1999
DOI: 10.1016/s0022-2143(99)90026-4
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Phenotypic diversity in Lewis expression of Helicobacter pylori isolates from the same host

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Cited by 69 publications
(61 citation statements)
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“…The variability observed in the expression of Le antigen was not due to colonization with different strains, since in seven of the eight patients all of the isolated colonies showed the same RAPD pattern, and only in one case (patient 259) was a mixed infection documented, showing two different RAPD patterns. In accordance with these results, a previous study also reported a high diversity in the expression of Le antigens among multiple isolates from single patients even if they had the same RAPD pattern; the authors of that study suggested that variability in expression of Le antigens is not due to genetic diversity but to mechanisms regulating the expression and activity of fucosyltransferases (11). This variability would justify considering each colony as a phenotypically independent event for the statistical analyses.…”
supporting
confidence: 71%
“…The variability observed in the expression of Le antigen was not due to colonization with different strains, since in seven of the eight patients all of the isolated colonies showed the same RAPD pattern, and only in one case (patient 259) was a mixed infection documented, showing two different RAPD patterns. In accordance with these results, a previous study also reported a high diversity in the expression of Le antigens among multiple isolates from single patients even if they had the same RAPD pattern; the authors of that study suggested that variability in expression of Le antigens is not due to genetic diversity but to mechanisms regulating the expression and activity of fucosyltransferases (11). This variability would justify considering each colony as a phenotypically independent event for the statistical analyses.…”
supporting
confidence: 71%
“…First, humans may simultaneously carry both cag ϩ and cag-negative strains, and if only a single colony is used as the basis to determine cag presence, this may represent a false-negative result (18,20,49,53). Second, even among persons known to carry cag ϩ strains, there may be a spontaneous loss of cagA and other parts of the cag island (53,57). Third, sequence heterogeneity and technical limitations may compromise PCR methodologies (54).…”
Section: Discussionmentioning
confidence: 99%
“…Little work on in vivo gene expression of H. pylori has been done, but transcript levels of four important Helicobacter genes are similar for human biopsy samples and mouse samples (23). However, there is no detectable phase variation of Lewis antigen expression (27), and the important virulence factors CagA and VacA are lost during mouse colonization (11,25). Pathological changes in the murine system include gastritis and in some cases follicle formation and even lowgrade mucosa-associated lymphoid tissue lymphoma in the gastric mucosa (5,17), whereas ulcer formation and adenocarcinoma have not been observed.…”
mentioning
confidence: 99%