Helicobacter pylori is a Gram-negative motile bacterium causative agent of acute and chronic digestive and extra-digestive human infections. According to different reports worldwide, H. pylori symptomatic and asymptomatic infections are a global problem. The statistical investigations show a percentage of 50 for people who are involved in H. pylori acute/chronic digestive and/or extra-digestive infections around the world. This review focuses on digestive and extra-digestive diseases caused by H. pylori, the related virulence factors, diagnostic techniques including non-invasive and invasive diagnostics and treatment. There is an abundance of diagnostics for detection and identification of H. pylori. The availability, cost, and the condition of test performance may differ from place to place. To increase the level of reliability in association with diagnostic tools for detecting H. pylori, several techniques must be applied at once as multi-diagnostic technique. Furthermore, there are several pharmacotherapies which can be used for complete eradication of H. pylori infection.
Zambon, C. F., Basso, D., Pelloso, M., Tessari, A., Plebani, M.: Pathogenesis of Helicobacter pylori in humans. Hum Emerg Re-Emerg Infect Viral Parasit Infect 1, 607–634 (2016).
Marcus, E. A., Sachs, G., Scott, D. R.: Eradication of Helicobacter pylori infection. Curr Gastroenterol Rep 18, 1–9 (2016).
Hussain, S., Hamid, S.: Helicobacter pylori in humans: Where are we now? Adv Biomed Res 3, 63 (2014).
Prasanthi, C., Prasanthi, N., Manikiran, S., Rao, N. R.: Focus on current trends in the treatment of Helicobacter pylori infection: An update. Int J Pharm Sci Rev Res 9, 42–51 (2011).
McColl, K. E.: Helicobacter pylori infection. N Engl J Med 362, 1597–1604 (2010).
Farshad, S., Japoni, A., Alborzi, A.: Helicobacter pylori and extradigestive disorders in the past 10 years. Iran Red Crescent Med J 11, 123–132 (2009).
Japoni, A., Alborzi, A., Zarenezhad, M., Ranjbar, R.: Changing prevalence of Helicobacter pylori in south of Iran. Iran J Clin Infect Dis 5, 65–69 (2010).
Farshad, S., Alborzi, A., Malekhosseini, S., Gramizadeh, B., Oboodi, B., Rasouli, M., Japoni, A., Kalani, M., Pourabbas, B.: Detection of Helicobacter DNA in bile samples of patients with biliary diseases living in south of Iran. Iran J Med Sci 31, 186–190 (2006).
Linz, B., Balloux, F., Moodley, Y., Manica, A., Liu, H., Roumagnac, P., Falush, D., Stamer, C., Prugnolle, F., van der Merwe, S. W.: An African origin for the intimate association between humans and Helicobacter pylori. Nature 445, 915–918 (2007).
Behzadi, P, Behzadi, E.: Environmental Microbiology, 1st Edition. Niktab Publisher, Tehran, 2007.
Ranjbar, R., Khamesipour, F., Jonaidi-Jafari, N., Rahimi, E.: Helicobacter pylori in bottled mineral water: Genotyping and antimicrobial resistance properties. BMC Microbiol 16, 40 (2016).
Malfertheiner, P., Selgrad, M.: Helicobacter pylori infection and current clinical areas of contention. Curr Opin Gastroenterol 26, 618–623 (2010).
Tsang, K. W., Lam, S. K.: Helicobacter pylori and extra‐digestive diseases. J Gastroenterol Hepatol 14, 844–850 (1999).
Everhart, J. E.: Recent developments in the epidemiology of Helicobacter pylori. Gastroenterol Clin North Am 29, 559–578 (2000).
Woodward, M., Morrison, C., McColl, K.: An investigation into factors associated with Helicobacter pylori infection. J Clin Epidemiol 53, 175–181 (2000).
McCallum, R.: Urea protects H. (Campylobacter) pylori from the bactericidal effect of acid. Gastroenterology 99, 697–702 (1990).
Hsu, P.-I., Yamaoka, Y., Goh, K.-L., Manfredi, M., Wu, D.-C., Mahachai, V.: Helicobacter pylori infection. BioMed Res Int 2015, 278308 (2015).
Hu, L., Mobley, H.: Purification and N-terminal analysis of urease from Helicobacter pylori. Infect Immun 58, 992–998 (1990).
Phadnis, S. H., Parlow, M. H., Levy, M., Ilver, D., Caulkins, C. M., Connors, J. B., Dunn, B. E.: Surface localization of Helicobacter pylori urease and a heat shock protein homolog requires bacterial autolysis. Infect Immun 64, 905–912 (1996).
Smolka, A. J., Backert, S.: How Helicobacter pylori infection controls gastric acid secretion. J Gastroenterol 47, 609–618 (2012).
Wroblewski, L. E., Peek, R. M., Wilson, K. T.: Helicobacter pylori and gastric cancer: Factors that modulate disease risk. Clin Microbiol Rev 23, 713–739 (2010).
Weeks, D. L., Eskandari, S., Scott, D. R., Sachs, G.: A H+-gated urea channel: The link between Helicobacter pylori urease and gastric colonization. Science 287, 482–485 (2000).
El-Omar, E. M., Penman, I. D., Ardill, J. E., Chittajallu, R. S., Howie, C., McColl, K. E.: Helicobacter pylori infection and abnormalities of acid secretion in patients with duodenal ulcer disease. Gastroenterology 109, 681–691 (1995).
Hansen, S., Melby, K., Aase, S., Jellum, E., Vollset, S.: Helicobacter pylori infection and risk of cardia cancer and non-cardia gastric cancer: A nested case-control study. Scand J Gastroenterol 34, 353–360 (1999).
Parsonnet, J., Hansen, S., Rodriguez, L., Gelb, A. B., Warnke, R. A., Jellum, E., Orentreich, N., Vogelman, J. H., Friedman, G. D.: Helicobacter pylori infection and gastric lymphoma. N Engl J Med 330, 1267–1271 (1994).
Uemura, N., Okamoto, S., Yamamoto, S., Matsumura, N., Yamaguchi, S., Yamakido, M., Taniyama, K., Sasaki, N., Schlemper, R. J.: Helicobacter pylori infection and the development of gastric cancer. N Engl J Med 345, 784–789 (2001).
Nozaki, K., Shimizu, N., Inada, K.-I., Tsukamoto, T., Inoue, M., Kumagai, T., Sugiyama, A., Mizoshita, T., Kaminishi, M., Tatematsu, M.: Synergistic promoting effects of Helicobacter pylori infection and high-salt diet on gastric carcinogenesis in Mongolian gerbils. Cancer Sci 93, 1083–1089 (2002).
Romero-Gallo, J., Harris, E. J., Krishna, U., Washington, M. K., Perez-Perez, G. I., Peek, R. M.: Effect of Helicobacter pylori eradication on gastric carcinogenesis. Lab Invest 88, 328–336 (2008).
Luther, J., Dave, M., Higgins, P. D., Kao, J. Y.: Association between Helicobacter pylori infection and inflammatory bowel disease: A meta-analysis and systematic review of the literature. Inflammatory Bowel Dis 16, 1077–1084 (2010).
Roesler, B. M., Rabelo-Gonçalves, E. M., Zeitune, J. M.: Virulence factors of Helicobacter pylori: A review. Clin Med Insights Gastroenterol 7, 9 (2014).
Naveed, S., Ahmed, S. M., Ali, Z., Awan, R., Zakir, H., Ghazi, L., Nageen, A.: Helicobacter pylori infection. Prof Med J 23, 307–311 (2016).
Hong, J.-B., Zuo, W., Wang, A.-J., Lu, N.-H.: Helicobacter pylori infection synergistic with IL-1β gene polymorphisms potentially contributes to the carcinogenesis of gastric cancer. Int J Med Sci 13, 298 (2016).
Richy, F., Mégraud, F.: Helicobacter pylori infection as a cause of extra-digestive diseases: Myth or reality? Gastroenterol Clin Biol 27, 459–466 (2003).
Xiang, Z., Chen, Y.-P., Ye, Y.-F., Ma, K.-F., Chen, S.-H., Zheng, L., Yang, Y.-D., Jin, X.: Helicobacter pylori and Crohn’s disease: A retrospective single-center study from China. World J Gastroenterol 19, 4576 (2013).
Franceschi, F., Tortora, A., Gasbarrini, G., Gasbarrini, A.: Helicobacter pylori and extragastric diseases. Helicobacter 19, 52–58 (2014).
Jafarzadeh, A., Nemati, M., Rezayati, M. T., Nabizadeh, M., Ebrahimi, M.: Higher serum levels of rheumatoid factor and anti-nuclear antibodies in Helicobacter pylori-infected peptic ulcer patients. Oman Med J 28, 264 (2013).
Behzadi, P, Behzadi, E, Ranjbar, R.: Autoimmunity, Crohn’s disease and anti-Saccharomyces cerevisiae autoantibodies. Farmacist’ro 156, 50–52 (2014).
Kutlubay, Z., Zara, T., Engin, B., Serdaroglu, S., Tüzün, Y., Yilmaz, E., Eren, B.: Helicobacter pylori infection and skin disorders. Hong Kong Med J 20, 317–324 (2014).
Hosseinzadeh, M., Khosravi, A., Saki, K., Ranjbar, R.: Evaluation of Helicobacter pylori infection in patients with common migraine headache. Arch Med Sci 7, 844–849 (2011).
Izadi, M., Fazel, M., Sharubandi, S. H., Saadat, S. H., Farahani, M. M., Nasseri, M. H., Dabiri, H., SafiAryan, R., Esfahani, A. A., Ahmadi, A.: Helicobacter species in the atherosclerotic plaques of patients with coronary artery disease. Cardiovasc Pathol 21, 307–311 (2012).
Delitala, A. P., Pes, G. M., Malaty, H. M., Pisanu, G., Delitala, G., Dore, M. P.: Implication of cytotoxic Helicobacter pylori infection in autoimmune diabetes. J Diabetes Res 501, 7347065 (2016).
Behzadi, P., Behzadi, E., Ranjbar, R.: The incidence and prevalence of Crohn’s disease in global scale. SOJ Immunol 3, 1–6 (2015).
Dossumbekova, A., Prinz, C., Gerhard, M., Brenner, L., Backert, S., Kusters, J. G., Schmid, R. M., Rad, R.: Helicobacter pylori outer membrane proteins and gastric inflammation. Gut 55, 1360–1361 (2006).
de Negreiros Bessa, P. P., Barbosa, F. C., do Carmo, A. P. S., Furtado, G. B., Barroso, F. C., Rabenhosrt, S. H. B.: Presence of the genes cagA, cagE, virB11 and allelic variation of vacA of Helicobacter pylori are associated with the activity of gastritis. Open J Gastroenterol 4, 347 (2014).
Hosseini, E., Poursina, F., Van de Wiele, T., Safaei, H. G., Adibi, P.: Helicobacter pylori in Iran: A systematic review on the association of genotypes and gastroduodenal diseases. J Res Med Sci 17, 280 (2012).
Shiota, S., Watada, M., Matsunari, O., Iwatani, S., Suzuki, R., Yamaoka, Y.: Helicobacter pylori iceA, clinical outcomes, and correlation with cagA: A meta-analysis. PLoS One 7, e30354 (2012).
Farshad, S., Alborzi, A., Abbasian, A.: Association of H. pylori virulence genes CagA, VacA and UreAB with ulcer and nonulcer diseases in Iranian population. Pak J Biol Sci 10, 1185–1189 (2007).
Boncristiano, M., Paccani, S. R., Barone, S., Ulivieri, C., Patrussi, L., Ilver, D., Amedei, A., D’Elios, M. M., Telford, J. L., Baldari, C. T.: The Helicobacter pylori vacuolating toxin inhibits T cell activation by two independent mechanisms. J Exp Med 198, 1887–1897 (2003).
Phadnis, S. H., Ilver, D., Janzon, L., Normark, S., Westblom, T. U.: Pathological significance and molecular characterization of the vacuolating toxin gene of Helicobacter pylori. Infect Immun 62, 1557–1565 (1994).
Gebert, B., Fischer, W., Weiss, E., Hoffmann, R., Haas, R.: Helicobacter pylori vacuolating cytotoxin inhibits T lymphocyte activation. Science 301, 1099–1102 (2003).
Pakbaz, Z., Shirazi, M. H., Ranjbar, R.: Frequency of sabA gene in Helicobacter pylori strains isolated from patients in Tehran, Iran. Iran Red Crescent Med J 15, 767 (2013).
Ghasemi, A., Shirazi, M., Ranjbar, R., Khorramizadeh, M., Daryani, N., Hosseini, M.: The prevalence of cagA and cagE genes in Helicobacter pylori strains isolated from different patient groups by polymerase chain reaction. Pak J Biol Sci 11, 2579–2583 (2008).
Akopyants, N. S., Clifton, S. W., Kersulyte, D., Crabtree, J. E., Youree, B. E., Reece, C., Bukanov, N. O., Drazek, E. S., Roe, B. A., Berg, D. E.: Analyses of the cag pathogenicity island of Helicobacter pylori. Mol Microbiol 28, 37–53 (1998).
Censini, S., Lange, C., Xiang, Z., Crabtree, J. E., Ghiara, P., Borodovsky, M., Rappuoli, R., Covacci, A.: cag, a pathogenicity island of Helicobacter pylori, encodes type I-specific and disease-associated virulence factors. Proc Natl Acad Sci U S A 93, 14648–14653 (1996).
Blaser, M. J., Perez-Perez, G. I., Kleanthous, H., Cover, T. L., Peek, R. M., Chyou, P., Stemmermann, G. N., Nomura, A.: Infection with Helicobacter pylori strains possessing cagA is associated with an increased risk of developing adenocarcinoma of the stomach. Cancer Res 55, 2111–2115 (1995).
Asahi, M., Azuma, T., Ito, S., Ito, Y., Suto, H., Nagai, Y., Tsubokawa, M., Tohyama, Y., Maeda, S., Omata, M.: Helicobacter pylori CagA protein can be tyrosine phosphorylated in gastric epithelial cells. J Exp Med 191, 593–602 (2000).
Odenbreit, S., Püls, J., Sedlmaier, B., Gerland, E., Fischer, W., Haas, R.: Translocation of Helicobacter pylori CagA into gastric epithelial cells by type IV secretion. Science 287, 1497–1500 (2000).
Ohnishi, N., Yuasa, H., Tanaka, S., Sawa, H., Miura, M., Matsui, A., Higashi, H., Musashi, M., Iwabuchi, K., Suzuki, M., Yamada, G., Azuma, T., Hatakeyama, M.: Transgenic expression of Helicobacter pylori CagA induces gastrointestinal and hematopoietic neoplasms in mouse. Proc Natl Acad Sci U S A 105, 1003–1008 (2008).
van Doorn, L. J., Figueiredo, C., Sanna, R., Plaisier, A., Schneeberger, P., de Boer, W., Quint, W.: Clinical relevance of the cagA, vacA, and iceA status of Helicobacter pylori. Gastroenterology 115, 58–66 (1998).
Farshad, S., Japoni, A., Alborzi, A., Hosseini, M.: Restriction fragment length polymorphism of virulence genes cagA, vacA and ureAB of Helicobacter pylori strains isolated from Iranian patients with gastric ulcer and nonulcer disease. Saudi Med J 28, 529 (2007).
Ranjbar, R., Khamesipour, F., Jonaidi‐Jafari, N., Rahimi, E.: Helicobacter pylori isolated from Iranian drinking water: vacA, cagA, iceA, oipA and babA2 genotype status and antimicrobial resistance properties. FEBS Open Bio 6, 433–441 (2016).
Souod, N., Kargar, M., Doosti, A., Ranjbar, R., Sarshar, M.: Genetic analysis of cagA and vacA genes in Helicobacter pylori isolates and their relationship with gastroduodenal diseases in the west of Iran. Iran Red Crescent Med J 15, 371 (2013).
Boren, T., Falk, P., Roth, K., Larson, G., Normark, S.: Attachment of Helicobacter pylori to human gastric epithelium mediated by blood group antigens. Science 262, 1892–1895 (1993).
Yamaoka, Y., Kwon, D. H., Graham, D. Y.: A M r 34,000 proinflammatory outer membrane protein (oipA) of Helicobacter pylori. Proc Natl Acad Sci U S A 97, 7533–7538 (2000).
Yamaoka, Y., Ojo, O., Fujimoto, S., Odenbreit, S., Haas, R., Gutierrez, O., El-Zimaity, H. M. T., Reddy, R., Arnqvist, A., Graham, D. Y.: Helicobacter pylori outer membrane proteins and gastroduodenal disease. Gut 55, 775–781 (2006).
Snaith, A., El-Omar, E. M.: Helicobacter pylori: Host genetics and disease outcomes. Expert Rev Gastroenterol Hepatol 2, 577–585 (2008).
Farshad, S., Rasouli, M., Jamshidzadeh, A., Hosseinkhani, A., Japoni, A., Alborzi, A., Taghavi, A., Asl, H. K., Ranjbar, R.: IL-1β (+3953 C/T) and IL-8 (−251 A/T) gene polymorphisms in H. pylori mediated gastric disorders. Iran J Immunol 7, 96–108 (2010).
Bytzer, P., Dahlerup, J. F., Eriksen, J. R., Jarbøl, D., Rosenstock, S., Wildt, S.: Diagnosis and treatment of Helicobacter pylori infection. Dan Med Bull 58, C4271 (2011).
Ricci, C., Holton, J., Vaira, D.: Diagnosis of Helicobacter pylori: Invasive and non-invasive tests. Best Pract Res Clin Gastroenterol 21, 299–313 (2007).
Vaira, D., Holton, J., Menegatti, M., Ricci, C., Gatta, L., Geminiani, A., Miglioli, M.: Invasive and non-invasive tests for Helicobacter pylori infection. Aliment Pharmacol Ther 14, 13–22 (2000).
Gatta, L., Ricci, C., Tampieri, A., Vaira, D.: Non-invasive techniques for the diagnosis of Helicobacter pylori infection. Clin Microbiol Infect 9, 489–496 (2003).
Shahidi, M. A., Fattahi, M. R., Farshad, S., Alborzi, A.: Validation of an in-house made rapid urease test kit against the commercial CLO-test in detecting Helicobacter pylori infection in the patients with gastric disorders. J Res Med Sci 17, 212 (2012).
Malfertheiner, P., Megraud, F., O’Morain, C., Bazzoli, F., El-Omar, E., Graham, D., Hunt, R., Rokkas, T., Vakil, N., Kuipers, E. J.: Current concepts in the management of Helicobacter pylori infection: The Maastricht III Consensus Report. Gut 56, 772–781 (2007).
Islam, M., Rahman, S., Shamsuzzaman, S., Muazzam, N., Kibria, S., Hossain, M., Ahmed, N., Sarkar, A., Nahar, S.: A comparative study among different invasive methods for the diagnosis of Helicobacter pylori. Faridpur Med Coll J 5, 21–24 (2010).
Mégraud, F.: How should Helicobacter pylori infection be diagnosed? Gastroenterology 113, S93–S98 (1997).
Sondergaard, B., Bytzer, P.: Helicobacter pylori infection is no longer the major cause of peptic ulcer in Copenhagen County. Helicobacter 10, 484 (2005).
Bytzer, P., Teglbjærg, P. S.: Helicobacter pylori-negative duodenal ulcers: Prevalence, clinical characteristics, and prognosis – Results from a randomized trial with 2-year follow-up. Am J Gastroenterol 96, 1409–1416 (2001).
Aro, P., Storskrubb, T., Ronkainen, J., Bolling-Sternevald, E., Engstrand, L., Vieth, M., Stolte, M., Talley, N. J., Agréus, L.: Peptic ulcer disease in a general adult population the Kalixanda study: A random population-based study. Am J Epidemiol 163, 1025–1034 (2006).
Gisbert, J. P., Calvet, X., Feu, F., Bory, F., Cosme, A., Almela, P., Santolaria, S., Aznárez, R., Castro, M., Fernández, N.: Eradication of Helicobacter pylori for the prevention of peptic ulcer rebleeding. Helicobacter 12, 279–286 (2007).
Briggs, A., Sculpher, M., Logan, R., Aldous, J., Ramsay, M., Baron, J.: Cost effectiveness of screening for and eradication of Helicobacter pylori in management of dyspeptic patients under 45 years of age. BMJ 312, 1321–1325 (1996).
Isaacson, P., Spencer, J.: Gastric lymphoma and Helicobacter pylori. Important Adv Oncol, 111–121 (1996).
Vaira, D., Stanghellini, V., Menegatti, M., Palli, D., Corinaldesi, R., Miglioli, M.: Prospective screening of dyspeptic patients by Helicobacter pylori serology: A safe policy? Endoscopy 29, 595–601 (1997).
Suerbaum, S., Michetti, P.: Helicobacter pylori infection. N Engl J Med 347, 1175–1186 (2002).
Moayyedi, P., Braunholtz, D., Heminbrough, E., Clough, M., Tompkins, D. S., Mapstone, N. P., Mason, S., Dowell, A. C., Richards, G. I., Chalmers, D. M.: Do patients need to fast for a 13C-urea breath test? Eur J Gastroenterol Hepatol 9, 275–277 (1997).
Hamlet, A., Stage, L., Lönroth, H., Cahlin, C., Nyström, C., Pettersson, A.: A novel tablet-based 13C urea breath test for Helicobacter pylori with enhanced performance during acid suppression therapy. Scand J Gastroenterol 34, 367–374 (1999).
Malfertheiner, P., Megraud, F., O’Morain, C. A., Atherton, J., Axon, A. T., Bazzoli, F., Gensini, G. F., Gisbert, J. P., Graham, D. Y., Rokkas, T.: Management of Helicobacter pylori infection – The Maastricht IV/Florence consensus report. Gut 61, 646–664 (2012).
Gisbert, J., Pajares, J.: Review article: 13C-urea breath test in the diagnosis of Helicobacter pylori infection – A critical review. Aliment Pharmacol Ther 20, 1001–1017 (2004).
Dun, C., Blac, M., Cowell, D., Penaul, C., Ratcliffe, N. M., Spence, R., Teare, C.: Ammonia vapour in the mouth as a diagnostic marker for Helicobacter pylori infection: Preliminary ‘proof of principle’ pharmacological investigations. Br J Biomed Sci 58, 66 (2001).
Rahimi, H. R., Rasouli, M., Jamshidzadeh, A., Farshad, S., Firoozi, M. S., Taghavi, A. R., Kiany, S.: New immunological investigations on Helicobacter pylori-induced gastric ulcer in patients. Microbiol Immunol 57, 455–462 (2013).
Laheij, R., Straatman, H., Jansen, J., Verbeek, A.: Evaluation of commercially available Helicobacter pylori serology kits: A review. J Clin Microbiol 36, 2803–2809 (1998).
Fusconi, M., Vaira, D., Menegatti, M., Farinelli, S., Figura, N., Holton, J., Ricci, C., Corinaldesi, R., Miglioli, M.: Anti-CagA reactivity in Helicobacter pylori-negative subjects (a comparison of three different methods). Dig Dis Sci 44, 1691–1695 (1999).
Luzza, F., Imeneo, M., Marasco, A., Crotta, S., Ierardi, E., Usai, P., Virgilio, C., Nardone, G., Marchi, S., Sanna, G.: Evaluation of a commercial serological kit for detection of salivary immunoglobulin G to Helicobacter pylori: A multicentre study. Eur J Gastroenterol Hepatol 12, 1117–1120 (2000).
Loeb, M. B., Riddell, R. H., James, C., Hunt, R., Smaill, F. M.: Evaluation of salivary antibodies to detect infection with Helicobacter pylori. Can J Gastroenterol 11, 437–440 (1996).
Christie, J., McNulty, C., Shepherd, N., Valori, R.: Is saliva serology useful for the diagnosis of Helicobacter pylori? Gut 39, 27–30 (1996).
Malaty, H. M., Logan, N. D., Graham, D. Y., Ramchatesingh, J. E., Reddy, S. G.: Helicobacter pylori infection in asymptomatic children: Comparison of diagnostic tests. Helicobacter 5, 155–159 (2000).
Miwa, H., Hirose, M., Kikuchi, S., Terai, T., Iwazaki, R., Kobayashi, O., Takei, Y., Ogihara, T., Sato, N.: How useful is the detection kit for antibody to Helicobacter pylori in urine (URINELISA) in clinical practice? Am J Gastroenterol 94, 3460–3463 (1999).
Graham, D., Reddy, S.: Rapid detection of anti-Helicobacter pylori IgG in urine using immunochromatography. Aliment Pharmacol Ther 15, 699–702 (2001).
Gisbert, J. P., de la Morena, F., Abraira, V.: Accuracy of monoclonal stool antigen test for the diagnosis of Helicobacter pylori infection: A systematic review and meta-analysis. Am J Gastroenterol 101, 1921–1930 (2006).
Deguchi, R., Matsushima, M., Suzuki, T., Mine, T., Fukuda, R., Nishina, M., Ozawa, H., Takagi, A.: Comparison of a monoclonal with a polyclonal antibody-based enzyme immunoassay stool test in diagnosing Helicobacter pylori infection after eradication therapy. J Gastroenterol 44, 713–716 (2009).
Shimoyama, T., Kato, C., Kodama, M., Kobayashi, I., Fukuda, Y.: Applicability of a monoclonal antibody-based stool antigen test to evaluate the results of Helicobacter pylori eradication therapy. Jpn J Infect Dis 62, 225–227 (2009).
Calvet, X., Lario, S., Ramírez‐Lázaro, M. J., Montserrat, A., Quesada, M., Reeves, L., Masters, H., Suárez‐Lamas, D., Gallach, M., Miquel, M.: Accuracy of monoclonal stool tests for determining cure of Helicobacter pylori infection after treatment. Helicobacter 15, 201–205 (2010).
Schwarzer, A., Lottspeich, C., Rüssmann, H., Ossiander, G., Koletzko, S.: Evaluation of a novel rapid one-step monoclonal chromatographic immunoassay for detection of Helicobacter pylori in stool from children. Eur J Clin Microbiol Infect Dis 26, 475–480 (2007).
Laine, L., Lewin, D. N., Naritoku, W., Cohen, H.: Prospective comparison of H&E, Giemsa, and Genta stains for the diagnosis of Helicobacter pylori. Gastrointest Endosc 45, 463–467 (1997).
Rotimi, O., Cairns, A., Gray, S., Moayyedi, P., Dixon, M.: Histological identification of Helicobacter pylori: Comparison of staining methods. J Clin Pathol 53, 756–759 (2000).
El-Zimaity, H. M.: Accurate diagnosis of Helicobacter pylori with biopsy. Gastroenterol Clin North Am 29, 863–869 (2000).
Farshad, S., Alborzi, A., Japoni, A., Ranjbar, R., Asl, K. H., Badiee, P., Shahidi, M. A., Hosseini, M.: Antimicrobial susceptibility of Helicobacter pylori strains isolated from patients in Shiraz, Southern Iran. World J Gastroenterol 16, 5746 (2010).
Zhou, J.: Microarrays for bacterial detection and microbial community analysis. Curr Opin Microbiol 6, 288–294 (2003).
Farshad, S., Rasouli, M., Alborzi, A.: Simultaneous detection of Helicobacter genus and Helicobacter pylori species using a multiplex PCR method. Iran Biomed J 8, 205–209 (2004).
Behzadi, P., Ranjbar, R., Alavian, S. M.: Nucleic acid-based approaches for detection of viral hepatitis. Jundishapur J Microbiol 8, e17449 (2015).
Behzadi, P, Behzadi, E, Ranjbar, R.: The application of microarray in medicine. ORL’ro 24, 24–26 (2014).
Behzadi, P, Behzadi, E, Ranjbar, R.: Microarray probe set: Biology, bioinformatics and biophysics. Albanian Med J 2, 78–83 (2015).
Behzadi, P, Behzadi, E, Ranjbar, R.: Basic Modern Molecular Biology, 1st Edition. Persian Science & Research Publisher, Tehran, 2014.
Jahandeh, N., Ranjbar, R., Behzadi, P., Behzadi, E.: Uropathogenic Escherichia coli virulence genes: Invaluable approaches for designing DNA microarray probes. Cent European J Urol 68, 452–458 (2015).
Behzadi, P., Behzadi, E., Ranjbar, R.: IL-12 family cytokines: General characteristics, pathogenic microorganisms, receptors, and signalling pathways. Acta Microbiol Immunol Hung 63, 1–25 (2016).
Behzadi, P., Najafi, A., Behzadi, E., Ranjbar, R.: Microarray long oligo probe designing for Escherichia coli: An in-silico DNA marker extraction. Cent Eur J Urol 69, 105–111 (2016).
Behzadi, P, Ranjbar, R.: Microarray long oligo probe designing for Bacteria: An in silico pan-genomic research. Albanian Med J 2, 5–11 (2016).
Miftahussurur, M., Yamaoka, Y.: Diagnostic methods of Helicobacter pylori infection for epidemiological studies: Critical importance of indirect test validation. BioMed Res Int 2016, 4819423 (2016).
Tajbakhsh, S., Samarbaf-Zadeh, A. R., Moosavian, M.: Comparison of fluorescent in situ hybridization and histological method for the diagnosis of Helicobacter pylori in gastric biopsy samples. Med Sci Monit 14, BR183–BR187 (2008).
McNulty, C. A., Lehours, P., Megraud, F.: Diagnosis of Helicobacter pylori infection. Helicobacter 16, 10–18 (2011).
Garza-González, E., Perez-Perez, G. I., Maldonado-Garza, H. J., Bosques-Padilla, F. J.: A review of Helicobacter pylori diagnosis, treatment, and methods to detect eradication. World J Gastroenterol 20, 1438–1449 (2014).
Xuan, S.-H., Wu, L.-P., Zhou, Y.-G., Xiao, M.-B.: Detection of clarithromycin-resistant Helicobacter pylori in clinical specimens by molecular methods: A review. J Global Antimicrob Resist 4, 35–41 (2016).
Thung, I., Aramin, H., Vavinskaya, V., Gupta, S., Park, J., Crowe, S., Valasek, M.: Review article: The global emergence of Helicobacter pylori antibiotic resistance. Aliment Pharmacol Ther 43, 514–533 (2016).
Cattoir, V., Nectoux, J., Lascols, C., Deforges, L., Delchier, J.-C., Megraud, F., Soussy, C.-J., Cambau, E.: Update on fluoroquinolone resistance in Helicobacter pylori: New mutations leading to resistance and first description of a gyrA polymorphism associated with hypersusceptibility. Int J Antimicrob Agents 29, 389–396 (2007).
Moore, R. A., Beckthold, B., Wong, S., Kureishi, A., Bryan, L. E.: Nucleotide sequence of the gyrA gene and characterization of ciprofloxacin-resistant mutants of Helicobacter pylori. Antimicrob Agents Chemother 39, 107–111 (1995).
Fontenete, S., Leite, M., Guimarães, N., Madureira, P., Ferreira, R. M., Figueiredo, C., Wengel, J., Azevedo, N. F.: Towards fluorescence in vivo hybridization (FIVH) detection of H. pylori in gastric mucosa using advanced LNA probes. PLoS One 10, e0125494 (2015).
Fontenete, S., Leite, M., Cappoen, D., Santos, R., Van Ginneken, C., Figueiredo, C., Wengel, J., Cos, P., Azevedo, N. F.: Fluorescence in vivo hybridization (FIVH) for detection of Helicobacter pylori infection in a C57BL/6 mouse model. PLoS One 11, e0148353 (2016).
Kusters, J. G., van Vliet, A. H., Kuipers, E. J.: Pathogenesis of Helicobacter pylori infection. Clin Microbiol Rev 19, 449–490 (2006).
Mégraud, F.: Rationale for the choice of antibiotics for the eradication of Helicobacter pylori. Eur J Gastroenterol Hepatol 7, S49 (1995).
Gao, W., Cheng, H., Hu, F., Li, J., Wang, L., Yang, G., Xu, L., Zheng, X.: The evolution of Helicobacter pylori antibiotics resistance over 10 years in Beijing, China. Helicobacter 15, 460–466 (2010).
Zhang, Y.-X., Zhou, L.-Y., Song, Z.-Q., Zhang, J.-Z., He, L.-H., Ding, Y.: Primary antibiotic resistance of Helicobacter pylori strains isolated from patients with dyspeptic symptoms in Beijing: A prospective serial study. World J Gastroenterol 21, 2786 (2015).
De Francesco, V., Giorgio, F., Hassan, C., Manes, G., Vannella, L., Panella, C., Ierardi, E., Zullo, A.: Worldwide H. pylori antibiotic resistance: A systematic. J Gastrointest Liver Dis 19, 409–414 (2010).
Karpiński, T. M., Andrzejewska, E., Eder, P., Linke, K., Szkaradkiewicz, A.: Evaluation of antimicrobial resistance of Helicobacter pylori in the last 15 years in West Poland. Acta Microbiol Immunol Hung 62, 287–293 (2015).
Torres, J., Camorlinga-Ponce, M., Pérez-Pérez, G., Madrazo-De la Garza, A., Dehesa, M., González-Valencia, G., Muñoz, O.: Increasing multidrug resistance in Helicobacter pylori strains isolated from children and adults in Mexico. J Clin Microbiol 39, 2677–2680 (2001).