title: Increased inflammatory responses of persons of blood group O to Helicobacter pylori.
abstract: Persons of blood group O are at increased risk of peptic ulcers. Enhanced binding of Helicobacter pylori to epithelial cells of persons of blood group O has been demonstrated. Release of interleukin (IL)-6, IL-10, and tumor necrosis factor (TNF)-alpha by human leukocytes from 40 donors (10 from each ABO blood group) was measured after incubation in vitro with outer membrane protein preparations of H. pylori. Isolates DU (from a patient with a duodenal ulcer), GC (from a patient with gastric cancer), NE (from a patient with normal endoscopic findings), and NCTC 11637 bound in significantly higher numbers to group O leukocytes. Bacterial binding correlated with release of IL-6 and TNF-alpha but not of IL-10. Group O cells released significantly more IL-6 in response to DU, NE, and NCTC 11637, and the cells released more TNF-alpha in response to DU and NCTC 11637. Increased density of colonization of epithelial cells and higher inflammatory responses to H. pylori of persons of blood group O might contribute to increased susceptibility to peptic ulceration.
authors.affiliation: Department of Medical Microbiology, University of Edinburgh, Edinburgh, Scotland.
authors.forename: A M
authors.initials: AM
authors.lastname: Alkout
authors.forename: C C
authors.initials: CC
authors.lastname: Blackwell
authors.forename: D M
authors.initials: DM
authors.lastname: Weir
mesh_terms: D000017:ABO Blood-Group System; D000942:Antigens, Bacterial / Q000276:immunology; D002469:Cell Separation; D004198:Disease Susceptibility; D004797:Enzyme-Linked Immunosorbent Assay; D005434:Flow Cytometry; D016481:Helicobacter Infections / Q000276:immunology*; D016480:Helicobacter pylori; D006801:Humans; D016753:Interleukin-10 / Q000378:metabolism; D015850:Interleukin-6 / Q000378:metabolism; D007962:Leukocytes / Q000276:immunology; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism
chemical_list: D000017:ABO Blood-Group System; D000942:Antigens, Bacterial; D015850:Interleukin-6; D014409:Tumor Necrosis Factor-alpha; D016753:Interleukin-10