Innate Immune Responses in Pediatric Patients with Gastritis—A Trademark of Infection or Chronic Inflammation?

The aim of this study was to define the relationship between several environmental, laboratory, and genetic factors, i.e., TLR2 and NLRP3 polymorphisms, and Helicobacter pylori (H. pylori) infection in children, by comparing three different groups of pediatric subjects: H. pylori-induced gastritis,...

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Publicado en:Children Vol. 9; no. 2; pp. 121 - 122
Autores principales: Meliț, Lorena Elena, Mărginean, Cristina Oana, Săsăran, Maria Oana, Mocanu, Simona, Ghiga, Dana Valentina, Crișan, Adriana, Bănescu, Claudia
Formato: research tables/charts Journal Article
Publicado: MDPI Feb2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2022
      vid: 9
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      pid: 97109
      pub: MDPI
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        155498277
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        10.3390/children9020121
        155498277
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        atl: Innate Immune Responses in Pediatric Patients with Gastritis—A Trademark of Infection or Chronic Inflammation?
      aug:
        au:
          Meliț, Lorena Elena
          Mărginean, Cristina Oana
          Săsăran, Maria Oana
          Mocanu, Simona
          Ghiga, Dana Valentina
          Crișan, Adriana
          Bănescu, Claudia
        affil: Department of Pediatrics I, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, Gheorghe Marinescu Street No. 38, 540136 Târgu Mureș, Romania
      sug:
        subj:
          Helicobacter Infections Risk Factors
          Helicobacter Infections Risk Factors
          Gastritis Familial and Genetic
          Gastritis Pathology
          Polymorphism, Genetic
          Immunity
          Risk Assessment
          Human
          Infant
          Child, Preschool
          Child
          Adolescence
          Male
          Female
          Romania
          Cross Sectional Studies
          Prospective Studies
          Comparative Studies
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: The aim of this study was to define the relationship between several environmental, laboratory, and genetic factors, i.e., TLR2 and NLRP3 polymorphisms, and Helicobacter pylori (H. pylori) infection in children, by comparing three different groups of pediatric subjects: H. pylori-induced gastritis, non-H. pylori gastritis, and healthy controls. Our final study sample included 269 children, which were divided into three groups according to the histopathological exam: group 1 with 51 children with H. pylori-induced gastritis, group 2 with 103 children with H. pylori-negative gastritis, and group 3 (control group) with 115 children without any histopathological changes. All children underwent a thorough anamnesis, clinical exam, laboratory tests, and upper digestive endoscopy with gastric biopsy for rapid urease test, histopathological exam, and genetic analysis of TLR2 rs3804099, TLR2 rs3804100, and NLRP3 rs10754558 gene polymorphisms. We noticed a significant association between living conditions and the type of gastritis (p < 0.0001). Both rapid urease and serological tests were significantly associated with the presence of H. pylori (p < 0.0001). The CT variant genotype of TLR2 rs380499 was significantly associated with neutrophil count (p = 0.0325). We noticed a significant association between the CC variant genotype of NLRP3 rs10754558 and leucocytes, neutrophils, eosinophils, as well as ALT (p = 0.0185, p = 0.0379, p = 0.0483, p = 0.0356). Based on these findings, we state that poor living conditions and rural areas represent risk factors for H. pylori infection. The rapid urease test is a reliable diagnostic tool for this infection. CT and TT carriers of TLR2 rs3804099, as well as CC carriers of NLRP3 rs10754558, might display a more severe degree of systemic inflammation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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