No detection of Helicobacter pylori in atherosclerotic plaques in end stage renal disease patients undergoing kidney transplantation.

Chronic infection known to be a predisposing factor for the development of atherosclerosis. Several studies have found a possible role of Helicobacter pylori in the pathogenesis of atherosclerosis. The aim of this study was to investigate the presence of H. pylori in atherosclerotic plaques in iliac...

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Publicado en:Indian Journal of Nephrology Vol. 23; no. 4; pp. 259 - 264
Autores principales: Ahmadnia, H., Vossoughinia, H., Mansourian, E., Gaffarzadegan, K.
Formato: research tables/charts Journal Article
Publicado: Scientific Scholar LLC Jul/Aug2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2013
      vid: 23
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      pub: Scientific Scholar LLC
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        atl: No detection of Helicobacter pylori in atherosclerotic plaques in end stage renal disease patients undergoing kidney transplantation.
      aug:
        au:
          Ahmadnia, H.
          Vossoughinia, H.
          Mansourian, E.
          Gaffarzadegan, K.
        affil: Department of Urology, Mashhad University of Medical Sciences, Mashhad, Iran
      sug:
        subj:
          Kidney Transplantation
          Arteriosclerosis
          Helicobacter Infections
          Human
          Iran
          Academic Medical Centers
          Endoscopy Utilization
          Biopsy Utilization
          Polymerase Chain Reaction Utilization
          Adult
          Middle Age
          Mann-Whitney U Test
          Fisher's Exact Test
          Logistic Regression
          Surgical Equipment and Supplies
          Male
          Female
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Chronic infection known to be a predisposing factor for the development of atherosclerosis. Several studies have found a possible role of Helicobacter pylori in the pathogenesis of atherosclerosis. The aim of this study was to investigate the presence of H. pylori in atherosclerotic plaques in iliac arteries in 25 end stage renal disease (ESRD) patients undergoing kidney transplantation. Esophagogastroduodenoscopy was performed in all patients before transplantation. Biopsy specimens obtained from gastric antrum were sent for pathologic evaluation. Gastric H. pylori infection was confirmed by microscopic assessment and rapid urease test. Arterial specimens were obtained from iliac arteries during kidney transplantation. Presence of H. pylori DNA in atherosclerotic plaques and healthy vessel samples was evaluated by the polymerase chain reaction (PCR). The mean age of patients was 44.1 ± 22.6 years. Risk factors in patients with atherosclerosis were hypertension (68%), diabetes mellitus (20%), hyperlipidemia (20%), positive family history (16%). Atherosclerotic plaques were found in 21 (84%) patients. PCR analysis did not detect H. pylori in any case. There was a significant relationship of atherosclerosis with hypertension (P = 0.006) but not with diabetes mellitus and hyperlipidemia (P = 0.5). There was no significant relationship between atherosclerosis and gastric H. pylori infection (P = 0.6). This study revealed no association between the presence of H. pylori as a pathogen of vessel walls and atherosclerosis in ESRD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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