Effects of cytotoxin-associated gene A (CagA) positive Helicobacter pylori infection on anti-platelet glycoprotein antibody producing B cells in patients with primary idiopathic thrombocytopenic purpura (ITP).

Content Provider	Europe PMC
Author	Cheng, Yuan-Shan Kuang, Li-Ping Zhuang, Chun-Lan Jiang, Jia-Dian Shi, Man
Abstract	Objective:To explore the effects of cytotoxin-associated gene A (CagA) positive Helicobacter pylori (H. pylori or HP) infection on circulating B cells producing specific platelet glycoprotein antibodies and the association between therapeutic outcomes in primary idiopathic thrombocytopenic purpura (ITP) patients.Methods:A total of 76 newly diagnosed primary ITP patients were included in the study which was conducted at the first affiliated hospital of Shantou University Medical college, in Shantou city China, between January 2013 and January 2014. These patients were tested for H. pylori infection by 13C urea breath test and for anti-CagA antibody in H. pylori positive cases by enzyme-linked immunosorbent assay (ELISA) method. Anti-GPIb and anti-GPIIb/IIIa antibody-producing B cells were measured using an enzyme-linked immunospot (ELISPOT) assay in all ITP patients and 30 controls. Anti-nuclear antibody (ANA) was also detected in ITP patients.Results:The numbers of anti-GPIIb/IIIa antibody-producing B cells in HP+CagA+ patients were higher than in HP+CagA- or HP- patients. However, anti-GPIb antibody-producing B cells were found higher in HP- patients. Analysis of treatment outcomes showed that a therapeutic response was more likely in patients presenting anti-GPIIb/IIIa B cells, but the poor response was found to be associated with anti-GPIb B cells and ANA presences.Conclusion:CagA antigen of H. pylori may induce anti-GPIIb/IIIa antibodies production by a molecular mimicry mechanism. Anti-GPIIb/IIIa and anti-GPIb antibody producing B Cells detection is useful for predicting treatment effects of primary ITP.
ISSN	1682024X
Volume Number	31
PubMed Central reference number	PMC4386170
Issue Number	1
PubMed reference number	25878627
Journal	Pakistan Journal of Medical Sciences [Pak J Med Sci]
e-ISSN	1681715X
DOI	10.12669/pjms.311.6409
Language	English
Publisher	Professional Medical Publicaitons
Publisher Date	2015-01-01
Publisher Place	Karachi, Pakistan
Access Restriction	Open
Rights License	This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Subject Keyword	Idiopathic thrombocytopenic purpura Helicobacter pylori Cytotoxin-associated gene A Anti-glycoprotein antibody
Content Type	Text
Resource Type	Article
Subject	Medicine