Animesh SARKER, Tasnim AHMED, Marufa NASREEN, Rafiad ISLAM, Rezual ISLAM, Noor JAHAN

İnsan barsağında gastrodüedonal hastalıklara yol açan Heliccobacter pylori'nin kalıcı kolonizasyonu

Helicobacter pylori midenin epitelyal hücre hattında kolonize olan bir barsak bakterisi olup burada uzun süre sebat eder. Dünya nüfusunun yaklaşık üçte ikisi H. pylori ile enfektedir ve ülserlerin % 90'ından fazlasının etkenidir. Devamlı enflamasyonun gelişmesi kronik gastritin başlıca sebebidir ve nihai olarak mide kanseri olarak bilinen ciddi sonuçlara yol açabilir. Mide karsinomu ile yakından ilişkili olan sitokine eşlik eden gen ürünü (cagA) ve vakuoleştirici toksin (vacA) en fazla araştırılan iki major virulans faktörüdür. Bu derlemede H. pylori'ye karşı konak immünitesi ve onların kurtulma mekanizmaları yoğun şekilde açıklandı. Gerçektende bir enfeksiyonun bağlanmasındaki moleküler mekanizmasını anlamak korunma için yeni stratejiler geliştirmede kritik öneme sahiptir.

Persistent colonization of Helicobacter pylori in human gut induces gastroduodenal diseases

Helicobacter pylori are gut bacteria colonize in the epithelial cell lining of the stomach and persist there for long duration. Around two-thirds of the world's populations are infected with H. pylori and cause more than 90 percent of ulcers. The development of persistent inflammation is the main cause of chronic gastritis that finally results in a severe consequence known as stomach cancer. Two major virulence factors cytotoxin-associated gene product (cagA) and the vacuolating toxin (vacA) are mostly investigated as their close association with gastric carcinoma. In this review, host immunity against H. pylori infection and their evasion mechanism are intensely explored. It is the fact, that understanding pin point molecular mechanisms of any infection is critical to develop novel strategies to prevent pertinent diseases. .J Microbiol Infect Dis 2014; 4(4): 170-176

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