Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista 45029-094, Bahia, Brazil.
Universidade Estadual da Bahia, Vitória da Conquista 45083-900, Bahia, Brazil.
World J Gastroenterol. 2020 Jul 28;26(28):4076-4093. doi: 10.3748/wjg.v26.i28.4076.
() is a bacterium that infects more than a half of world's population. Although it is mainly related to the development of gastroduodenal diseases, several studies have shown that such infection may also influence the development and severity of various extragastric diseases. According to the current evidence, whereas this bacterium is a risk factor for some of these manifestations, it might play a protective role in other pathological conditions. In that context, when considered the gastrointestinal tract, positivity have been related to Inflammatory Bowel Disease, Gastroesophageal Reflux Disease, Non-Alcoholic Fatty Liver Disease, Hepatic Carcinoma, Cholelithiasis, and Cholecystitis. Moreover, lower serum levels of iron and vitamin B12 have been found in patients with infection, leading to the emergence of anemias in a portion of them. With regards to neurological manifestations, a growing number of studies have associated that bacterium with multiple sclerosis, Alzheimer's disease, Parkinson's disease, and Guillain-Barré syndrome. Interestingly, the risk of developing cardiovascular disorders, such as atherosclerosis, is also influenced by the infection. Besides that, the -associated inflammation may also lead to increased insulin resistance, leading to a higher risk of diabetes mellitus among infected individuals. Finally, the occurrence of dermatological and ophthalmic disorders have also been related to that microorganism. In this sense, this minireview aims to gather the main studies associating infection with extragastric conditions, and also to explore the main mechanisms that may explain the role of in those diseases.
幽门螺杆菌是一种感染了世界上一半以上人口的细菌。尽管它主要与胃十二指肠疾病的发展有关,但有几项研究表明,这种感染也可能影响各种胃外疾病的发展和严重程度。根据目前的证据,虽然这种细菌是这些表现的一些危险因素,但它在其他病理情况下可能发挥保护作用。在这种情况下,当考虑胃肠道时,幽门螺杆菌阳性与炎症性肠病、胃食管反流病、非酒精性脂肪性肝病、肝癌、胆石症和胆囊炎有关。此外,感染幽门螺杆菌的患者血清中铁和维生素 B12 水平较低,导致其中一部分出现贫血。关于神经表现,越来越多的研究将这种细菌与多发性硬化症、阿尔茨海默病、帕金森病和格林-巴利综合征联系起来。有趣的是,心血管疾病(如动脉粥样硬化)的发病风险也受到感染的影响。除此之外,与感染相关的炎症也可能导致胰岛素抵抗增加,从而使感染个体患糖尿病的风险更高。最后,皮肤和眼科疾病的发生也与这种微生物有关。在这方面,本综述旨在收集主要的研究,将幽门螺杆菌感染与胃外疾病联系起来,并探讨可能解释这种细菌在这些疾病中的作用的主要机制。