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幽门螺杆菌表型与胃粘膜炎性细胞浸润的关系
引用本文:祝金泉,杨健民,钟杰.幽门螺杆菌表型与胃粘膜炎性细胞浸润的关系[J].江西医学检验,2009(1):19-22.
作者姓名:祝金泉  杨健民  钟杰
作者单位:南昌大学第一附属医院消化内科;
摘    要:目的探讨幽门螺杆菌(Helicobacter pylori,Hp)各表型与慢性胃炎的严重程度和慢性活动性胃炎的关系。方法经胃镜及组织学检查确诊为慢性胃炎115例。按中华医学会制定的标准确定Hp感染阳性85例,阴性30例。用免疫印迹法检测Hp细胞毒素相关蛋白(CagA)、空泡毒素(VacA)、尿素酶(Urease)及其亚型。用Updated Sydney System评价Hp相关性慢性胃炎中慢性炎症(CI)、多形核活动性(PA)组织学等级。结果①中重度CI组HP感染及128KDCagA、116KDCagA、95KDVacA、91KDVacA、30KDUreA表达比例显著高于轻度CI组(P〈0.05);②无PA组HP感染及95KDVacA、91KDVacA和30KDUreA表达比例明显低于有PA组僻〈0.05)。结论①HP128KDCagA,116KDCagA,95KDVacA,91KDVacA、30KDUreA是引起和加重慢性胃炎的重要因子;(2)HP95KDVacA、91KDVacA、30KDUreA可能是胃粘膜炎症急性活动及炎性细胞侵润的诱导因子。

关 键 词:幽门螺杆菌(HP)  慢性胃炎  表型

The relationship between Helicobacter pylori phenotypes and polymorphonuclear neutrophil activity in gastric mucosa
ZHU Jinquan,YANG Jianmin,ZHONG Jie.The relationship between Helicobacter pylori phenotypes and polymorphonuclear neutrophil activity in gastric mucosa[J].Jiangxi Journal of Medical Laboratory Sciences,2009(1):19-22.
Authors:ZHU Jinquan  YANG Jianmin  ZHONG Jie
Institution:ZHU Jinquan,YANG Jianmin,ZHONG Jie. Department of Gastroenterology,The First Af-filiated Hospital,Nangchang University,Nanchang 330006,China
Abstract:Objectives To evaluate the relationship between Helicobacter pylori phenotypes and polymorphonu-clear neutrophil activity (PA) in gastric mucosa, and study the effect of many virulent factors of H.pylori on gatric mucosal pathogenesis. Methods Of 115 subjects with or without H.pylori infection gastritis diagnosed by en-doscopy and histology, 85 subjects with H.pylori infection and 30 patients without H.pylori infection, were re-searched. According to the criterion made by Chinese Medical Association. Wester...
Keywords:Helicobacter pylori  Chronic gastritis  Phenotype  
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