Serological response to Helicobacter pylori recombinant antigens in Chilean infected patients with duodenal ulcer, non-ulcer dyspepsia and gastric cancer

APMIS. 1999 Dec;107(12):1069-78.

Abstract

We have previously cloned 10 Helicobacter pylori antigen genes from a Chilean strain including: cytotoxin VacA, a truncated region of CagA (called A17), a species-specific protein (Ag26), urease subunits (UreA, UreB), a flagellin, (FlaB), heat shock proteins (HspA and HspB), an adhesin (HpaA) and a lipoprotein (Lpp20). Immunogenicity of these antigens was tested by immunoblot with sera of Chilean infected patients, revealing that HpaA, A17, HspB and VacA were more frequently recognized (86%, 82%, 68% and 68%, respectively). According to the clinical condition, it was determined that Lpp20 was preferentially recognized by sera from non-ulcer dyspepsia patients (80%), A17 and VacA by patients with duodenal ulcer (92% and 83% respectively), and HspB by patients with duodenal ulcer (83%) and gastric cancer (90%). An ELISA was developed with a purified mixture of A17 and VacA antigens to test the different groups of patients. It was found that sera from duodenal ulcer patients showed higher values than those from non-ulcer dyspepsia patients, but this difference was not significant (p<0.2). Moreover, sera from gastric cancer patients showed values lower than those from non-ulcer dyspepsia patients (p<0.019). These results indicate that, in the Chilean population, antibodies raised against VacA and A 7 are not markers either for duodenal ulcer or for gastric cancer.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antibodies, Bacterial / blood*
  • Antigens, Bacterial* / genetics
  • Bacterial Proteins / genetics
  • Bacterial Proteins / immunology
  • Biomarkers
  • Case-Control Studies
  • Chile
  • Duodenal Ulcer / complications
  • Duodenal Ulcer / immunology*
  • Dyspepsia / complications
  • Dyspepsia / immunology*
  • Enzyme-Linked Immunosorbent Assay
  • Escherichia coli / genetics
  • Genes, Bacterial
  • Heat-Shock Proteins / genetics
  • Heat-Shock Proteins / immunology
  • Helicobacter Infections / complications
  • Helicobacter Infections / immunology
  • Helicobacter pylori / genetics
  • Helicobacter pylori / immunology*
  • Humans
  • Recombinant Proteins / genetics
  • Recombinant Proteins / immunology
  • Stomach Neoplasms / complications
  • Stomach Neoplasms / immunology*

Substances

  • Antibodies, Bacterial
  • Antigens, Bacterial
  • Bacterial Proteins
  • Biomarkers
  • Heat-Shock Proteins
  • HspA protein, bacteria
  • HspB protein, Helicobacter pylori
  • Recombinant Proteins
  • VacA protein, Helicobacter pylori