Author/Editor     Ihan, A; Tepeš, B; Gubina, M; Malovrh, T; Kopitar, A
Title     Diminished interferon-gamma production in gastric mucosa T lymphocytes after H. pylori eradication in duodenal ulcer patients
Type     članek
Source     Hepatogastroenterology
Vol. and No.     Letnik 46, št. 27
Publication year     1999
Volume     str. 1740-5
Language     eng
Abstract     Background/aims: Helicobacter pylory (H. pylori) infects an estimated 50% of the world population; however, only a small proportion of individuals develop clinical symptoms of gastritis, peptic ulceration of gastric cancer. The variations in disease presentation may be due differences in bacterial virulence and/or immune response to the pathogen. In a previous study we reported and increased expression of the IL-2 receptor in duodenal ulcer (DU) patients. The present study examines the expression of IL-2 receptor and intracellular lymphokine production in gastric mucosa infiltrating T lymphocytes in DU patients before and after H. pylori eradication. Methodology: T lymphocytes were isolated from gastric mucosa biopsies by using mechanical and enzymatic tissue desegregation. Ficoll-purified lymphocytes were incubated with monoclonal antibodies and anlyzed by using 4-color flow cytometry analysis for the IL-2 receptor (CD25) and intracellular interferon-gamma (IFN-gamma) and IL-4 expression. Lymphocytes from 24 H. pylori-infected patients with severe gastric mucosa infiltration (G2 and G3 histological type in Sydney classification) were analyzed. Results: We demonstrated a significant decrease in IL-2 receptor expression on gastric mucosa T cells 3 and 12 months after eradiaction of H. pylori. We also demonstrated a diminished IFN-gamma production 3 and 12 months after H. pylori eradication. Conclusions: Our results suggest that cellular immune activation in gastric mucosa is reversibly dependent on the presence of H. pylori.
Descriptors     GASTRIC MUCOSA
DUODENAL ULCER
HELICOBACTER INFECTIONS
HELICOBACTER PYLORI
INTERFERON TYPE I
AMOXICILLIN
DRUG THERAPY, COMBINATION
FLOW CYTOMETRY
FOLLOW-UP STUDIES
INTERLEUKIN-4
METRONIDAZOLE
ORGANOMETALLIC COMPOUNDS
RECEPTORS, INTERLEUKIN-2
T-LYMPHOCYTES
TREATMENT OUTCOME