title: Association of cagA+ Helicobacter pylori with adenotonsillar hypertrophy.
abstract: Cytotoxin-associated gene A (cagA) of Helicobacter pylori (H. pylori) encodes a highly immunogenic and virulence-associated protein. The presence of cagA(+) H. pylori strains in tonsil and adenoid tissues may affect clinical outcome. The aim of the present study was to determine the presence of H. pylori cagA gene in tonsil and adenoid tissues and to establish the potential association of cagA(+) H. pylori in recurrent adenotonsillitis (RAT) and adenotonsillar hypertrophy (ATH). For this aim, a total of 118 tissue samples (71 tonsil and 47 adenoid tissues) were collected from a total of 71 children: 28 cases with RAT and 43 cases with ATH. The samples were analyzed for glmM gene to detect the infection with H. pylori by polymerase chain reaction (PCR). H. pylori-positive samples were further analyzed for the presence of the cagA gene. The PCR analysis showed that 29 samples (24.6%) were positive for H. pylori. Seventeen out of these 29 samples (58.6%) were found positive for cagA; the cagA gene was detected in 12 samples of ATH and 5 samples of RAT. The presence rate of cagA gene was significantly higher (p < 0.05) in ATH patients than that found in RAT patients. These results suggest that presence of cagA(+) H. pylori may be associated with development of ATH.
authors.affiliation: Department of Microbiology, College of Medicine, Firat University, Elazig, Turkey. ybulut@firat.edu.tr
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Bulut
authors.forename: Ahmet
authors.initials: A
authors.lastname: Agacayak
authors.forename: Turgut
authors.initials: T
authors.lastname: Karlidag
authors.forename: Zulal Asci
authors.initials: ZA
authors.lastname: Toraman
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yilmaz
mesh_terms: D000234:Adenoids / Q000382:microbiology* / Q000473:pathology*; D000942:Antigens, Bacterial / Q000235:genetics*; D001426:Bacterial Proteins / Q000235:genetics*; D002648:Child; D002675:Child, Preschool; D005260:Female; D016480:Helicobacter pylori / Q000235:genetics; D006801:Humans; D006984:Hypertrophy / Q000382:microbiology; D008297:Male; D014066:Palatine Tonsil / Q000473:pathology; D016133:Polymerase Chain Reaction; D012008:Recurrence; D014069:Tonsillitis / Q000382:microbiology*; D014510:Urease / Q000032:analysis
chemical_list: D000942:Antigens, Bacterial; D001426:Bacterial Proteins; C080866:cagA protein, Helicobacter pylori; D014510:Urease