首页|Impacts of Helicobacter pylori infection and eradication on gastrointestinal microbiota:An up-to-date critical review and future perspectives

Impacts of Helicobacter pylori infection and eradication on gastrointestinal microbiota:An up-to-date critical review and future perspectives

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Helicobacter pylori(H.pylori)infects approximately half of the population worldwide and causes chronic gastritis,peptic ulcers,and gastric cancer.Test-and-treat strategies have been recommended for the prevention of H.pylori-associated diseases.Advancements in high-throughput sequencing technologies have broadened our understanding of the complex gastrointestinal(GI)microbiota and its role in maintaining host homeostasis.Recently,an increasing number of studies have indicated that the colonization of H.pylori induces dramatic alterations in the gastric microbiota,with a predominance of H.pylori and a reduction in microbial diversity.Dysbiosis of the gut microbiome has also been observed after H.pylori infection,which may play a role in the development of colorectal cancer.However,there is concern regarding the impact of antibiotics on the gut microbiota during H.pylori eradication.In this review,we summarize the current literature concerning how H.pylori infection reshapes the GI microbiota and the underlying mechanisms,including changes in the gastric environment,immune responses,and persistent inflammation.Additionally,the impacts of H.pylori eradication on GI microbial homeostasis and the use of probiotics as adjuvant therapy are also discussed.The shifts in the GI microbiota and their crosstalk with H.pylori may provide potential targets for H.pylori-related gastric diseases and extragastric manifestations.

Helicobacter pyloriGastrointestinal microbiotaGastric cancerHelicobacter pylori eradication therapyProbiotic supplementation

Yu Li、Cong He、Nonghua Lu

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Department of Gastroenterology,Jiangxi Provincial Key Laboratory of Digestive Diseases,Jiangxi Clinical Research Center for Gastroenterology,Digestive Disease Hospital,The First Affiliated Hospital,Jiangxi Medical College,Nanchang University,Nanchang,Jiangxi 330006,China

HuanKui Academy,Nanchang University,Nanchang,Jiangxi 330006,China

2024

中华医学杂志(英文版)
中华医学会

中华医学杂志(英文版)

CSTPCD
影响因子:0.838
ISSN:0366-6999
年,卷(期):2024.137(23)