Helicobacter pylori infection increases the risk of carotid plaque formation: Clinical samples combined with bioinformatics analysis

Objective: Infection with Helicobacter pylori (H. pylori) may increase atherosclerosis, which can lead to carotid plaque formation. Our study examined the relationship between H. pylori infection and carotid plaque formation, and its underlying mechanisms. Methods: A total of 36,470 people who under...

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Main Authors: Yi Chen, Ningning You, Chaoyu Yang, Jinshun Zhang
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023072456
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author Yi Chen
Ningning You
Chaoyu Yang
Jinshun Zhang
author_facet Yi Chen
Ningning You
Chaoyu Yang
Jinshun Zhang
author_sort Yi Chen
collection DOAJ
description Objective: Infection with Helicobacter pylori (H. pylori) may increase atherosclerosis, which can lead to carotid plaque formation. Our study examined the relationship between H. pylori infection and carotid plaque formation, and its underlying mechanisms. Methods: A total of 36,470 people who underwent physical examination in Taizhou Hospital Health Examination Center from June 2017 to June 2022 were included in this study. All people participated in the urease test, neck ultrasound, blood pressure detection, anthropometric measurement and biochemical laboratory examination. In addition, the GSE27411 and GSE28829 datasets in the Gene Expression Omnibus (GEO) database were used to analyze the mechanism of H. pylori infection and atherosclerosis progression. Results: H. pylori infection, sex, age, blood lipids, blood pressure, fasting blood glucose, glycated hemoglobin and body mass index were risk factors for carotid plaque formation. An independent risk factor was still evident in the multivariate logistic regression analysis, indicating H. pylori infection. Furthermore, after weighted gene coexpression network analysis (WGCNA), we discovered 555 genes linked to both H. pylori infection and the advancement of atherosclerosis. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses revealed a strong correlation between these genes and immunity, infection, and immune disorders. SsGSEA analysis showed that H. pylori infection and atherosclerosis included changes in the immune microenvironment. Finally, three genes MS4A6A, ADAMDEC1 and AQP9 were identified to be involved in the formation of atherosclerosis after H. pylori infection. Conclusion: Our research affirms that H. pylori is a unique contributor to the formation of carotid plaque, examines the immune microenvironment associated with H. pylori infection and advanced carotid atherosclerosis, and offers fresh perspectives on how H. pylori infection leads to atherosclerosis.
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spelling doaj.art-f76c7525d9c644c49003fdb7d8b3ced92023-10-01T06:02:20ZengElsevierHeliyon2405-84402023-09-0199e20037Helicobacter pylori infection increases the risk of carotid plaque formation: Clinical samples combined with bioinformatics analysisYi Chen0Ningning You1Chaoyu Yang2Jinshun Zhang3Departments of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, ChinaDepartments of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, ChinaDepartments of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, ChinaHealth Management Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, China; Corresponding author.Objective: Infection with Helicobacter pylori (H. pylori) may increase atherosclerosis, which can lead to carotid plaque formation. Our study examined the relationship between H. pylori infection and carotid plaque formation, and its underlying mechanisms. Methods: A total of 36,470 people who underwent physical examination in Taizhou Hospital Health Examination Center from June 2017 to June 2022 were included in this study. All people participated in the urease test, neck ultrasound, blood pressure detection, anthropometric measurement and biochemical laboratory examination. In addition, the GSE27411 and GSE28829 datasets in the Gene Expression Omnibus (GEO) database were used to analyze the mechanism of H. pylori infection and atherosclerosis progression. Results: H. pylori infection, sex, age, blood lipids, blood pressure, fasting blood glucose, glycated hemoglobin and body mass index were risk factors for carotid plaque formation. An independent risk factor was still evident in the multivariate logistic regression analysis, indicating H. pylori infection. Furthermore, after weighted gene coexpression network analysis (WGCNA), we discovered 555 genes linked to both H. pylori infection and the advancement of atherosclerosis. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses revealed a strong correlation between these genes and immunity, infection, and immune disorders. SsGSEA analysis showed that H. pylori infection and atherosclerosis included changes in the immune microenvironment. Finally, three genes MS4A6A, ADAMDEC1 and AQP9 were identified to be involved in the formation of atherosclerosis after H. pylori infection. Conclusion: Our research affirms that H. pylori is a unique contributor to the formation of carotid plaque, examines the immune microenvironment associated with H. pylori infection and advanced carotid atherosclerosis, and offers fresh perspectives on how H. pylori infection leads to atherosclerosis.http://www.sciencedirect.com/science/article/pii/S2405844023072456Helicobacter pyloriCarotid plaqueBioinformatics analysisImmune microenvironmentGene expression
spellingShingle Yi Chen
Ningning You
Chaoyu Yang
Jinshun Zhang
Helicobacter pylori infection increases the risk of carotid plaque formation: Clinical samples combined with bioinformatics analysis
Heliyon
Helicobacter pylori
Carotid plaque
Bioinformatics analysis
Immune microenvironment
Gene expression
title Helicobacter pylori infection increases the risk of carotid plaque formation: Clinical samples combined with bioinformatics analysis
title_full Helicobacter pylori infection increases the risk of carotid plaque formation: Clinical samples combined with bioinformatics analysis
title_fullStr Helicobacter pylori infection increases the risk of carotid plaque formation: Clinical samples combined with bioinformatics analysis
title_full_unstemmed Helicobacter pylori infection increases the risk of carotid plaque formation: Clinical samples combined with bioinformatics analysis
title_short Helicobacter pylori infection increases the risk of carotid plaque formation: Clinical samples combined with bioinformatics analysis
title_sort helicobacter pylori infection increases the risk of carotid plaque formation clinical samples combined with bioinformatics analysis
topic Helicobacter pylori
Carotid plaque
Bioinformatics analysis
Immune microenvironment
Gene expression
url http://www.sciencedirect.com/science/article/pii/S2405844023072456
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AT ningningyou helicobacterpyloriinfectionincreasestheriskofcarotidplaqueformationclinicalsamplescombinedwithbioinformaticsanalysis
AT chaoyuyang helicobacterpyloriinfectionincreasestheriskofcarotidplaqueformationclinicalsamplescombinedwithbioinformaticsanalysis
AT jinshunzhang helicobacterpyloriinfectionincreasestheriskofcarotidplaqueformationclinicalsamplescombinedwithbioinformaticsanalysis