Virulence Genes of Helicobacter pylori Increase the Risk of Premalignant Gastric Lesions in a Colombian Population

Background. Genetic variability of Helicobacter pylori is associated with various gastrointestinal diseases; however, little is known about interaction with sociodemographic in the development of premalignant lesions in Colombian patients. Methods. An analytical study was conducted including cases (...

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Main Authors: Yeison Carlosama-Rosero, Claudia Acosta-Astaiza, Carlos H. Sierra-Torres, H. Bolaños-Bravo, Andrés Quiroga-Quiroga, Juan Bonilla-Chaves
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Canadian Journal of Gastroenterology and Hepatology
Online Access:http://dx.doi.org/10.1155/2022/7058945
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author Yeison Carlosama-Rosero
Claudia Acosta-Astaiza
Carlos H. Sierra-Torres
H. Bolaños-Bravo
Andrés Quiroga-Quiroga
Juan Bonilla-Chaves
author_facet Yeison Carlosama-Rosero
Claudia Acosta-Astaiza
Carlos H. Sierra-Torres
H. Bolaños-Bravo
Andrés Quiroga-Quiroga
Juan Bonilla-Chaves
author_sort Yeison Carlosama-Rosero
collection DOAJ
description Background. Genetic variability of Helicobacter pylori is associated with various gastrointestinal diseases; however, little is known about interaction with sociodemographic in the development of premalignant lesions in Colombian patients. Methods. An analytical study was conducted including cases (patients with gastric atrophy, intestinal metaplasia, and gastric dysplasia) and controls (patients with nonatrophic gastritis). Sociodemographic information was obtained using a questionnaire. Histopathological diagnosis was performed according to the Sydney System. The cagA and vacA genotypes were established using polymerase chain reaction in paraffin blocks. The effect of each variable on the study outcome (premalignant lesion) is presented as odds ratio (OR) and 95% CI. A p value of <0.05 was considered as statistically significant. Results. The vacA/s1m1 genotype increases the risk of developing premalignant lesions of the stomach (OR: 3.05, 95% IC: 1.57–5.91, p=0.001). Age and educational level showed a positive interaction with the s1m1 genotype (adjusted OR: 3.68, 95% CI: 1.73–7.82, p=0.001). The cagA genotype was not correlated to the development of premalignant lesions of the stomach (OR: 1.32, 95% CI: 0.90–1.94, p=0.151). Conclusions. The vacA genotype, age, and educational level are indicators of the risk of developing premalignant lesions of the stomach in the study population. Significance Statement. Genetic variability of H. pylori and sociodemographic information could be used to predict the risk of premalignant lesions in stomach in Colombian population.
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spelling doaj-art-e3ef3b8be71d43e88c5e990544b8aa482025-08-20T03:26:34ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27972022-01-01202210.1155/2022/7058945Virulence Genes of Helicobacter pylori Increase the Risk of Premalignant Gastric Lesions in a Colombian PopulationYeison Carlosama-Rosero0Claudia Acosta-Astaiza1Carlos H. Sierra-Torres2H. Bolaños-Bravo3Andrés Quiroga-Quiroga4Juan Bonilla-Chaves5Interdisciplinary Research Group on Health and DiseaseHuman and Applied Genetics Research GroupHuman and Applied Genetics Research GroupHuman and Applied Genetics Research GroupHuman and Applied Genetics Research GroupHuman and Applied Genetics Research GroupBackground. Genetic variability of Helicobacter pylori is associated with various gastrointestinal diseases; however, little is known about interaction with sociodemographic in the development of premalignant lesions in Colombian patients. Methods. An analytical study was conducted including cases (patients with gastric atrophy, intestinal metaplasia, and gastric dysplasia) and controls (patients with nonatrophic gastritis). Sociodemographic information was obtained using a questionnaire. Histopathological diagnosis was performed according to the Sydney System. The cagA and vacA genotypes were established using polymerase chain reaction in paraffin blocks. The effect of each variable on the study outcome (premalignant lesion) is presented as odds ratio (OR) and 95% CI. A p value of <0.05 was considered as statistically significant. Results. The vacA/s1m1 genotype increases the risk of developing premalignant lesions of the stomach (OR: 3.05, 95% IC: 1.57–5.91, p=0.001). Age and educational level showed a positive interaction with the s1m1 genotype (adjusted OR: 3.68, 95% CI: 1.73–7.82, p=0.001). The cagA genotype was not correlated to the development of premalignant lesions of the stomach (OR: 1.32, 95% CI: 0.90–1.94, p=0.151). Conclusions. The vacA genotype, age, and educational level are indicators of the risk of developing premalignant lesions of the stomach in the study population. Significance Statement. Genetic variability of H. pylori and sociodemographic information could be used to predict the risk of premalignant lesions in stomach in Colombian population.http://dx.doi.org/10.1155/2022/7058945
spellingShingle Yeison Carlosama-Rosero
Claudia Acosta-Astaiza
Carlos H. Sierra-Torres
H. Bolaños-Bravo
Andrés Quiroga-Quiroga
Juan Bonilla-Chaves
Virulence Genes of Helicobacter pylori Increase the Risk of Premalignant Gastric Lesions in a Colombian Population
Canadian Journal of Gastroenterology and Hepatology
title Virulence Genes of Helicobacter pylori Increase the Risk of Premalignant Gastric Lesions in a Colombian Population
title_full Virulence Genes of Helicobacter pylori Increase the Risk of Premalignant Gastric Lesions in a Colombian Population
title_fullStr Virulence Genes of Helicobacter pylori Increase the Risk of Premalignant Gastric Lesions in a Colombian Population
title_full_unstemmed Virulence Genes of Helicobacter pylori Increase the Risk of Premalignant Gastric Lesions in a Colombian Population
title_short Virulence Genes of Helicobacter pylori Increase the Risk of Premalignant Gastric Lesions in a Colombian Population
title_sort virulence genes of helicobacter pylori increase the risk of premalignant gastric lesions in a colombian population
url http://dx.doi.org/10.1155/2022/7058945
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