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The existence of an intact\n                      <jats:italic>dupA<\/jats:italic>\n                      gene from\n                      <jats:italic>tfs4b<\/jats:italic>\n                      cluster has been suggested as a predictor for duodenal ulcer development. However, the role of\n                      <jats:italic>tfs<\/jats:italic>\n                      plasticity zone clusters in the development of ulcers remains unclear. We studied several\n                      <jats:italic>H. pylori<\/jats:italic>\n                      strains to characterize the gene arrangement of\n                      <jats:italic>tfs3<\/jats:italic>\n                      and\n                      <jats:italic>tfs4<\/jats:italic>\n                      clusters and their impact in the inflammatory response by infected gastric cells.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The genome of 14\n                      <jats:italic>H. pylori<\/jats:italic>\n                      strains isolated from Western patients, pediatric (n=10) and adult (n=4), was fully sequenced using the Illumina platform MiSeq, in addition to eight pediatric strains previously sequenced. These strains were used to infect human gastric cells, and the secreted interleukin\u20108 (\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u20108) was quantified by\n                      <jats:styled-content style=\"fixed-case\">ELISA<\/jats:styled-content>\n                      . The expression of\n                      <jats:italic>virB2<\/jats:italic>\n                      ,\n                      <jats:italic>dupA<\/jats:italic>\n                      ,\n                      <jats:italic>virB8<\/jats:italic>\n                      ,\n                      <jats:italic>virB10<\/jats:italic>\n                      , and\n                      <jats:italic>virB6<\/jats:italic>\n                      was assessed by quantitative\n                      <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content>\n                      in adherent and nonadherent fractions of\n                      <jats:italic>H. pylori<\/jats:italic>\n                      during\n                      <jats:italic>in vitro<\/jats:italic>\n                      co\u2010infection, at different\n                      <jats:styled-content style=\"fixed-case\">pH<\/jats:styled-content>\n                      values.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We have found that\n                      <jats:italic>cagA<\/jats:italic>\n                      \u2010positive\n                      <jats:italic>H. pylori<\/jats:italic>\n                      strains harboring a complete\n                      <jats:italic>tfs<\/jats:italic>\n                      plasticity zone cluster significantly induce increased production of\n                      <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\n                      \u20108 from gastric cells. We have also found that the region spanning from\n                      <jats:italic>virB2<\/jats:italic>\n                      to\n                      <jats:italic>virB10<\/jats:italic>\n                      genes constitutes an operon, whose expression is increased in the adherent fraction of bacteria during infection, as well as in both adherent and nonadherent fractions at acidic conditions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      A complete\n                      <jats:italic>tfs<\/jats:italic>\n                      plasticity zone cluster is a virulence factor that may be important for the colonization of\n                      <jats:italic>H. pylori<\/jats:italic>\n                      and to the development of severe outcomes of the infection with\n                      <jats:italic>cagA<\/jats:italic>\n                      \u2010positive strains.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hel.12390","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T07:39:50Z","timestamp":1493019590000},"source":"Crossref","is-referenced-by-count":24,"title":["The expression of\n                    <i>Helicobacter pylori tfs<\/i>\n                    plasticity zone cluster is regulated by\n                    <scp>pH<\/scp>\n                    and adherence, and its composition is associated with differential gastric\n                    <scp>IL<\/scp>\n                    \u20108 secretion"],"prefix":"10.1111","volume":"22","author":[{"given":"Bruno","family":"Silva","sequence":"first","affiliation":[{"name":"National Reference Laboratory for Gastrointestinal Infections Department of Infectious Diseases National Institute of Health  Lisbon 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