PMID- 28198451 OWN - NLM STAT- MEDLINE DCOM- 20181024 LR - 20181113 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 7 DP - 2017 Feb 15 TI - Elevated prevalence of Helicobacter species and virulence factors in opisthorchiasis and associated hepatobiliary disease. PG - 42744 LID - 10.1038/srep42744 [doi] LID - 42744 AB - Recent reports suggest that Opisthorchis viverrini serves as a reservoir of Helicobacter and implicate Helicobacter in pathogenesis of opisthorchiasis-associated cholangiocarcinoma (CCA). Here, 553 age-sex matched cases and controls, 293 and 260 positive and negative for liver fluke O. viverrini eggs, of residents in Northeastern Thailand were investigated for associations among infection with liver fluke, Helicobacter and hepatobiliary fibrosis. The prevalence of H. pylori infection was higher in O. viverrini-infected than uninfected participants. H. pylori bacterial load correlated positively with intensity of O. viverrini infection, and participants with opisthorchiasis exhibited higher frequency of virulent cagA-positive H. pylori than those free of fluke infection. Genotyping of cagA from feces of both infected and uninfected participants revealed that the AB genotype accounted for 78% and Western type 22%. Participants infected with O. viverrini exhibited higher prevalence of typical Western type (EPIYA ABC) and variant AB'C type (EPIYT B) CagA. Multivariate analyses among H. pylori virulence genes and severity of hepatobiliary disease revealed positive correlations between biliary periductal fibrosis during opisthorchiasis and CagA and CagA with CagA multimerization (CM) sequence-positive H. pylori. These findings support the hypothesis that H. pylori contributes to the pathogenesis of chronic opisthorchiasis and specifically to opisthorchiasis-associated CCA. FAU - Deenonpoe, Raksawan AU - Deenonpoe R AD - Tropical Disease Research Laboratory, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. AD - Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. FAU - Mairiang, Eimorn AU - Mairiang E AD - Departments of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. FAU - Mairiang, Pisaln AU - Mairiang P AD - Departments of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. FAU - Pairojkul, Chawalit AU - Pairojkul C AD - Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. FAU - Chamgramol, Yaovalux AU - Chamgramol Y AD - Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. FAU - Rinaldi, Gabriel AU - Rinaldi G AD - Department of Microbiology, Immunology and Tropical Medicine, and Research Center for Neglected Tropical Diseases of Poverty, School of Medicine &Health Sciences, The George Washington University, Washington, DC, 20037, USA. FAU - Loukas, Alex AU - Loukas A AD - Centre for Biodiscovery and Molecular Development of Therapeutics, Australian Institute of Tropical Health &Medicine, James Cook University, Cairns, Queensland, 4878, Australia. FAU - Brindley, Paul J AU - Brindley PJ AD - Department of Microbiology, Immunology and Tropical Medicine, and Research Center for Neglected Tropical Diseases of Poverty, School of Medicine &Health Sciences, The George Washington University, Washington, DC, 20037, USA. FAU - Sripa, Banchob AU - Sripa B AD - Tropical Disease Research Laboratory, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. AD - Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. LA - eng GR - P50 AI098639/AI/NIAID NIH HHS/United States GR - R01 CA164719/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20170215 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Antigens, Bacterial) RN - 0 (Bacterial Proteins) RN - 0 (cagA protein, Helicobacter pylori) SB - IM MH - Adult MH - Animals MH - Antigens, Bacterial/genetics/metabolism MH - Bacterial Proteins/genetics/metabolism MH - Biliary Tract Diseases/*microbiology/parasitology MH - Coinfection/*microbiology/parasitology MH - Female MH - Helicobacter/*pathogenicity MH - Helicobacter Infections/*microbiology/parasitology MH - Humans MH - Liver Cirrhosis/*microbiology/parasitology MH - Male MH - Middle Aged MH - Opisthorchiasis/*microbiology/parasitology PMC - PMC5309894 COIS- The authors declare no competing financial interests. EDAT- 2017/02/16 06:00 MHDA- 2018/10/26 06:00 PMCR- 2017/02/15 CRDT- 2017/02/16 06:00 PHST- 2016/11/01 00:00 [received] PHST- 2017/01/12 00:00 [accepted] PHST- 2017/02/16 06:00 [entrez] PHST- 2017/02/16 06:00 [pubmed] PHST- 2018/10/26 06:00 [medline] PHST- 2017/02/15 00:00 [pmc-release] AID - srep42744 [pii] AID - 10.1038/srep42744 [doi] PST - epublish SO - Sci Rep. 2017 Feb 15;7:42744. doi: 10.1038/srep42744.