Balli F, Pancaldi M E, Di Biase A R
Dipartimento di Scienze Ginecologiche, Ostetriche e Pediatriche, Università di Modena, Italia.
Pediatr Med Chir. 1998 Sep-Oct;20(5):323-8.
Infection by Helicobacter pylori (HP) occurs all over the world and is related to the socio-economic development of the subject's country of residence and age. Various strains of HP can be identified on the basis of the microbiological characteristics of the bacterium and, in particular, or its antigenic profile, while the virulence factors are responsible for the damage that HP can cause. The virulence factors include components (flagellum and adhesin) and substances produced by bacterium (enzymes and cytotoxins), the most important among which are urease and the cytotoxins, CagA and VacA. It is the association of these virulence factors that is responsible for the different pathologies to which HP-positive subjects are prone. The link between HP and gastritis, peptic ulcer and gastric cancers (adenocarcinoma and lymphoma) is now proven. Whether there is a link between HP and RAP in young children is still a matter for debate; some Authors claim that there is, while others refute it.
幽门螺杆菌(HP)感染在全球范围内均有发生,且与感染者所在国家的社会经济发展及年龄有关。基于该细菌的微生物学特征,尤其是其抗原谱,可以鉴定出多种HP菌株,而毒力因子则是造成HP所致损害的原因。毒力因子包括细菌的组成成分(鞭毛和黏附素)及产生的物质(酶和细胞毒素),其中最重要的是尿素酶以及细胞毒素CagA和VacA。正是这些毒力因子的组合导致了HP阳性个体易患的不同病理状况。目前已证实HP与胃炎、消化性溃疡及胃癌(腺癌和淋巴瘤)之间存在关联。HP与幼儿复发性腹痛(RAP)之间是否存在关联仍存在争议;一些作者认为存在关联,而另一些作者则予以反驳。