Gøbel Rikke, Symonds Erin L, Kritas Stawatiki, Butler Ross N, Tran Coung Duy
Gastroenterology Unit, Children, Youth and Women's Health Service, North Adelaide, SA, Australia.
Helicobacter. 2006 Dec;11(6):529-32. doi: 10.1111/j.1523-5378.2006.00455.x.
The role of Helicobacter pylori infection in iron deficiency during pregnancy is limited. The aim of the present study was to assess the relationship between Helicobacter infection and levels of iron stores in pregnant mice.
Female C57BL/6 mice were either inoculated with 10(8) H. pylori, Helicobacter felis or water. In the nonpregnant study, 15 mice from each group were sacrificed after 4 and 20 weeks of infection. In the pregnancy study, after 6 weeks of infection all female mice were mated and approximately 2 weeks after mating, half of the pregnant mice (n = 9/group) from each group were sacrificed. The remaining mice were allowed to give birth, and approximately 4 weeks after birth, mice were asphyxiated with CO2, followed by heart puncture, and killed by cervical dislocation. Serum ferritin and iron were determined with a micro-particle enzyme immunoassay method and by a timed-endpoint method.
Serum iron levels in mice infected with H. felis were significantly (p < .05) lowered compared to control (24%) and H. pylori (27%)-infected mice at 4 weeks of infection. Serum iron in the control, H. pylori and H. felis groups were significantly (p < .05) elevated at 20 weeks by 39, 26 and 77%, respectively, compared to 4 weeks of infection. H. felis-infected mice had a significantly (p < .05) decreased serum ferritin level during pregnancy (61%) compared to H. pylori-infected mice.
These results suggest that H. felis but not H. pylori infection causes an acute iron deficiency in normal and pregnant mice.
幽门螺杆菌感染在孕期缺铁中所起的作用有限。本研究旨在评估幽门螺杆菌感染与妊娠小鼠铁储备水平之间的关系。
将雌性C57BL/6小鼠分别接种10⁸幽门螺杆菌、猫幽门螺杆菌或水。在非妊娠研究中,每组15只小鼠在感染4周和20周后处死。在妊娠研究中,感染6周后所有雌性小鼠进行交配,交配后约2周,每组一半的妊娠小鼠(每组n = 9)处死。其余小鼠分娩,出生后约4周,小鼠用二氧化碳窒息,然后心脏穿刺,通过颈椎脱臼处死。采用微粒子酶免疫测定法和定时终点法测定血清铁蛋白和铁。
感染猫幽门螺杆菌的小鼠在感染4周时,血清铁水平与对照组(降低24%)和感染幽门螺杆菌的小鼠(降低27%)相比显著降低(p < 0.05)。与感染4周相比,对照组、幽门螺杆菌组和猫幽门螺杆菌组在20周时血清铁分别显著升高(p < 0.05),升高幅度分别为39%、26%和77%。与感染幽门螺杆菌的小鼠相比,感染猫幽门螺杆菌的小鼠在孕期血清铁蛋白水平显著降低(61%,p < 0.05)。
这些结果表明,感染猫幽门螺杆菌而非幽门螺杆菌会导致正常和妊娠小鼠出现急性缺铁。