Seroprevalence of Helicobacter pylori in Central-European uraemic patients and its possible association with presence of HLA-DR12 allele

OBJECTIVESRenal disease at any stage is often accompanied by significant gastrointestinal symptoms, and Helicobacter pylori (H. pylori) is closely related to these disorders. A debate is still ongoing on the clinical significance of coexisting uraemia and H. pylori. HLA-class II genes have been repe...

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Veröffentlicht in:European journal of gastroenterology & hepatology 2008-09, Vol.20 (9), p.906-911, Article 906
Hauptverfasser: Telkes, Gábor, Rajczy, Katalin, Varga, Marina, Péter, Antal, Tulassay, Zsolt
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container_issue 9
container_start_page 906
container_title European journal of gastroenterology & hepatology
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creator Telkes, Gábor
Rajczy, Katalin
Varga, Marina
Péter, Antal
Tulassay, Zsolt
description OBJECTIVESRenal disease at any stage is often accompanied by significant gastrointestinal symptoms, and Helicobacter pylori (H. pylori) is closely related to these disorders. A debate is still ongoing on the clinical significance of coexisting uraemia and H. pylori. HLA-class II genes have been repeatedly investigated for predisposition to H. pylori infection. The aim of our work was to evaluate the infection rate among uraemic patients, and study the relationship between HLA antigens and H. pylori serologic status in the same cohort. MATERIALS AND METHODSData of 709 uraemic patients were collected and analyzed from 2001–2006. 58.7% of patients were male, 41.3% were female, mean age was 45.1 years (SD±14.65). Microlymphocytotoxicity assay was used for typing of HLA class I, PCR-SSP for typing HLA class II alleles and enzyme immunofluorescency for specific H. pylori IgG. RESULTSOf 709 patients, 49.37% were seropositive for H. pylori. Age of H. pylori positive patients was 48.9 versus 41 years of negatives (P
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A debate is still ongoing on the clinical significance of coexisting uraemia and H. pylori. HLA-class II genes have been repeatedly investigated for predisposition to H. pylori infection. The aim of our work was to evaluate the infection rate among uraemic patients, and study the relationship between HLA antigens and H. pylori serologic status in the same cohort. MATERIALS AND METHODSData of 709 uraemic patients were collected and analyzed from 2001–2006. 58.7% of patients were male, 41.3% were female, mean age was 45.1 years (SD±14.65). Microlymphocytotoxicity assay was used for typing of HLA class I, PCR-SSP for typing HLA class II alleles and enzyme immunofluorescency for specific H. pylori IgG. RESULTSOf 709 patients, 49.37% were seropositive for H. pylori. Age of H. pylori positive patients was 48.9 versus 41 years of negatives (P&lt;0.0001). Prevalence of H. pylori decreased strongly with year of birth. Significant difference was observed in the occurrence of HLA-DR12 according to H. pylori serology. Of patients carrying DR12, 27 (73%) were H. pylori positive and 10 (27%) were negative [P=0.0037; risk ratios (RR)2.76]. CONCLUSIONH. pylori infection rate and its decrease with year of birth was the same in the uraemic patients and in the normal population, according to specific prevalence figures. Frequency of HLA-DR12 was the same as in the general population; consequently, it might be a possible risk factor for H. pylori seropositivity, at least in a Central-European population.</description><identifier>ISSN: 0954-691X</identifier><identifier>EISSN: 1473-5687</identifier><identifier>DOI: 10.1097/MEG.0b013e3282f824d9</identifier><identifier>PMID: 18794605</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Alleles ; Bacterial diseases ; Bacterial diseases of the digestive system and abdomen ; Biological and medical sciences ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gene Frequency ; Genetic Predisposition to Disease ; Helicobacter Infections - complications ; Helicobacter Infections - epidemiology ; Helicobacter Infections - genetics ; Helicobacter pylori ; HLA-DR Antigens - genetics ; HLA-DR Serological Subtypes ; Human bacterial diseases ; Humans ; Hungary - epidemiology ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Nephropathies. Renovascular diseases. Renal failure ; Opportunistic Infections - complications ; Opportunistic Infections - epidemiology ; Opportunistic Infections - genetics ; Renal failure ; Seroepidemiologic Studies ; Uremia - complications ; Uremia - epidemiology ; Uremia - genetics ; Young Adult</subject><ispartof>European journal of gastroenterology &amp; hepatology, 2008-09, Vol.20 (9), p.906-911, Article 906</ispartof><rights>2008 Lippincott Williams &amp; Wilkins, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3804-a417bcea293b38021b625d9da5cf8dd11d5e3956fc55b6153b7b258c0775bb193</citedby><cites>FETCH-LOGICAL-c3804-a417bcea293b38021b625d9da5cf8dd11d5e3956fc55b6153b7b258c0775bb193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20578110$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18794605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Telkes, Gábor</creatorcontrib><creatorcontrib>Rajczy, Katalin</creatorcontrib><creatorcontrib>Varga, Marina</creatorcontrib><creatorcontrib>Péter, Antal</creatorcontrib><creatorcontrib>Tulassay, Zsolt</creatorcontrib><title>Seroprevalence of Helicobacter pylori in Central-European uraemic patients and its possible association with presence of HLA-DR12 allele</title><title>European journal of gastroenterology &amp; hepatology</title><addtitle>Eur J Gastroenterol Hepatol</addtitle><description>OBJECTIVESRenal disease at any stage is often accompanied by significant gastrointestinal symptoms, and Helicobacter pylori (H. pylori) is closely related to these disorders. A debate is still ongoing on the clinical significance of coexisting uraemia and H. pylori. HLA-class II genes have been repeatedly investigated for predisposition to H. pylori infection. The aim of our work was to evaluate the infection rate among uraemic patients, and study the relationship between HLA antigens and H. pylori serologic status in the same cohort. MATERIALS AND METHODSData of 709 uraemic patients were collected and analyzed from 2001–2006. 58.7% of patients were male, 41.3% were female, mean age was 45.1 years (SD±14.65). Microlymphocytotoxicity assay was used for typing of HLA class I, PCR-SSP for typing HLA class II alleles and enzyme immunofluorescency for specific H. pylori IgG. RESULTSOf 709 patients, 49.37% were seropositive for H. pylori. Age of H. pylori positive patients was 48.9 versus 41 years of negatives (P&lt;0.0001). Prevalence of H. pylori decreased strongly with year of birth. Significant difference was observed in the occurrence of HLA-DR12 according to H. pylori serology. Of patients carrying DR12, 27 (73%) were H. pylori positive and 10 (27%) were negative [P=0.0037; risk ratios (RR)2.76]. CONCLUSIONH. pylori infection rate and its decrease with year of birth was the same in the uraemic patients and in the normal population, according to specific prevalence figures. Frequency of HLA-DR12 was the same as in the general population; consequently, it might be a possible risk factor for H. pylori seropositivity, at least in a Central-European population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Alleles</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gene Frequency</subject><subject>Genetic Predisposition to Disease</subject><subject>Helicobacter Infections - complications</subject><subject>Helicobacter Infections - epidemiology</subject><subject>Helicobacter Infections - genetics</subject><subject>Helicobacter pylori</subject><subject>HLA-DR Antigens - genetics</subject><subject>HLA-DR Serological Subtypes</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Hungary - epidemiology</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>Opportunistic Infections - complications</subject><subject>Opportunistic Infections - epidemiology</subject><subject>Opportunistic Infections - genetics</subject><subject>Renal failure</subject><subject>Seroepidemiologic Studies</subject><subject>Uremia - complications</subject><subject>Uremia - epidemiology</subject><subject>Uremia - genetics</subject><subject>Young Adult</subject><issn>0954-691X</issn><issn>1473-5687</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUctu1DAUtRCITgt_gJA3sEvxM47ZVdNpizQIiYfELrKdG43BEwc7YdQ_6GfXbaMidcPCurLvOfdcn4PQG0pOKdHqw-fN5SmxhHLgrGF9w0Snn6EVFYpXsm7Uc7QiWoqq1vTnETrO-RchVHGqXqIj2igtaiJX6OYbpDgm-GsCDA5w7PEVBO-iNW6ChMfrEJPHfsBrGKZkQrWZCwHMgOdkYO8dHs3kSy9jM3TYlzrGnL0NgE3O0fnSjgM--GmHi1B-lNmeVedfKcMmBAjwCr3oTcjweqkn6MfF5vv6qtp-ufy0PttWjjdEVEZQZR0YprktD4zamslOd0a6vuk6SjsJXMu6d1LamkpulWWycUQpaS3V_AS9f5g7pvhnhjy1e58dhGAGiHNu6-IZF5IVoHgAulT-k6Bvx-T3Jl23lLR3CbQlgfZpAoX2dpk_2z10_0iL5QXwbgGY7Ezokxmcz484RqRqKCUF9_GJvvPTvZclBh_-t8Wy_CGGEmP-HeYDpHYHJky7lhAimOKqYoQ0RJdrVQ4V_Bb7qrO7</recordid><startdate>200809</startdate><enddate>200809</enddate><creator>Telkes, Gábor</creator><creator>Rajczy, Katalin</creator><creator>Varga, Marina</creator><creator>Péter, Antal</creator><creator>Tulassay, Zsolt</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200809</creationdate><title>Seroprevalence of Helicobacter pylori in Central-European uraemic patients and its possible association with presence of HLA-DR12 allele</title><author>Telkes, Gábor ; Rajczy, Katalin ; Varga, Marina ; Péter, Antal ; Tulassay, Zsolt</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3804-a417bcea293b38021b625d9da5cf8dd11d5e3956fc55b6153b7b258c0775bb193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Alleles</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the digestive system and abdomen</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gene Frequency</topic><topic>Genetic Predisposition to Disease</topic><topic>Helicobacter Infections - complications</topic><topic>Helicobacter Infections - epidemiology</topic><topic>Helicobacter Infections - genetics</topic><topic>Helicobacter pylori</topic><topic>HLA-DR Antigens - genetics</topic><topic>HLA-DR Serological Subtypes</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Hungary - epidemiology</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephropathies. Renovascular diseases. Renal failure</topic><topic>Opportunistic Infections - complications</topic><topic>Opportunistic Infections - epidemiology</topic><topic>Opportunistic Infections - genetics</topic><topic>Renal failure</topic><topic>Seroepidemiologic Studies</topic><topic>Uremia - complications</topic><topic>Uremia - epidemiology</topic><topic>Uremia - genetics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Telkes, Gábor</creatorcontrib><creatorcontrib>Rajczy, Katalin</creatorcontrib><creatorcontrib>Varga, Marina</creatorcontrib><creatorcontrib>Péter, Antal</creatorcontrib><creatorcontrib>Tulassay, Zsolt</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of gastroenterology &amp; hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Telkes, Gábor</au><au>Rajczy, Katalin</au><au>Varga, Marina</au><au>Péter, Antal</au><au>Tulassay, Zsolt</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Seroprevalence of Helicobacter pylori in Central-European uraemic patients and its possible association with presence of HLA-DR12 allele</atitle><jtitle>European journal of gastroenterology &amp; hepatology</jtitle><addtitle>Eur J Gastroenterol Hepatol</addtitle><date>2008-09</date><risdate>2008</risdate><volume>20</volume><issue>9</issue><spage>906</spage><epage>911</epage><pages>906-911</pages><artnum>906</artnum><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>OBJECTIVESRenal disease at any stage is often accompanied by significant gastrointestinal symptoms, and Helicobacter pylori (H. pylori) is closely related to these disorders. A debate is still ongoing on the clinical significance of coexisting uraemia and H. pylori. HLA-class II genes have been repeatedly investigated for predisposition to H. pylori infection. The aim of our work was to evaluate the infection rate among uraemic patients, and study the relationship between HLA antigens and H. pylori serologic status in the same cohort. MATERIALS AND METHODSData of 709 uraemic patients were collected and analyzed from 2001–2006. 58.7% of patients were male, 41.3% were female, mean age was 45.1 years (SD±14.65). Microlymphocytotoxicity assay was used for typing of HLA class I, PCR-SSP for typing HLA class II alleles and enzyme immunofluorescency for specific H. pylori IgG. RESULTSOf 709 patients, 49.37% were seropositive for H. pylori. Age of H. pylori positive patients was 48.9 versus 41 years of negatives (P&lt;0.0001). Prevalence of H. pylori decreased strongly with year of birth. Significant difference was observed in the occurrence of HLA-DR12 according to H. pylori serology. Of patients carrying DR12, 27 (73%) were H. pylori positive and 10 (27%) were negative [P=0.0037; risk ratios (RR)2.76]. CONCLUSIONH. pylori infection rate and its decrease with year of birth was the same in the uraemic patients and in the normal population, according to specific prevalence figures. Frequency of HLA-DR12 was the same as in the general population; consequently, it might be a possible risk factor for H. pylori seropositivity, at least in a Central-European population.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>18794605</pmid><doi>10.1097/MEG.0b013e3282f824d9</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Alleles
Bacterial diseases
Bacterial diseases of the digestive system and abdomen
Biological and medical sciences
Child
Child, Preschool
Cross-Sectional Studies
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gene Frequency
Genetic Predisposition to Disease
Helicobacter Infections - complications
Helicobacter Infections - epidemiology
Helicobacter Infections - genetics
Helicobacter pylori
HLA-DR Antigens - genetics
HLA-DR Serological Subtypes
Human bacterial diseases
Humans
Hungary - epidemiology
Infectious diseases
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Opportunistic Infections - complications
Opportunistic Infections - epidemiology
Opportunistic Infections - genetics
Renal failure
Seroepidemiologic Studies
Uremia - complications
Uremia - epidemiology
Uremia - genetics
Young Adult
title Seroprevalence of Helicobacter pylori in Central-European uraemic patients and its possible association with presence of HLA-DR12 allele
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