonstrated effective bacterial targeting and inhibition of adhesion to gastric cells.
- An antibiotic-free strategy was shown to kill H. pylori, confirmed by membrane permeability studies.
- The nanosystem successfully overcame physical and chemical gastrointestinal barriers.
- Incorporation into a floating system increased potential stomach retention time.
Conclusions:
- The developed amoxicillin-loaded lipid nanoparticles represent an effective nanosystem for combating H. pylori infections.
- The study introduces innovative tools: an in vitro infection model and a nanoparticle-based floating system with broader applications.
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