, , and Genotypes from Peruvian Patients with Gastric Intestinal Metaplasia.

Cancers (Basel)

Laboratorio Centinela de Helicobacter pylori, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima 15024, Peru.

Published: April 2024


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Article Abstract

We explored the clinical-stage association of gastric intestinal metaplasia (IM) compared to cases of chronic non-atrophic gastritis (CNAG) and its relationship with virulence genotypes of () clinical isolates from patients with dyspepsia in Peru. This study was cross-sectional and included 158 clinical isolates; each isolate corresponded to a different Peruvian patient, genotyped by polymerase chain reaction to detect gene and EPIYA motifs, the gene (alleles , , , , , , , and subtypes , and ), the gene (alleles and ), and the gene (allele ). We observed that 38.6% presented with IM and that all clinical isolates were positive. The EPIYA-ABC motif was predominant (68.4%), and we observed a high frequency for the gene alleles (94.9%), (81.7%), (63.9%), and (70.9%). Strains with both alleles were also detected (69.6%) and 52.2% were positive. In addition, it was observed that the (PR: 2.42, 1.14 to 5.13, < 0.05) and (PR: 1.67, 1.13 to 2.45, < 0.01) genotypes were associated with IM. Our findings revealed the and risk genotypes predominance, and we provided clinically relevant associations between Peruvian patients with infection and IM clinical stage.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11047899PMC
http://dx.doi.org/10.3390/cancers16081476DOI Listing

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