Helicobacter
Genus of bacteria
Helicobacter is a genus of Gram-negative bacteria possessing a characteristic spiral shape. The most well-known species of this genus is Helicobacter pylori, which is associated with gastritis and peptic ulcers in humans. Helicobacter species are known for their ability to colonize the gastrointestinal tract of various mammals and birds.
Characteristics
Helicobacter species are microaerophilic, meaning they require oxygen at lower levels than is present in the atmosphere. They are motile due to the presence of multiple flagella, which allow them to navigate the mucus lining of the stomach. The spiral shape of these bacteria is thought to aid in their movement through the viscous environment of the gastric mucosa.
Pathogenicity
Helicobacter pylori is the most studied species within this genus and is a major cause of peptic ulcer disease and gastric cancer. The bacterium's ability to survive in the acidic environment of the stomach is attributed to its production of urease, an enzyme that neutralizes stomach acid by converting urea into ammonia and carbon dioxide.
Other species of Helicobacter have been identified in animals and are associated with various gastrointestinal diseases. For example, Helicobacter hepaticus is linked to liver disease in mice, and Helicobacter mustelae is known to cause gastritis in ferrets.
Ecology
Helicobacter species are adapted to colonize the mucosal surfaces of the gastrointestinal tract. They are found in a wide range of hosts, including humans, domestic animals, and wildlife. The ability of these bacteria to persist in the stomach environment is facilitated by their unique adaptations, such as the production of urease and their motility.
Diagnosis and Treatment
Diagnosis of Helicobacter infections typically involves non-invasive tests such as the urea breath test, stool antigen tests, and serological tests. Invasive methods include endoscopy with biopsy for histological examination and culture.
Treatment of Helicobacter pylori infection usually involves a combination of antibiotics and proton pump inhibitors to eradicate the bacteria and reduce stomach acid production, respectively. Common antibiotic regimens include clarithromycin, amoxicillin, and metronidazole.
Research and Implications
Research on Helicobacter has expanded our understanding of the role of bacteria in gastrointestinal diseases. The discovery of H. pylori and its link to peptic ulcers revolutionized the treatment of these conditions, shifting the focus from acid suppression alone to bacterial eradication.
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Contributors: Prab R. Tumpati, MD