{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T05:42:11Z","timestamp":1761716531354,"version":"3.41.2"},"reference-count":24,"publisher":"American Society for Microbiology","issue":"5","license":[{"start":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T00:00:00Z","timestamp":1714608000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T00:00:00Z","timestamp":1714608000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"funder":[{"name":"Special funds for the central government to guide local science and technology development","award":["ZYYD2022A06"],"award-info":[{"award-number":["ZYYD2022A06"]}]},{"name":"Autonomous region science and technology frontier project plan","award":["2022E02041"],"award-info":[{"award-number":["2022E02041"]}]},{"name":"Hospital project of People's Hospital of Xinjiang Uygur Autonomous Region","award":["20230107"],"award-info":[{"award-number":["20230107"]}]}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Microbiol Spectr"],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:sec>\n            <jats:title\/>\n            <jats:p>\n              There has been a suggestion of a potential protective effect of\n              <jats:italic>Helicobacter pylori<\/jats:italic>\n              (\n              <jats:italic>H. pylori<\/jats:italic>\n              ) in the development of ulcerative colitis (UC). Virulence factor is an important factor in\n              <jats:italic>H. pylori<\/jats:italic>\n              , but little is known about the clinical characteristics of ulcerative colitis. In this retrospective study, a total of 322 patients with UC were analyzed. They were divided into three groups based on\n              <jats:italic>H. pylori<\/jats:italic>\n              antibody typing classification: type I\n              <jats:italic>H. pylori<\/jats:italic>\n              infection group, type II\n              <jats:italic>H. pylori<\/jats:italic>\n              infection group, and\n              <jats:italic>H. pylori<\/jats:italic>\n              -negative group. The study aimed to analyze the clinical characteristics of different types of\n              <jats:italic>H. pylori<\/jats:italic>\n              infection groups. The proportions of disease course, nationality, clinical type, and disease severity among UC patients in different types of\n              <jats:italic>H. pylori<\/jats:italic>\n              infection groups exhibited statistically significant differences (\n              <jats:italic>P<\/jats:italic>\n              &lt; 0.05). However, no significant differences were observed in terms of sex, age, smoking status, alcohol consumption, body mass index (BMI), or lesion range (\n              <jats:italic>P<\/jats:italic>\n              &gt; 0.05). Among the extraintestinal manifestations, the incidence of joint lesions in the type I\n              <jats:italic>H. pylori<\/jats:italic>\n              infection group was significantly lower compared with\n              <jats:italic>H. pylori<\/jats:italic>\n              -negative group (\n              <jats:italic>P<\/jats:italic>\n              &lt; 0.05). The levels of red blood cell, hemoglobin, packed cell volume, albumin, A\/G, and alanine aminotransferase were significantly higher in the type I\n              <jats:italic>H. pylori<\/jats:italic>\n              infection group compared with both the type II\n              <jats:italic>H. pylori<\/jats:italic>\n              infection group and\n              <jats:italic>H. pylori<\/jats:italic>\n              -negative group in the hematology index. Conversely, the levels of D-Dimer, C-reactive protein, and erythrocyte sedimentation rate were significantly lower in the type II\n              <jats:italic>H. pylori<\/jats:italic>\n              infection group (\n              <jats:italic>P<\/jats:italic>\n              &lt; 0.05). In patients with UC, infections with the highly virulent type I\n              <jats:italic>H. pylori<\/jats:italic>\n              exhibit a negative correlation with both the severity of the disease and extraintestinal manifestations. While infections with the less virulent type II\n              <jats:italic>H. pylori<\/jats:italic>\n              are negatively correlated only with the disease severity. Therefore, the virulence factors of\n              <jats:italic>H. pylori<\/jats:italic>\n              play an important role in the regulation of UC.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>IMPORTANCE<\/jats:title>\n            <jats:p>\n              The number of patients with ulcerative colitis (UC) has increased dramatically worldwide, posing a global public health challenge, There has been a suggestion of a potential protective effect of\n              <jats:italic>Helicobacter pylori<\/jats:italic>\n              in the development of UC. Virulence factor is an important factor in\n              <jats:italic>H. pylori<\/jats:italic>\n              , but high-quality clinical evidence is lacking. This study comprehensively analyzed the clinical characteristics of UC patients with different types of\n              <jats:italic>H. pylori<\/jats:italic>\n              infection. Infections with the highly virulent type I\n              <jats:italic>H. pylori<\/jats:italic>\n              are found to be negatively correlated with the severity of the disease as well as extraintestinal manifestations, whereas infections with the less virulent type II\n              <jats:italic>H. pylori<\/jats:italic>\n              demonstrate a negative correlation solely with disease severity. These results suggest that the virulence factors of\n              <jats:italic>H. pylori<\/jats:italic>\n              play a pivotal role in UC. Consequently, virulence factors should be taken into consideration when targeting\n              <jats:italic>H. pylori<\/jats:italic>\n              eradication in clinical practice, particularly in UC patients. It is crucial to evaluate the individual benefits to optimize personalized eradication therapies.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1128\/spectrum.03554-23","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T13:00:20Z","timestamp":1713186020000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":5,"title":["Clinical characteristics of ulcerative colitis patients with different types of\n            <i>Helicobacter pylori<\/i>\n            infection"],"prefix":"10.1128","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3320-3958","authenticated-orcid":true,"given":"Weidong","family":"Liu","sequence":"first","affiliation":[{"name":"College of Life Science and Technology, Xinjiang University, Urumqi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, People\u2019s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China"},{"name":"Xinjiang Clinical Research Center for Digestive Diseases, Urumqi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shenglong","family":"Xue","sequence":"additional","affiliation":[{"name":"College of Life Science and Technology, Xinjiang University, Urumqi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6055-1339","authenticated-orcid":true,"given":"Wenjia","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, People\u2019s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China"},{"name":"Xinjiang Clinical Research Center for Digestive Diseases, Urumqi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjie","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, People\u2019s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China"},{"name":"Xinjiang Clinical Research Center for Digestive Diseases, Urumqi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mengxia","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, People\u2019s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China"},{"name":"Xinjiang Clinical Research Center for Digestive Diseases, Urumqi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3320-5702","authenticated-orcid":true,"given":"Feng","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, People\u2019s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China"},{"name":"Xinjiang Clinical Research Center for Digestive Diseases, Urumqi, 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