Identification of anti-Helicobacter pylori antibody signatures in gastric intestinal metaplasia

Primer Autor
Qiu, Ji
Co-autores
Song, Lusheng
Song, Minkyo
Rabkin, Charles S.
Chung, Yunro
Williams, Stacy
Torres, Javier
Corvalan, Alejandro H.
Gonzalez, Robinson
Bellolio, Enrique
Shome, Mahasish
LaBaer, Joshua
Camargo, M. Constanza
Título
Identification of anti-Helicobacter pylori antibody signatures in gastric intestinal metaplasia
Editorial
SPRINGER JAPAN KK
Revista
JOURNAL OF GASTROENTEROLOGY
Lenguaje
en
Resumen
Background Chronic Helicobacter pylori infection may induce gastric intestinal metaplasia (IM). We compared anti-H. pylori antibody profiles between IM cases and non-atrophic gastritis (NAG) controls. Methods We evaluated humoral responses to 1528 H. pylori proteins among a discovery set of 50 IM and 50 NAG using H. pylori protein arrays. Antibodies with >= 20% sensitivity at 90% specificity for either group were selected and further validated in an independent set of 100 IM and 100 NAG using odds ratios (OR). A validated multi-signature was evaluated using the area under the receiver operating characteristics curve (AUC) and net reclassification improvement (NRI). Results Sixty-two immunoglobulin (Ig) G and 11 IgA antibodies were detected in > 10%. Among them, 22 IgG and 6 IgA antibodies were different between IM and NAG in the discovery set. Validated antibodies included 11 IgG (anti-HP1177/Omp27/HopQ [OR = 8.1, p < 0.001], anti-HP0547/CagA [4.6, p < 0.001], anti-HP0596/Tip alpha [4.0, p = 0.002], anti-HP0103/TlpB [3.8, p = 0.001], anti-HP1125/PalA/Omp18 [3.1, p = 0.001], anti-HP0153/RecA [0.48, p = 0.03], anti-HP0385 [0.41, p = 0.006], anti-HP0243/TlpB [0.39, p = 0.016], anti-HP0371/FabE [0.37, p = 0.017], anti-HP0900/HypB/AccB [0.35, p = 0.048], and anti-HP0709 [0.30, p = 0.003]), and 2 IgA (anti-HP1125/PalA/Omp18 [2.7, p = 0.03] and anti-HP0596/Tip alpha [2.5, p = 0.027]). A model including all 11 IgG antibodies (AUC = 0.81) had better discriminated IM and NAG compared with an anti-CagA only (AUC = 0.77) model (NRI = 0.44, p = 0.001). Conclusions Our study represents the most comprehensive assessment of anti-H. pylori antibody profiles in IM. The target antigens for these novel antibodies may act together with CagA in the progression to IM. Along with other biomarkers, specific H. pylori antibodies may identify IM patients, who would benefit from surveillance.
Fecha Publicación
2023
Tipo de Recurso
artículo original
doi
10.1007/s00535-022-01933-0
Formato Recurso
PDF
Palabras Claves
Intestinal metaplasia
H
pylori
NAPPA
Serology
Premalignant lesions
Ubicación del archivo
Categoría OCDE
Gastroenterología y Hepatología
Microbiología
Materias
Metaplasia intestinal
H
pylori
NAPA
Serología
Lesiones premalignas
Página de inicio (Recomendado-único)
112.0
Página final (Recomendado-único)
124
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
versión publicada
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:000874428700002
ISSN
0944-1174
Tipo de ruta
verde# hibrido
Categoría WOS
Gastroenterología y Hepatología
Referencia del Financiador (Mandatado si es aplicable-repetible)
R01 CA199948
PUC
ANID CONICYT FONDAP 1513001
ANID FONDECYT 1191928
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