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Paper 5

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The stomach, eosinophils and Helicobacter pylori infection

Author Howard W. Steer
Institution Southampton General Hospital,
Southampton University Hospitals NHS Trust,
University of Southampton School of Medicine,
Southampton, SO16 6YD United Kingdom.
Copyright © Howard Steer 2007.

All rights reserved. This publication is copyright under the Berne Convention and the International Copyright Convention. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means without the prior permission of the copyright holder. Enquires concerning reproduction outside the scope of the above should be sent to: mail@howardsteer.co.uk.

Abstract

Immunohistochemical studies on resin embedded gastric biopsies have been performed to investigate the changes to eosinophils in the gastric mucosa as a result of Helicobacter pylori infection. There is an increase in the number of eosinophils and an increased activation of eosinophils as measured by the amount of major basic protein in patients with Helicobacter pylori infection. Helicobacter pylori infection is associated with upregulation of IL-4, IL-5, TNFα, ICAM-1, Eotaxin and IgE. This upregulation would result in the greater release of eosinophil progenitor cells and an increased recruitment of eosinophils into the tissues. The implications of these changes are discussed.

Keywords:  Stomach, eosinophils, cytokines, Helicobacter pylori.



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