Jiménez Felix, Demaría José Luis, Ahumada Carlos, Nagel Alicia, Baroni María Rosa, Giugni María Cristina, Méndez Emilse
Sección gastroenterología, Hospital José María Cullen, Santa Fe, Republica Argentina.
Acta Gastroenterol Latinoam. 2004;34(1):16-20.
The early detection of anti-CagA antibodies in young adults would be of a great clinical impact in the prevention of gastric cancer. The aim of this study was to assess IgG and anti-CagA antibodies seroprevalence against Helicobacter pylori in our region using a non invasive technique, easy to perform an evaluating its relationship with different epidemiological risk factors. Four hundred and thirty-five volunteers with a mean age of forty years old from different health centers were included in this study. Demographic socieconomical and other data of interest were recorded. IgG and CagA antibodies against Helicobacter pylori were determined using an enzyme immunoassay technique. The prevalence of IgG antibodies was 52.2% being 152 in women (53.7%) and 75 in men (49%). These antibodies were showed in 65% of affected patients and 43.1% in asymptomatic carriers. The prevalence anti-CagA antibodies was 63.4% among seropositives (IgG) individuals corresponding to 33.1% of the total studied population. Ninety-six (33.9%) persons of this group were women an 48 (31.6%) were men. The prevalence was 45.4% and 25.7% in symptomatic an asymptomatic individuals, respectively. It was demonstrated that IgG antibodies were associated with age, area of residence, educational level reached and number of bedrooms in the house. The anti-CagA antibodies depend on area of residence and symptoms. The relation between the symptoms and the presence of anti-CagA antibodies shows the selective importance of clinical data in the gastric diseases associated with Helicobacter pylori.
在年轻成年人中早期检测抗CagA抗体对胃癌预防具有重大临床意义。本研究旨在使用一种非侵入性技术评估我们地区幽门螺杆菌的IgG和抗CagA抗体血清流行率,该技术易于操作并评估其与不同流行病学危险因素的关系。本研究纳入了来自不同健康中心的435名平均年龄为40岁的志愿者。记录了人口统计学、社会经济和其他相关数据。使用酶免疫测定技术测定幽门螺杆菌的IgG和CagA抗体。IgG抗体的流行率为52.2%,女性为152例(53.7%),男性为75例(49%)。这些抗体在65%的患病患者和43.1%的无症状携带者中出现。抗CagA抗体在血清阳性(IgG)个体中的流行率为63.4%,占总研究人群的33.1%。该组中96名(33.9%)为女性,48名(31.6%)为男性。在有症状和无症状个体中的流行率分别为45.4%和25.7%。结果表明,IgG抗体与年龄、居住地区、受教育程度和房屋卧室数量有关。抗CagA抗体取决于居住地区和症状。症状与抗CagA抗体存在之间的关系表明临床数据在与幽门螺杆菌相关的胃部疾病中的选择性重要性。