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Bcl-2 Expression in CagA Strain H. Pylori Gastritis (Immunohistochemical and Insitu Hybridization Study)

Author: Hussam Hasson Ali
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 1 Pages: 71-75
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية


ABSTRACT:BACKGROUND:Carriage of Helicobacter Pylori in the human stomach is associated with increased risk of peptic ulcerdisease, distal gastric adenocarcinoma and gastric B-cell mucosa associated lymphoid tissue lymphoma.OBJECTIVE:To study the immunohistochemical expression of bcl-2, as apoptosis makers in the gastric mucosa ofpatients infected with cagA Helicobacter Pylori demonstrated by insitu hybridization method.PATIENTS MATERIALS AND METHODS:Gastric antrum biopsies from 99 patients presented with dyspeptic symptoms (50 men, 49 women,median age 40) were analysed for the presence of H. pylori, and were classified according to updatedSydney system. Insitu hybridization technique was done to detect cagA H. pylori.Immunohistochemical expression of bcl-2 using (Avidin- Biotin method) was performed on paraffinembedded biopsy specimens.RESULTS:Forty four patients (44.44%) had H. pylori cagA positive starin. Atrophy of gastric mucosa was presentin 14 (14.14 %) patients. Intestinal metaplasia was present in 8 (8.08%) patients. The frequency ofatrophy and intestinal metaplasia were significantly higher in cagA H. pylori gastritis than non-cagA H.pylori gastritis (p=0.023 and 0.041respectively). Bcl2 expression was not significantly higher in H.pylori gastritis than non-H. pylori gastritis (p= 0.101). Bcl2 expression was significantly higher in thepresence of atrophy (p<0.001). Bcl2 expression was significantly higher in the presence of intestinalmetaplasia (p<0.001).CONCLUSION:The rate of apoptosis decreases when lesions (gastric atrophy and intestinal metaplasia) are present.

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