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幽门弯曲菌、尿素酶、氢离子逆向弥散与胃溃疡

Campylobacter pyloridis, urease, hydrogen ion back diffusion, and gastric ulcers.

作者信息

Hazell S L, Lee A

出版信息

Lancet. 1986 Jul 5;2(8497):15-7. doi: 10.1016/s0140-6736(86)92561-4.

DOI:10.1016/s0140-6736(86)92561-4
PMID:2873317
Abstract

Campylobacter pyloridis, a bacterium implicated as the aetiological agent of gastritis and possibly gastric ulcers, has a very high urease activity. The rapid hydrolysis of urea at intercellular junctions results in alterations in the milieu of the gastric epithelium preventing the normal passage of hydrogen ions (H+) from the gastric glands through the mucus to the lumen and permits back diffusion. A consequence of H+ back diffusion is hypochlorhydria and a predisposition to ulcer formation. Several conflicting reports on the physiology of normal, gastritis, and ulcerated stomachs are reconciled by this hypothesis.

摘要

幽门弯曲杆菌是一种被认为是胃炎及可能的胃溃疡病因的细菌,其具有非常高的脲酶活性。尿素在细胞间连接处的快速水解导致胃上皮细胞环境发生改变,阻止氢离子(H⁺)从胃腺正常通过黏液进入管腔,并允许其逆向扩散。H⁺逆向扩散的一个后果是胃酸过少以及易形成溃疡。这一假说调和了关于正常胃、胃炎胃和溃疡胃生理学的几份相互矛盾的报告。

相似文献

1
Campylobacter pyloridis, urease, hydrogen ion back diffusion, and gastric ulcers.幽门弯曲菌、尿素酶、氢离子逆向弥散与胃溃疡
Lancet. 1986 Jul 5;2(8497):15-7. doi: 10.1016/s0140-6736(86)92561-4.
2
Hypothesis: Helicobacter pylori, urease, mucus, and gastric ulcer.假设:幽门螺杆菌、尿素酶、黏液与胃溃疡。
Lancet. 1990 Jan 27;335(8683):193-5. doi: 10.1016/0140-6736(90)90279-e.
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Campylobacter pyloridis gastritis: the past, the present, and speculations about the future.幽门螺杆菌胃炎:过去、现在及对未来的推测。
Am J Gastroenterol. 1987 Apr;82(4):283-6.
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Campylobacter pyloridis and gastritis: association with intercellular spaces and adaptation to an environment of mucus as important factors in colonization of the gastric epithelium.幽门弯曲杆菌与胃炎:细胞间隙关联及对黏液环境的适应作为胃上皮定植的重要因素
J Infect Dis. 1986 Apr;153(4):658-63. doi: 10.1093/infdis/153.4.658.
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Campylobacter pyloridis, urease, and gastric ulcers.幽门弯曲菌、尿素酶与胃溃疡
Lancet. 1986 Sep 13;2(8507):626. doi: 10.1016/s0140-6736(86)92446-3.
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Campylobacter pyloridis, urease, and gastric ulcers.
Lancet. 1986 Aug 16;2(8503):400-1. doi: 10.1016/s0140-6736(86)90089-9.
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Campylobacter pyloridis gastritis I: Detection of urease as a marker of bacterial colonization and gastritis.幽门弯曲菌胃炎I:脲酶作为细菌定植和胃炎标志物的检测
Am J Gastroenterol. 1987 Apr;82(4):292-6.
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Campylobacter pyloridis, gastritis, and peptic ulceration.幽门弯曲菌、胃炎与消化性溃疡
J Clin Pathol. 1986 Apr;39(4):353-65. doi: 10.1136/jcp.39.4.353.
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[Clinical significance, epidemiology and laboratory diagnosis of Campylobacter pyloridis].幽门弯曲菌的临床意义、流行病学及实验室诊断
Immun Infekt. 1986 Apr;14(2):58-62.
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Campylobacter pyloridis and gastritis.幽门弯曲菌与胃炎
J Infect Dis. 1986 Apr;153(4):650-7. doi: 10.1093/infdis/153.4.650.

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Antimicrobial effect of 7-O-butylnaringenin, a novel flavonoid, and various natural flavonoids against Helicobacter pylori strains.7-O-正丁基柚皮素(一种新型类黄酮)及多种天然类黄酮对幽门螺旋杆菌菌株的抗菌作用。
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The Influence of Mucus Microstructure and Rheology in Helicobacter pylori Infection.黏液微观结构和流变学在幽门螺杆菌感染中的影响
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