New CagL amino acid polymorphism patterns of helicobacter pylori in peptic ulcer and non-ulcer dyspepsia

dc.contributor.authorÇalışkan, Reyhan
dc.contributor.authorPolat Sarı, Silva
dc.contributor.authorErcan, Bahadır
dc.contributor.authorPeker, Kıvanç Derya
dc.contributor.authorOmaç Sönmez, Mehtap
dc.contributor.authorAkgül, Özer
dc.contributor.authorSapmaz, Burcu
dc.contributor.authorSoylu, Aliye
dc.contributor.authorAdaş, Gökhan Tolga
dc.contributor.authorÖner, Yaşar Ali
dc.contributor.authorYüksel Mayda, Pelin
dc.date.accessioned2023-01-09T08:42:38Z
dc.date.available2023-01-09T08:42:38Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground and Objectives: Helicobacter pylori infection is associated with chronic gastritis, ulcers, and gastric cancer. The H. pylori Type 4 secretion system (T4SS) translocates the CagA protein into host cells and plays an essential role in initiating gastric carcinogenesis. The CagL protein is a component of the T4SS. CagL amino acid polymorphisms are correlated with clinical outcomes. We aimed to study the association between CagL amino acid polymorphisms and peptic ulcer disease (PUD) and non-ulcer dyspepsia (NUD). Materials and Methods: A total of 99 patients (PUD, 46; NUD, 53) were enrolled and screened for H. pylori by qPCR from antrum biopsy samples. The amino acid polymorphisms of CagL were analyzed using DNA sequencing, followed by the MAFFT sequence alignment program to match the amino acid sequences. Results: Antrum biopsy samples from 70 out of 99 (70.7%) patients were found to be H. pylori DNA-positive. A positive band for cagL was detected in 42 out of 70 samples (PUD, 23; NUD, 19), and following this, these 42 samples were sequenced. In total, 27 different polymorphisms were determined. We determined three CagL amino acid polymorphism combinations, which were determined to be associated with PUD and NUD. Pattern 1 (K35/N122/V134/T175/R194/E210) was only detected in PUD patient samples and was related to a 1.35-fold risk (p = 0.02). Patterns 2 (V41/I134) and 3 (V41/K122/A171/I174) were found only in NUD patient samples and were linked to a 1.26-fold increased risk (p = 0.03). Conclusions: We observed three new patterns associated with PUD and NUD. Pattern 1 is related to PUD, and the other two patterns (Patterns 2 and 3) are related to NUD. The patterns that we identified include the remote polymorphisms of the CagL protein, which is a new approach. These patterns may help to understand the course of H. pylori infection.
dc.description.sponsorshipIstanbul Aydin University Scientific Research Projects Uniten_US
dc.identifier.citationÇalışkan, R., Polat Sarı, S., Ercan, B., Peker, K. D., Omaç Sönmez, M., Akgül, Ö. ... Yüksel Mayda, P. (2022). New CagL amino acid polymorphism patterns of helicobacter pylori in peptic ulcer and non-ulcer dyspepsia. Medicina (Lithuania), 58(12). https://dx.doi.org/10.3390/medicina58121738
dc.identifier.doi10.3390/medicina58121738
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.issue12
dc.identifier.pmid36556940
dc.identifier.scopus2-s2.0-85144533019
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.3390/medicina58121738
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10264
dc.identifier.volume58
dc.identifier.wos000904121500001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSoylu, Aliye
dc.language.isoen
dc.publisherMDPI
dc.relation.ispartofMedicina (Lithuania)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectHelicobacter Pylori
dc.subjectCagL Polymorphisms
dc.subjectCagLHM
dc.subjectPeptic Ulcer
dc.subjectNon-Ulcer Dyspepsia
dc.titleNew CagL amino acid polymorphism patterns of helicobacter pylori in peptic ulcer and non-ulcer dyspepsia
dc.typeArticle

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