Changes in Gastric Microbial Composition before and after Eradication Therapy

Owing to advancements in next-generation sequencing and non-culture-based microbial research techniques, we have recognized that many bacterial taxa other than Helicobacter pylori (H. pylori) are present in the human stomach. Gastric microbial composition depends on gastric diseases, including gastr...

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Main Author: Chan Hyuk Park
Format: Article
Language:English
Published: Yong Chan Lee 2020-09-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Subjects:
Online Access:http://www.helicojournal.org/upload/pdf/kjhugr-2020-0028.pdf
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author Chan Hyuk Park
author_facet Chan Hyuk Park
author_sort Chan Hyuk Park
collection DOAJ
description Owing to advancements in next-generation sequencing and non-culture-based microbial research techniques, we have recognized that many bacterial taxa other than Helicobacter pylori (H. pylori) are present in the human stomach. Gastric microbial composition depends on gastric diseases, including gastritis, atrophic gastritis, intestinal metaplasia, and gastric cancer. Although H. pylori is a major factor associated with gastric cancer development, other bacterial taxa may affect gastric carcinogenesis. Because the risk of gastric cancer development can be reduced through H. pylori eradication, many investigators have studied the changes in the microbial composition in the stomach after H. pylori eradication. The gastric microbiome in patients with H. pylori infection typically shows abundance of H. pylori and a low microbial diversity index. If we treat H. pylori-infected patients with antibiotics, microbial diversity increases, and the relative abundance also increases in many bacterial taxa. Several studies suggested that the microbial composition in patients with H. pylori infection could be restored by H. pylori eradication therapy; however, there have been inconsistent findings of the abundant bacterial taxa after H. pylori eradication in patients with atrophic gastritis and intestinal metaplasia. More studies are required to reach a definitive conclusion on restoration of the microbial composition after H. pylori eradication according to the severity of gastric inflammation.
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spelling doaj.art-2830d053d139449bbe8fa89ec4149c882022-12-21T19:20:29ZengYong Chan LeeThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312020-09-0120317718610.7704/kjhugr.2020.0028643Changes in Gastric Microbial Composition before and after Eradication TherapyChan Hyuk Park0Department of Internal Medicine, Hanyang University College of Medicine, Seoul, KoreaOwing to advancements in next-generation sequencing and non-culture-based microbial research techniques, we have recognized that many bacterial taxa other than Helicobacter pylori (H. pylori) are present in the human stomach. Gastric microbial composition depends on gastric diseases, including gastritis, atrophic gastritis, intestinal metaplasia, and gastric cancer. Although H. pylori is a major factor associated with gastric cancer development, other bacterial taxa may affect gastric carcinogenesis. Because the risk of gastric cancer development can be reduced through H. pylori eradication, many investigators have studied the changes in the microbial composition in the stomach after H. pylori eradication. The gastric microbiome in patients with H. pylori infection typically shows abundance of H. pylori and a low microbial diversity index. If we treat H. pylori-infected patients with antibiotics, microbial diversity increases, and the relative abundance also increases in many bacterial taxa. Several studies suggested that the microbial composition in patients with H. pylori infection could be restored by H. pylori eradication therapy; however, there have been inconsistent findings of the abundant bacterial taxa after H. pylori eradication in patients with atrophic gastritis and intestinal metaplasia. More studies are required to reach a definitive conclusion on restoration of the microbial composition after H. pylori eradication according to the severity of gastric inflammation.http://www.helicojournal.org/upload/pdf/kjhugr-2020-0028.pdfmetagenomemicrobiota
spellingShingle Chan Hyuk Park
Changes in Gastric Microbial Composition before and after Eradication Therapy
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
metagenome
microbiota
title Changes in Gastric Microbial Composition before and after Eradication Therapy
title_full Changes in Gastric Microbial Composition before and after Eradication Therapy
title_fullStr Changes in Gastric Microbial Composition before and after Eradication Therapy
title_full_unstemmed Changes in Gastric Microbial Composition before and after Eradication Therapy
title_short Changes in Gastric Microbial Composition before and after Eradication Therapy
title_sort changes in gastric microbial composition before and after eradication therapy
topic metagenome
microbiota
url http://www.helicojournal.org/upload/pdf/kjhugr-2020-0028.pdf
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