title: Helicobacter pylori infection is a potential protective factor against conventional multiple sclerosis in the Japanese population.
abstract: Persistent Helicobacter pylori (H. pylori) infection is a chronic inflammatory stimulus to hosts with an inverse correlation to atopic disorders. In this study, a total of 105 consecutive multiple sclerosis (MS) patients were divided into 52 opticospinal MS (OSMS) and 53 conventional MS (CMS), and their sera, along with those from 85 healthy controls (HC), were examined by an enzyme-linked immunosorbent assay using antibodies against H. pylori. H. pylori seropositivity was significantly lower in patients with CMS (22.6%) compared with HC (42.4%) and patients with OSMS (51.9%) (p=0.0180 and p=0.0019, respectively). In patients with CMS, H. pylori seropositivity showed a significant inverse association with mean EDSS score and fulfillment of McDonald MRI criteria for space (OR=0.61, p=0.0344 and OR=0.11, p=0.0297). These findings suggest that H. pylori infection is a protective factor against CMS in Japanese.
authors.affiliation: Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.
authors.forename: Wei
authors.initials: W
authors.lastname: Li
authors.forename: Motozumi
authors.initials: M
authors.lastname: Minohara
authors.forename: Jen Jen
authors.initials: JJ
authors.lastname: Su
authors.forename: Takeshi
authors.initials: T
authors.lastname: Matsuoka
authors.forename: Manabu
authors.initials: M
authors.lastname: Osoegawa
authors.forename: Takaaki
authors.initials: T
authors.lastname: Ishizu
authors.forename: Jun-Ichi
authors.initials: J
authors.lastname: Kira
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000907:Antibodies, Bacterial / Q000097:blood*; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods; D005260:Female; D016481:Helicobacter Infections / Q000150:complications*; D016480:Helicobacter pylori / Q000276:immunology / Q000502:physiology*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D016015:Logistic Models; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications / Q000276:immunology / Q000517:prevention & control*; D016036:Seroepidemiologic Studies; D012720:Severity of Illness Index
chemical_list: D000907:Antibodies, Bacterial