Detection of vacA gene alleles frequency in Helicobacter pylori strains from patients with gastric diseases in Zliten city Libya

Authors

  • Abdulkareem K. Elbaz Department of Microbiology and Parasitology, Faculty of Veterinary Medicine, Tripoli University, Tripoli- Libya Author
  • Abdulmonem M. Sanalla Department of Medical Laboratories ,Faculty of medical Technology, Misurata University, Misurata-Libya Author
  • Elsharif Mustafa Faculty of Science, Alsmarya University, Zliten-Libya Author
  • Amani A. Agdara Zliten medical center- Zliten- Libya Author
  • Faraj Hajjaj Faculty of Science, Alsmarya University, Zliten-Libya Author
  • Ali Yahya Department of Medical Laboratories ,Faculty of medical Technology, Misurata University, Misurata-Libya Author
  • Mustafa Ekheil Zliten medical center- Zliten- Libya Author

DOI:

https://doi.org/10.54361/ljmr.v17i2.09

Keywords:

H. pylori, vacA alleles (s1 and s2), Libya

Abstract

Helicobacter pylori  (H. pylori) has worldwide distribution, leading to various gastric diseases, including chronic gastritis, peptic ulcer and gastric cancer. A vacA gene, which encodes a vacuolating cytotoxin is one of the most known virulence gene of the bacterium. The aim of this study was to evaluate the most common vacA alleles (s1 and s2) in H. pylori strains isolated from Libyan patients and its relationship with ages and gastritis lesions. Gastric biopsies were obtained from patients for DNA  extraction. vacA genotypes were analyzed by PCR and agarose electrophoresis. s1 and s2 genotypes were also confirmed by DNA sequencing. The allele s2 occurred in 81% of the all examined group, which represent the most frequently observed of the signal encoding region. Whereas s1 genotype had the lowest frequency 19%. Statistically significant differences in s1 and s2 alleles  in relation to a ages were not detected. This study showed that there was a relationship between the presence of vacA gene and progression of gastritis. the predominant vacA gene alleles in Zliten city is s2 allele.

References

Sanaei M.J., et al., New insights into regulatory B cells biology in viral, bacterial, and parasitic infections, Infect. Genet. Evol. 89 (2021) 104753. DOI: https://doi.org/10.1016/j.meegid.2021.104753

Hooi JKY, Lai WY, Ng WK, Suen MMY, Underwood FE, Tanyingoh D, et al. Global prevalence of Helicobacter pylori infection: systematic review and meta-analysis. Gastroenterology. 2017;153(2):420–9. Available from http://www.ncbi.nlm.nih.gov/pubmed/28456631. DOI: https://doi.org/10.1053/j.gastro.2017.04.022

Abadi, M.S.S., et al., Distribution and diversity of hmw1A among invasive nontypeable haemophilus influenzae isolates in Iran, Avicenna J. Med. Biotechnol.2016;2: 8 -99.

Yamaoka, Y. Mechanisms of disease: Helicobacter pylori virulence factors. Nat Rev GastroenterolHepatol. 2011;7(11):629–41 Available from: https://doi.org/10.1038/nrgastro.2010.154. DOI: https://doi.org/10.1038/nrgastro.2010.154

Roesler BM. Clinical medicine insights : gastroenterology virulence factors of Helicobacter pylori : a review. Clin Med Insights Gastroenterol. 2014;7:9–17. DOI: https://doi.org/10.4137/CGast.S13760

Ahmad T, Sohail K, Rizwan M, Mukhtar M, Bilal R, Khanum A. Prevalence of Helicobacter pylori pathogenicity-associated cagA and vacA genotypes among Pakistani dyspeptic patients: research article. FEMS Immunol Med Microbiol. 2009;55(1):34–8. DOI: https://doi.org/10.1111/j.1574-695X.2008.00492.x

Abadi ATB, Taghvaei T, Wolfram L, Kusters JG. Infection with Helicobacter pylori strains lacking dupA is associated with an increased risk of gastric ulcer and gastric cancer development. J Med Microbiol. 2012;61(1):23–30. DOI: https://doi.org/10.1099/jmm.0.027052-0

Cover TL, Blanke SR. Helicobacter pylori VacA, a paradigm for toxin multifunctionality. Nat Rev Microbiol. 2005;3(4):320–32. DOI: https://doi.org/10.1038/nrmicro1095

Ghotaslou R, Leylabadlo HE, Nasiri MJ, Dabiri H, Hashemi A. Risk of gastric cancer in association with helicobacter pylori different virulence factors: a systematic review and meta-analysis. MicrobPathog. 2018;118:214–9. DOI: https://doi.org/10.1016/j.micpath.2018.03.004

Karlsson A, Ryberg A, Dehnoei MN, Borch K, Monstein H-J. Association between cagA and vacA genotypes and pathogenesis in a helicobacter pylori infected population from South-Eastern Sweden. BMC Microbiol. 2012;12(1):1–8. DOI: https://doi.org/10.1186/1471-2180-12-129

Ryan KA, Moran AP, Hynes SO et al. Genotyping of cagA and vacA, Lewis antigen status, and analysis of the poly-(C) tract in the alpha(1,3)-fucosyltransferase gene of Irish Helicobacter pylori isolates. FEMS Immunol Med Microbiol. 2000;28:113-120. DOI: https://doi.org/10.1016/S0928-8244(00)00141-3

Atherton JC, Peek RM Jr, Tham KT, Cover TL, Blaser MJ. Clinical and pathological importance of heterogeneity in vacA, the vacuolating cytotoxin gene of Helicobacter pylori. Gastroenterology. 1997;112:92-99. DOI: https://doi.org/10.1016/S0016-5085(97)70223-3

Chomvarin, C. et al. Prevalence of Helicobacter pylori vacA, cagA, cagE, iceA and babA2 genotypes in Thai dyspeptic patients. IJID. 2008;12: 30-36. DOI: https://doi.org/10.1016/j.ijid.2007.03.012

Estrada, N.U. et al. Prevalence of Helicobacter pylori cagA and vacA genotypes in a population from Northeastern Mexico withchronic gastritis and intestinal metaplasia. Afr. J. Microbiol. Res. 2013;7:1409-1414. DOI: https://doi.org/10.5897/AJMR12.1948

Martínez A, González C, Kawaguchi F, Montoya R, Corvalán A, Madariaga J, Roa J, García A, Salgado F, Solar H, Palma M. Helicobacter pylori: cagA status and vacA genotyping in Chile. Detection of a s2/m1 strain. Rev Med Chil.2001; 129:1147-1153 DOI: https://doi.org/10.4067/S0034-98872001001000006

Sugimoto, M., Zali, M. R. & Yamaoka, Y. The association of vacA genotypes and Helicobacter pylori related gastroduodenal diseases in the Middle East. Eur. J. Clin. Microbiol. Infect. Dis. 2009;28, 1227 -1236 . DOI: https://doi.org/10.1007/s10096-009-0772-y

Van Doorn LJ, Figueiredo C, Mégraud F, Pena S, Midolo P, Queiroz DM, et al. Geographic distribution of vacAallelic types of Helicobacter pylori. Gastroenterology. 1999; 116(4):823– 830.10.1016/S0016-5085(99)70065-X [PubMed: 10092304] DOI: https://doi.org/10.1016/S0016-5085(99)70065-X

Momenah AM, Tayeb MT. Relationship between Helicobacter pylori vacAgenotypes status and risk of peptic ulcer in Saudi patients. Saudi Med J. 2006; 27(6):804–807. [PubMed: 16758039]

Morales-Espinosa R, Castillo-Rojas G, Gonzalez-Valencia G et al. Colonization of Mexican patients by multiple Helicobacter pylori strains with different vacA and cagA genotypes. J ClinMicrobiol. 1999;37:3001-3004. DOI: https://doi.org/10.1128/JCM.37.9.3001-3004.1999

Tanih NF, McMillan M, Naidoo N, Ndip LM, Weaver LT, Ndip RN. Prevalence of Helicobacter pylori vacA, cagA and iceA genotypes in south African patients with upper gastrointestinal diseases. Acta Trop. 2010;116(1):68–73 Available from: https://doi.org/10.1016/j.actatropica.2010.05.011. DOI: https://doi.org/10.1016/j.actatropica.2010.05.011

Subsomwong P, Miftahussurur M, Uchida T, Vilaichone R, Ratanachuek T, Mahachai V, et al. Prevalence, risk factors, and virulence genes of Helicobacter pylori among dyspeptic patients in two different gastric cancer risk regions of Thailand. PLoS One. 2017;12(10):e0187113. Available from https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0187113&type=printable DOI: https://doi.org/10.1371/journal.pone.0187113

Alam J, Maiti S, Ghosh P, De R, Chowdhury A, Das S, et al. Significant association of the dupA gene of Helicobacter pylori with duodenal ulcer development in a south-east Indian population. J Med Microbiol. 2012;61: 1295–302. DOI: https://doi.org/10.1099/jmm.0.038398-0

El Khadir M, AlaouiBoukhris S, Benajah DA, El Rhazi K, AdilIbrahimi S, El Abkari M, et al. VacA and CagA status as a biomarker of two opposite end outcomes of Helicobacter pylori infection (gastric cancer and duodenal ulcer) in a Moroccan population. PLoS One. 2017;12(1):1–14. DOI: https://doi.org/10.1371/journal.pone.0170616

Matos JI, de Sousa HA, Marcos-Pinto R, Dinis-Ribeiro M. Helicobacter pylori CagA and VacA genotypes and gastric phenotype: a meta analysis. Eur J GastroenterolHepatol. 2013;25(12):1431–41. DOI: https://doi.org/10.1097/MEG.0b013e328364b53e

Idowu A., Mzukwa A., Harrison U., Palamides P., Haas R., Mbao M., Mamdoo R., Bolon J., Jolaiya T., Smith S. Detection of Helicobacter pylori and its virulence genes (cag A, dup A, and vac A) among patients with gastroduodenal diseases in Chris Hani Baragwanath Academic Hospital, South Africa. BMC Gastroenterol. 2019;19:1–10. doi: 10.1186/s12876-019-0986-0. DOI: https://doi.org/10.1186/s12876-019-0986-0

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Published

31-12-2023

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1.
Elbaz AK, M. Sanalla A, Mustafa E, A. Agdara A, Hajjaj F, Yahya A, et al. Detection of vacA gene alleles frequency in Helicobacter pylori strains from patients with gastric diseases in Zliten city Libya. LJMR [Internet]. 2023 Dec. 31 [cited 2024 May 20];17(2):77-86. Available from: http://ljmr.ly/index.php/ljmr/article/view/84