Gastric bacterial Flora in patients Harbouring Helicobacter pylori with or without chronic dyspepsia: analysis with matrix-assisted laser desorption ionization time-of-flight mass spectroscopy.

Background: The gastric microbiota has recently been implicated in the causation of organic/structural gastroduodenal diseases (gastric and duodenal ulcers, gastric cancer) in patients with Helicobacter pylori (H. pylori) infection. We aimed to ascertain, in patients harbouring H. pylori, the role o...

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Published in:BMC Gastroenterology Vol. 18; pp. 1 - 9
Main Authors: Pereira, Verima, Abraham, Philip, Nallapeta, Sivaramaiah, Shetty, Anjali
Format: research tables/charts Journal Article
Published: BioMed Central 1/26/2018
Online Access:View this record in EBSCOhost
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      dt: 1/26/2018
      vid: 18
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      pub: BioMed Central
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        127652087
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        127652087
        10.1186/s12876-018-0744-8
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        127652087
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        atl: Gastric bacterial Flora in patients Harbouring Helicobacter pylori with or without chronic dyspepsia: analysis with matrix-assisted laser desorption ionization time-of-flight mass spectroscopy.
      aug:
        au:
          Pereira, Verima
          Abraham, Philip
          Nallapeta, Sivaramaiah
          Shetty, Anjali
        affil: Division of Gastroenterology, P D Hinduja Hospital, V S Marg, Mahim, 400016, Mumbai, India
      sug:
        subj:
          Microbiologic Phenomena
          Stomach Microbiology
          Helicobacter Infections Microbiology
          Dyspepsia Microbiology
          Helicobacter Pylori
          Male
          Mass Spectrometry
          Female
          Funding Source
          Human
          Male
          Female
      ab: Background: The gastric microbiota has recently been implicated in the causation of organic/structural gastroduodenal diseases (gastric and duodenal ulcers, gastric cancer) in patients with Helicobacter pylori (H. pylori) infection. We aimed to ascertain, in patients harbouring H. pylori, the role of the gastric microbiota in the causation of symptoms (chronic dyspepsia) in the absence of organic disease.Methods: Seventy-four gastric biopsy samples obtained at endoscopy from patients with (n = 21) or without (n = 53) chronic dyspepsia, and that tested positive by the bedside rapid urease test for H. pylori infection, were cultured for detection of H. pylori and non-H. pylori organisms. The cultured organisms were identified by matrix-assisted laser desorption ionization time-of-flight mass spectroscopy (MALDI-TOF MS).Results: A total of 106 non-H. pylori isolates were obtained from 74 patients' samples. This included 33 isolates (median 2, range 1-2 per patient) from dyspeptic and 73 (median 2, range 1-2 per patient) from non-dyspeptic patients. These were identified from the Bruker Biotyper 2 database as Staphylococcus spp., Streptococcus spp., Lactobacillus spp., Micrococcus spp., Enterococcus spp., Pseudomonas spp., Escherichia spp., Klebsiella spp. and Bacillus spp., Staphylococcus and Lactobacillus were identified significantly more commonly in dyspeptics and Streptococcus, Pseudomonas, Escherichia coli and Klebsiella pneumoniae in non-dyspeptics. All identified organisms belonged to the phyla Firmicutes and Proteobacteria.Conclusions: There is a qualitative difference in the gastric microbial spectrum between patients harbouring H. pylori with and without chronic dyspepsia. Whether these organisms have an independent role in the development or prevention of dyspepsia or act in concurrence with H. pylori needs study.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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