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Yıl 2024, Cilt: 10 Sayı: 1 - January 2024, 136 - 143, 04.01.2024
https://doi.org/10.18621/eurj.1320819

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Kaynakça

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Managing Helicobacter pylori infection: transitioning from conventional to alternative treatment approaches

Yıl 2024, Cilt: 10 Sayı: 1 - January 2024, 136 - 143, 04.01.2024
https://doi.org/10.18621/eurj.1320819

Öz

Helicobacter pylori, an essential constituent of the gastric microbiome in those infected, is commonly associated with medical conditions such as chronic gastritis, peptic ulcer disease, and gastric cancer. In recent years, the growing resistance to antibiotics worldwide has emerged as a substantial hurdle in the effective treatment of H. pylori infection. Consequently, it has necessitated the exploration of innovative treatment strategies aimed at bolstering the potency of existing antibiotic-based eradication therapies. Such avant-garde strategies include the incorporation of probiotics and prebiotics as complementary measures to H. pylori treatment, the use of antimicrobial peptides as potential replacements for traditional antibiotics, and the application of photodynamic therapy via ingestible devices. Other advanced methodologies entail deploying drug delivery systems that utilize microparticles and nanoparticles, the invention of vaccines, the exploration of natural products, and the potential use of phage therapy. This review offers a contemporary synopsis of these burgeoning strategies designed to suppress H. pylori, delving into their strengths, hurdles, and aspects to consider during their development. A significant achievement would be the creation of an efficient human vaccine; however, previous attempts at developing such vaccines have met with obstacles or even cessation. Numerous natural products have displayed anti-H. pylori properties, predominantly in laboratory environments. Nonetheless, a requirement remains for more extensive clinical studies to fully comprehend their role in exterminating H. pylori. Finally, phage therapy, while demonstrating potential as a suitable alternative, grapples with considerable challenges, chiefly the isolation of highly virulent bacteriophages that specifically target H. pylori.

Kaynakça

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  • 2. Hooi JKY, Lai WY, Ng WK, et al. Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis. Gastroenterology. 2017;153(2):420-429. doi: 10.1053/j.gastro.2017.04.022.
  • 3. Bik EM, Eckburg PB, Gill SR, et al. Molecular analysis of the bacterial microbiota in the human stomach. Proc Natl Acad Sci U S A. 2006;103(3):732-737. doi: 10.1073/pnas.0506655103.
  • 4. Klymiuk I, Bilgilier C, Stadlmann A, Thannesberger J, et al. The Human Gastric Microbiome Is Predicated upon Infection with Helicobacter pylori. Front Microbiol. 2017;8:2508. doi: 10.3389/fmicb.2017.02508.
  • 5. Parsons BN, Ijaz UZ, D'Amore R, et al. Comparison of the human gastric microbiota in hypochlorhydric states arising as a result of Helicobacter pylori-induced atrophic gastritis, autoimmune atrophic gastritis and proton pump inhibitor use. PLoS Pathog. 2017;13(11):e1006653. doi: 10.1371/journal.ppat.1006653.
  • 6. Wang Z, Bafadhel M, Haldar K, et al. Lung microbiome dynamics in COPD exacerbations. Eur Respir J. 2016;47(4):1082-1092. doi: 10.1183/13993003.01406-2015.
  • 7. Ferreira RM, Pereira-Marques J, Pinto-Ribeiro I, et al. Gastric microbial community profiling reveals a dysbiotic cancer-associated microbiota. Gut. 2018;67(2):226-236. doi: 10.1136/gutjnl-2017-314205.
  • 8. Cover TL, Blaser MJ. Helicobacter pylori in health and disease. Gastroenterology. 2009;136(6):1863-1873. doi: 10.1053/j.gastro.2009.01.073.
  • 9. Gerhard M, Rad R, Prinz C, Naumann M. Pathogenesis of Helicobacter pylori infection. Helicobacter. 2002;7 Suppl 1:17-23. doi: 10.1046/j.1523-5378.7.s1.3.x.
  • 10. Blaser MJ. Helicobacter pylori and the pathogenesis of gastroduodenal inflammation. J Infect Dis. 1990;161(4):626-633. doi: 10.1093/infdis/161.4.626.
  • 11. Ferreira RM, Machado JC, Figueiredo C. Clinical relevance of Helicobacter pylori vacA and cagA genotypes in gastric carcinoma. Best Pract Res Clin Gastroenterol. 2014;28(6):1003-1015. doi: 10.1016/j.bpg.2014.09.004.
  • 12. Franceschi F, Annalisa T, Teresa DR, et al. Role of Helicobacter pylori infection on nutrition and metabolism. World J Gastroenterol. 2014;20(36):12809-12817. doi: 10.3748/wjg.v20.i36.12809.
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  • 15. Hsu PI, Wu DC, Chen WC, et al. Randomized controlled trial comparing 7-day triple, 10-day sequential, and 7-day concomitant therapies for Helicobacter pylori infection. Antimicrob Agents Chemother. 2014;58(10):5936-5942. doi: 10.1128/AAC.02922-14.
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Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Reviews
Yazarlar

Serhat ÖCAL 0009-0009-4171-699X

Erken Görünüm Tarihi 23 Ağustos 2023
Yayımlanma Tarihi 4 Ocak 2024
Gönderilme Tarihi 28 Haziran 2023
Kabul Tarihi 13 Ağustos 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 10 Sayı: 1 - January 2024

Kaynak Göster

AMA ÖCAL S. Managing Helicobacter pylori infection: transitioning from conventional to alternative treatment approaches. Eur Res J. Ocak 2024;10(1):136-143. doi:10.18621/eurj.1320819

e-ISSN: 2149-3189 


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