title: Psychological stress enhances the colonization of the stomach by Helicobacter pylori in the BALB/c mouse.
abstract: Helicobacter pylori infection is a risk factor for development of peptic ulcers, and psychological stress (PS) may have a role in the pathogenesis of this condition. However, no interaction between PS and H. pylori infection (HI) has been established in the development of peptic ulcer, because colonization by H. pylori is the first step in the infection of the gastric mucosa, we examined H. pylori colonization of the stomach in BALB/c mice after PS. The mice were subjected to PS in a communication box test, in which they observed other mice experiencing a physical stressor (electrical) before they were inoculated with H. pylori. We found that the H. pylori colonization in the stomach of psychologically stressed mice was significantly greater than in the control mice (P < 0.05), and histological examination showed that the gastric mucosal injury in the stressed mice was more extensive than in the control mice (P < 0.05). To explore the underlying mechanisms, we administered RU486 (a type II glucocorticoid (GC) receptor antagonist) to antagonize the effect of endogenous corticosterone: this treatment decreased colonization by H. pylori in the psychologically stressed mice. We conclude that HI of the stomach of BALB/c mice is enhanced by PS, and the effect may be mediated by GCs.
authors.affiliation: Department of Clinical Microbiology and Clinical Immunology, Third Military Medical University, ChongQing, People's Republic of China.
authors.forename: Gang
authors.initials: G
authors.lastname: Guo
authors.forename: Ke-Ran
authors.initials: KR
authors.lastname: Jia
authors.forename: Yun
authors.initials: Y
authors.lastname: Shi
authors.forename: Xiao-Fei
authors.initials: XF
authors.lastname: Liu
authors.forename: Kai-Yun
authors.initials: KY
authors.lastname: Liu
authors.forename: Wei
authors.initials: W
authors.lastname: Qi
authors.forename: Ying
authors.initials: Y
authors.lastname: Guo
authors.forename: Wei-Jun
authors.initials: WJ
authors.lastname: Zhang
authors.forename: Tao
authors.initials: T
authors.lastname: Wang
authors.forename: Bin
authors.initials: B
authors.lastname: Xiao
authors.forename: Quan-Ming
authors.initials: QM
authors.lastname: Zou
mesh_terms: D000818:Animals; D005260:Female; D005753:Gastric Mucosa / Q000382:microbiology*; D016481:Helicobacter Infections / Q000473:pathology* / Q000517:prevention & control; D016480:Helicobacter pylori; D051379:Mice; D008807:Mice, Inbred BALB C; D015735:Mifepristone / Q000494:pharmacology; D010437:Peptic Ulcer / Q000382:microbiology; D011965:Receptors, Glucocorticoid / Q000037:antagonists & inhibitors / Q000502:physiology; D013270:Stomach / Q000382:microbiology*; D013272:Stomach Diseases / Q000382:microbiology*; D013315:Stress, Psychological / Q000382:microbiology*
chemical_list: D011965:Receptors, Glucocorticoid; D015735:Mifepristone