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Mouse Models Of Helicobacter Infection And Gastric Pathologies
Published on: October 18, 2018
Helicobacter pylori infection in gastric xanthomas: immunohistochemical analysis of 145 lesions
1Division of Diagnostic Pathology, Tokai University Hospital, Kanagawa, Japan.
Abstract:
A total of 145 paraffin-embedded biopsy samples of gastric xanthoma were analyzed for the localization of Helicobacter pylori (HP) antigens. By the indirect immunoperoxidase method using a polyclonal antibody, HP infection was identified on the surface of foveolar cells in 69 (48%) samples. In 38 (55%) of the 69 lesions, the HP antigens were demonstrated in the cytoplasm of xanthoma cells clustered in the actively inflamed lamina propria mucosae. Among the remaining 76 xanthoma lesions negative for HP infection on the epithelial surface, only eight (11%) showed the existence of HP antigens in the foamy histiocytes, and 39 (51%) revealed mild inflammatory change. Monoclonal antibody study using 75 specimens also gave a comparable result. Pre-embedding immuno-electron microscopy using paraffin sections revealed positively labeled rod-shaped bacteria both on the epithelial surface and in the phagosome of the xanthoma cells. These findings strongly suggest that some of the xanthoma lesions are provoked by lamina proprial invasion of surface-infected HP.
Insights
Helicobacter pylori (HP) infection was found on the surface of gastric foveolar cells in nearly half of gastric xanthoma samples. HP antigens were also detected within xanthoma cells, suggesting a link between HP and gastric xanthoma development.
Area of Science:
- Gastroenterology
- Pathology
- Microbiology
Background:
- Gastric xanthoma is a benign lesion of the stomach.
- The role of Helicobacter pylori (HP) in gastric xanthoma pathogenesis is not fully understood.
Purpose of the Study:
- To investigate the presence and localization of HP antigens in gastric xanthoma biopsy samples.
- To determine if HP infection is associated with the development of gastric xanthoma.
Main Methods:
- Analysis of 145 paraffin-embedded gastric xanthoma biopsy samples.
- Indirect immunoperoxidase staining using polyclonal and monoclonal antibodies to detect HP antigens.
- Immuno-electron microscopy to visualize bacteria within cells.
Main Results:
- HP infection was identified on the foveolar cell surface in 48% of samples.
- HP antigens were found in the cytoplasm of xanthoma cells in 55% of infected lesions.
- Immuno-electron microscopy confirmed HP presence on epithelial surfaces and within xanthoma cell phagosomes.
Conclusions:
- These findings suggest that HP infection may play a role in the pathogenesis of gastric xanthoma.
- Lamina propria invasion by surface-infected HP could provoke xanthoma formation.
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