Strong evidence for an association between idiopathic thrombocytopenic purpura (ITP) and
Helicobacter pylori (HP) infection has been reported in humans. Chronic
ITP is known to be improved by the eradication of HP. The purpose of this study was to
reproduce these events by the experimental infection of several strains of mice with HP.
BALB/c, C57BL/6, and DBA/2 mice were untreated or orally inoculated with HP. Two months
later, platelet counts were compared in samples from HP-infected and noninfected mice.
Platelet counts (mean ± SD, × 104 cells/µl) in blood samples
from HP-infected BALB/c, C57BL/6, and DBA/2 mice were 102.28 ± 14.71, 99.65 ± 17.00, and
111.57 ± 16.20, respectively; the respective counts from noninfected mice were 121.80 ±
13.30, 104.35 ± 18.20, and 107.84 ± 14.33. A significant difference in platelet counts
between HP-infected and noninfected mice was observed in BALB/c mice
(P≤0.01) but was not observed in DBA/2 mice, even though the
histocompatibility (H)-2 type of the DBA/2 was the same as that of BALB/c mice. According
to ELISA results, the optical density value for the anti-HP antibody in HP-infected BALB/c
mice was not correlated with the number of platelets (P>0.50). These
results suggest that the decrease in platelet count caused by HP infection is not related
to antibody titer and histocompatibility-2 type. Experimental infection of BALB/c mice
with HP can reproduce the relationship between HP and ITP and serves as a good model to
investigate the mechanistic basis for the effectiveness of HP eradication therapy for ITP
treatment.