Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis

causes, via the influence of several virulence factors, persistent infection of the stomach, which leads to severe complications. Vacuolating cytotoxin A (VacA) is observed in almost all clinical strains of H. pylori; however, only some strains produce the toxigenic and pathogenic VacA, which is inf...

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Main Authors: Shamshul Ansari, Yoshio Yamaoka
Format: Article
Language:English
Published: 2020
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/25947/1/Role%20of%20vacuolating%20cytotoxin%20A%20in%20Helicobacter%20pylori%20infection%20and%20its%20impact%20on%20gastric%20pathogenesis.pdf
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author Shamshul Ansari
Yoshio Yamaoka
author_facet Shamshul Ansari
Yoshio Yamaoka
author_sort Shamshul Ansari
collection UMS
description causes, via the influence of several virulence factors, persistent infection of the stomach, which leads to severe complications. Vacuolating cytotoxin A (VacA) is observed in almost all clinical strains of H. pylori; however, only some strains produce the toxigenic and pathogenic VacA, which is influenced by the gene sequence variations. VacA exerts its action by causing cell vacuolation and apoptosis. We performed a PubMed search to review the latest literatures published in English language. Areas covered Articles regarding H. pylori VacA and its genotypes, architecture, internalization, and role in gastric infection and pathogenicity are reviewed. We included the search for recently published literature until January 2020. Expert opinion H. pylori VacA plays a crucial role in severe gastric pathogenicity. In addition, VacA mediated in vivo bacterial survival leads to persistent infection and an enhanced bacterial evasion from the action of antibiotics and the innate host defense system, which leads to drug evasion. VacA as a co-stimulator for the CagA phosphorylation may exert a synergistic effect playing an important role in the CagA-mediated pathogenicity.
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spelling ums.eprints-259472020-09-11T07:56:50Z https://eprints.ums.edu.my/id/eprint/25947/ Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis Shamshul Ansari Yoshio Yamaoka R Medicine (General) causes, via the influence of several virulence factors, persistent infection of the stomach, which leads to severe complications. Vacuolating cytotoxin A (VacA) is observed in almost all clinical strains of H. pylori; however, only some strains produce the toxigenic and pathogenic VacA, which is influenced by the gene sequence variations. VacA exerts its action by causing cell vacuolation and apoptosis. We performed a PubMed search to review the latest literatures published in English language. Areas covered Articles regarding H. pylori VacA and its genotypes, architecture, internalization, and role in gastric infection and pathogenicity are reviewed. We included the search for recently published literature until January 2020. Expert opinion H. pylori VacA plays a crucial role in severe gastric pathogenicity. In addition, VacA mediated in vivo bacterial survival leads to persistent infection and an enhanced bacterial evasion from the action of antibiotics and the innate host defense system, which leads to drug evasion. VacA as a co-stimulator for the CagA phosphorylation may exert a synergistic effect playing an important role in the CagA-mediated pathogenicity. 2020 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/25947/1/Role%20of%20vacuolating%20cytotoxin%20A%20in%20Helicobacter%20pylori%20infection%20and%20its%20impact%20on%20gastric%20pathogenesis.pdf Shamshul Ansari and Yoshio Yamaoka (2020) Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis. Expert Review of Anti-infective Therapy. https://doi.org/10.1080/14787210.2020.1782739
spellingShingle R Medicine (General)
Shamshul Ansari
Yoshio Yamaoka
Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis
title Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis
title_full Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis
title_fullStr Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis
title_full_unstemmed Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis
title_short Role of vacuolating cytotoxin A in Helicobacter pylori infection and its impact on gastric pathogenesis
title_sort role of vacuolating cytotoxin a in helicobacter pylori infection and its impact on gastric pathogenesis
topic R Medicine (General)
url https://eprints.ums.edu.my/id/eprint/25947/1/Role%20of%20vacuolating%20cytotoxin%20A%20in%20Helicobacter%20pylori%20infection%20and%20its%20impact%20on%20gastric%20pathogenesis.pdf
work_keys_str_mv AT shamshulansari roleofvacuolatingcytotoxinainhelicobacterpyloriinfectionanditsimpactongastricpathogenesis
AT yoshioyamaoka roleofvacuolatingcytotoxinainhelicobacterpyloriinfectionanditsimpactongastricpathogenesis