Serum levels of oxidative stress, IL-8, and pepsinogen I/II ratio in Helicobacter pylori and gastric cancer patients: potential diagnostic biomarkers

Abstract Background and aim Helicobacter pylori (H.pylori), a gram-negative bacterial pathogen associated with an increased risk of gastric cancer. This study investigates potential factors in the incidence of gastric cancer in patients with H.pylori, including oxidative stress, inflammatory biomark...

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Main Authors: Marwa Nasier-Hussain, Jaleel Najah Samanje, Khatere Mokhtari, Mohsen Nabi-Afjadi, Zeinab Fathi, Asieh Hoseini, Elham Bahreini
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Gastroenterology
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Online Access:https://doi.org/10.1186/s12876-024-03564-6
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author Marwa Nasier-Hussain
Jaleel Najah Samanje
Khatere Mokhtari
Mohsen Nabi-Afjadi
Zeinab Fathi
Asieh Hoseini
Elham Bahreini
author_facet Marwa Nasier-Hussain
Jaleel Najah Samanje
Khatere Mokhtari
Mohsen Nabi-Afjadi
Zeinab Fathi
Asieh Hoseini
Elham Bahreini
author_sort Marwa Nasier-Hussain
collection DOAJ
description Abstract Background and aim Helicobacter pylori (H.pylori), a gram-negative bacterial pathogen associated with an increased risk of gastric cancer. This study investigates potential factors in the incidence of gastric cancer in patients with H.pylori, including oxidative stress, inflammatory biomarkers, serum pepsinogens (PG) of I and II, and PG-I/PG-II ratio. Methods The study comprised individuals with Helicobacter pylori (H.pylori) infection, gastric cancer patients, and healthy individuals. Biochemical parameters such as FBS (fasting blood sugar), lipid profile, and liver and kidney functional factors were evaluated using colorimetric techniques. Oxidative markers such as total oxidant status (TOS) and malondialdehyde (MDA) were quantified through colorimetric methods. IL-8, PG-II, and PG-II levels were also determined using the ELISA technique. Results Individuals with H. pylori infection exhibited elevated levels of IL-8 (940.5 ± 249.7 vs. 603.4 ± 89.1 pg/ml, P < 0.0001) and oxidative species (5.47 ± 0.7 vs. 1.64 ± 0.7 nM, P < 0.05) compared to gastric cancer patients, who, despite having lower levels of IL-8 and oxidative species, showed higher levels of MDA. H.pylori patients exhibited significantly higher levels of PG-I (7.28 ± 2.1 vs. 2.61 ± 1.4 ng/ml, P < 0.001), PG-II (3.21 ± 1 vs. 2.6 ± 0.6 ng/ml, P < 0.001), and the PG-I/PG-II ratio (2.27 ± 1.2 vs. 1 ± 0.4, P < 0.001) compared to gastric cancer patients. The findings were substantiated using various data analysis platforms such as Gene Expression Profiling Interactive Analysis (GEPIA), UALCAN (The University of ALabama at Birmingham CANcer data analysis), cBioPortal, and TIMER (Tumor IMmune Estimation Resource). These parameters could serve as potential diagnostic biomarkers for screening and therapeutic interventions based on the cut-off values derived from ROC (receiver operating characteristic) curves for IL-8, PGI, PGII, and PGI/PGII across the three groups. Conclusions IL-8, PGI, PGII, and PGI/PGII parameters could serve as potential diagnostic markers for the screening and treatment of gastric conditions.
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spelling doaj-art-c9c08fb7a3e640a7a9da2327ea8cb2502025-01-05T12:32:03ZengBMCBMC Gastroenterology1471-230X2025-01-0125111710.1186/s12876-024-03564-6Serum levels of oxidative stress, IL-8, and pepsinogen I/II ratio in Helicobacter pylori and gastric cancer patients: potential diagnostic biomarkersMarwa Nasier-Hussain0Jaleel Najah Samanje1Khatere Mokhtari2Mohsen Nabi-Afjadi3Zeinab Fathi4Asieh Hoseini5Elham Bahreini6Department of Biochemistry, Faculty of Medicine, Iran University of Medical SciencesCollage of Health and Medical Technology, Middle Technical UniversityDepartment of Modern Biology, ACECR Institute of Higher Education (Isfahan Branch)Department of Biochemistry, Faculty of Biological Sciences, Tarbiat Modares UniversitySchool of Medicine, Tehran University of Medical SciencesRazi Drug Research Center, Iran University of Medical SciencesDepartment of Biochemistry, Faculty of Medicine, Iran University of Medical SciencesAbstract Background and aim Helicobacter pylori (H.pylori), a gram-negative bacterial pathogen associated with an increased risk of gastric cancer. This study investigates potential factors in the incidence of gastric cancer in patients with H.pylori, including oxidative stress, inflammatory biomarkers, serum pepsinogens (PG) of I and II, and PG-I/PG-II ratio. Methods The study comprised individuals with Helicobacter pylori (H.pylori) infection, gastric cancer patients, and healthy individuals. Biochemical parameters such as FBS (fasting blood sugar), lipid profile, and liver and kidney functional factors were evaluated using colorimetric techniques. Oxidative markers such as total oxidant status (TOS) and malondialdehyde (MDA) were quantified through colorimetric methods. IL-8, PG-II, and PG-II levels were also determined using the ELISA technique. Results Individuals with H. pylori infection exhibited elevated levels of IL-8 (940.5 ± 249.7 vs. 603.4 ± 89.1 pg/ml, P < 0.0001) and oxidative species (5.47 ± 0.7 vs. 1.64 ± 0.7 nM, P < 0.05) compared to gastric cancer patients, who, despite having lower levels of IL-8 and oxidative species, showed higher levels of MDA. H.pylori patients exhibited significantly higher levels of PG-I (7.28 ± 2.1 vs. 2.61 ± 1.4 ng/ml, P < 0.001), PG-II (3.21 ± 1 vs. 2.6 ± 0.6 ng/ml, P < 0.001), and the PG-I/PG-II ratio (2.27 ± 1.2 vs. 1 ± 0.4, P < 0.001) compared to gastric cancer patients. The findings were substantiated using various data analysis platforms such as Gene Expression Profiling Interactive Analysis (GEPIA), UALCAN (The University of ALabama at Birmingham CANcer data analysis), cBioPortal, and TIMER (Tumor IMmune Estimation Resource). These parameters could serve as potential diagnostic biomarkers for screening and therapeutic interventions based on the cut-off values derived from ROC (receiver operating characteristic) curves for IL-8, PGI, PGII, and PGI/PGII across the three groups. Conclusions IL-8, PGI, PGII, and PGI/PGII parameters could serve as potential diagnostic markers for the screening and treatment of gastric conditions.https://doi.org/10.1186/s12876-024-03564-6Helicobacter pyloriOxidative stressGastric cancerPepsinogen-IPepsinogen-I, PG-I/PG-II interleukin-8
spellingShingle Marwa Nasier-Hussain
Jaleel Najah Samanje
Khatere Mokhtari
Mohsen Nabi-Afjadi
Zeinab Fathi
Asieh Hoseini
Elham Bahreini
Serum levels of oxidative stress, IL-8, and pepsinogen I/II ratio in Helicobacter pylori and gastric cancer patients: potential diagnostic biomarkers
BMC Gastroenterology
Helicobacter pylori
Oxidative stress
Gastric cancer
Pepsinogen-I
Pepsinogen-I, PG-I/PG-II interleukin-8
title Serum levels of oxidative stress, IL-8, and pepsinogen I/II ratio in Helicobacter pylori and gastric cancer patients: potential diagnostic biomarkers
title_full Serum levels of oxidative stress, IL-8, and pepsinogen I/II ratio in Helicobacter pylori and gastric cancer patients: potential diagnostic biomarkers
title_fullStr Serum levels of oxidative stress, IL-8, and pepsinogen I/II ratio in Helicobacter pylori and gastric cancer patients: potential diagnostic biomarkers
title_full_unstemmed Serum levels of oxidative stress, IL-8, and pepsinogen I/II ratio in Helicobacter pylori and gastric cancer patients: potential diagnostic biomarkers
title_short Serum levels of oxidative stress, IL-8, and pepsinogen I/II ratio in Helicobacter pylori and gastric cancer patients: potential diagnostic biomarkers
title_sort serum levels of oxidative stress il 8 and pepsinogen i ii ratio in helicobacter pylori and gastric cancer patients potential diagnostic biomarkers
topic Helicobacter pylori
Oxidative stress
Gastric cancer
Pepsinogen-I
Pepsinogen-I, PG-I/PG-II interleukin-8
url https://doi.org/10.1186/s12876-024-03564-6
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