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幽门螺杆菌感染降低食管鳞状细胞癌风险:伊朗的一项病例对照研究

Helicobacter pylori infection reduces the risk of esophageal squamous cell carcinoma: a case-control study in iran.

作者信息

Khoshbaten Manouchehr, Zadimani Ali, Bonyadi Mohammad Reza, Mohammadzadeh Mohammad, Gachkar Latif, Pourhoseingholi Mohamad Amin

机构信息

Infectious Disease Research Center, Iran.

出版信息

Asian Pac J Cancer Prev. 2011;12(1):149-51.

Abstract

BACKGROUND

Some studies have indicated a protective role of H.pylori against risk of esophageal squamous cell carcinoma (ESCC). The purpose of this study was to explore this possible relationship in a case-control study.

METHODS

One hundred consecutive patients diagnosed with ESCC and 100 healthy people were entered with informed consent. All were asked to provide a blood sample and serum immunoglobulin G (IgG) antibodies against HP-CSAs were measured with an enzyme-linked immunosorbent assay (ELISA).

RESULTS

There was significant reverse association between H. pylori positivity and tumour development (OR=0.28, 95% CI: 0.15-0.54), but not with a Cag A positive status.

CONCLUSION

Our findings provide further evidence that H. pylori infection decreases the risk of ESCC but that this is not linked to a Cag A positive status.

摘要

背景

一些研究表明幽门螺杆菌对食管鳞状细胞癌(ESCC)风险具有保护作用。本研究的目的是在一项病例对照研究中探讨这种可能的关系。

方法

100例连续诊断为ESCC的患者和100名健康人在获得知情同意后纳入研究。所有受试者均被要求提供血样,并采用酶联免疫吸附测定(ELISA)检测血清抗幽门螺杆菌细胞毒素相关蛋白A(HP-CSAs)免疫球蛋白G(IgG)抗体。

结果

幽门螺杆菌阳性与肿瘤发生之间存在显著的负相关(OR=0.28,95%可信区间:0.15-0.54),但与细胞毒素相关基因A(Cag A)阳性状态无关。

结论

我们的研究结果进一步证明,幽门螺杆菌感染可降低ESCC风险,但这与Cag A阳性状态无关。

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