Case Study Of H. Pylori

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• Urease:
The highly acidic peptic environment make it almost impossible for any organism to exist, but thanks to the ability of H.Pylori to produce the enzyme Urease, H.Pylori can thrive in the stomach. Urease has the ability raises the surrounding pH throughout converts urea to ammonia plus carbon dioxide, raising the pH of the surrounding area. Which can lead to mild protection against gastric acid.
• Shape and flagella:
Gastric pH still high for the bacteria to survive for a long time, comes the helical shape of H. pylori that enhances its polar flagella to propel over the mucus epithelial lining. In addition to the chemotaxis systems that guide H.Pylori into some amino acids, bicarbonate, and cholesterol. This will leave the bacteria …show more content…

pylori infection. H. pylori infects the gastric mucosa, making intimate contact with gastric epithelial cells through molecules such as the adhesin BabA. Adhesion to epithelial cells allows secretion of virulence factors, such as CagA and VacA, into the cells, where their activity can modify host cell function. H. pylori establish a chronic infection despite strong induction of host immune responses. Inadequate innate immune recognition, through mechanisms such as the inability of H. pylori lipopolysaccharide to be recognized by Toll-like receptor 4 (TLR4) as well as the inability of FlaA to activate TLR5, might contribute to the failure of the adaptive immune response to clear the infection. In terms of the adaptive immune response, dendritic cells have emerged as an important cell population responding to H. pylori infection by preferentially producing IL-12 (typical of a Th1 response) and a moderate IL-10 induction (more typical of a Th2 response) that might be important for the activation of T regulatory cells. H. pylori –specific T regulatory cells can suppress the memory T-cell response to H. pylori in infected individuals, contributing to the inability of the host to clear the infection. Furthermore, other cells of the immune system are also affected by H. pylori products: For example, VacA has been reported to modify T-cell proliferation and S.cagPAI products, in addition to inducing IL-8 secretion by epithelial cells (responsible for the infiltration of neutrophils in the H.pylori –infected gastric mucosa), have recently been implicated in the induction of monocyte apoptosis. Apoptosis of macrophages is also induced by H. pylori, an activity that requires the enzyme arginase II. A role for arginase in impairment of macrophage activity and T-cell proliferation has also been

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