Serological comparison of serum pepsinogen and anti-parietal cell antibody levels between Japanese and German patients.

Background: Atrophic gastritis is more common in Japan than in Germany. The expression of anti-parietal cell antibody has been implicated in the genesis of atrophic gastritis associated with Helicobacter pylori infection.Objective: We investigated the difference in serum levels of pepsinogens and in...

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Publicado en:European Journal of Gastroenterology & Hepatology Vol. 14; no. 2; pp. 123 - 128
Autores principales: Ito, Masanori, Haruma, Ken, Kaya, Shunji, Kamada, Tomoari, Kim, Sunjin, Sasaki, Atsunori, Sumii, Masaharu, Tanaka, Shinji, Yoshihara, Masaharu, Wagner, Siegfried, Chayama, Kazuaki
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins Feb2002
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2002
      vid: 14
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        110639790
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        10.1097/00042737-200202000-00005
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        atl: Serological comparison of serum pepsinogen and anti-parietal cell antibody levels between Japanese and German patients.
      aug:
        au:
          Ito, Masanori
          Haruma, Ken
          Kaya, Shunji
          Kamada, Tomoari
          Kim, Sunjin
          Sasaki, Atsunori
          Sumii, Masaharu
          Tanaka, Shinji
          Yoshihara, Masaharu
          Wagner, Siegfried
          Chayama, Kazuaki
        affil: First Department of Internal Medicine, Hiroshima University School of Medicine, Hiroshima, Japan; bHealth Service Centre, Hiroshima University, Hiroshima, Japan; cDivision of Gastroenterology II, Department of Internal Medicine, Kawasaki Medical School, Kurashiki, Japan; dBiological Chemistry, Graduate School of Science, Hokkaido University, Sapporo, Japan; and eDepartment of Gastroenterology and Hepatology, Medizinische Hochschule Hannover, Germany
      sug:
        subj:
          Gastritis, Atrophic Immunology
          Antibodies Analysis
          Enzymes Blood
          Gastric Mucosa Immunology
          Adolescence
          Male
          Immunohistochemistry
          Disease Progression
          Middle Age
          Aged, 80 and Over
          Adult
          Japan
          Female
          Helicobacter Pylori
          Epidemiological Research
          Enzyme-Linked Immunosorbent Assay
          Germany
          Aged
          Radioimmunoassay
          Human
          Child
          Helicobacter Infections Immunology
          Gastritis, Atrophic Epidemiology
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Aged, 80 & over
          Adult: 19-44 years
          Aged: 65+ years
          Child: 6-12 years
          Male
          Female
      ab: Background: Atrophic gastritis is more common in Japan than in Germany. The expression of anti-parietal cell antibody has been implicated in the genesis of atrophic gastritis associated with Helicobacter pylori infection.Objective: We investigated the difference in serum levels of pepsinogens and in anti-parietal cell antibody expression between Japanese and German patients.Methods: We recruited 102 Japanese and 46 German patients with dyspepsia. Endoscopic examination detected no localized lesions in the upper gastrointestinal tract of any patients. Anti-parietal cell antibody was investigated by enzyme-linked immunosorbent assay with the purified porcine H+,K+-ATPase fraction and immunohistochemistry. H. pylori infection was diagnosed by the presence of anti-H. pylori antibody, by using the urease test and by histological examination. Serum levels of pepsinogen I and II and of gastrin were measured by a modified radioimmunoassay.Results: Seventy-one Japanese (70%) and 17 Germans (37%) were positive for H. pylori. Serum levels of anti-parietal cell antibody were not significantly different between Japanese and Germans in both H. pylori negative and positive groups. The serum pepsinogen I/II ratio and gastrin levels were altered by H. pylori infection in both populations. Moreover, anti-parietal cell antibody levels were higher in H. pylori-positive patients with low pepsinogen levels than in those with high pepsinogen levels in both populations.Conclusions: The levels of anti-parietal cell antibody do not differ statistically between Japanese and Germans. Anti-parietal cell antibody might play a role in the progression of atrophic gastritis in both Japanese and German patients.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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