Evidence map›Paper›PMID 23870035›Full record

ArticleCellular microbiology2013

Helicobacter pylori downregulates expression of human β-defensin 1 in the gastric mucosa in a type IV secretion-dependent fashion.

S R Patel, K Smith, D P Letley, K W Cook, A A Memon, R J M Ingram, E Staples, S Backert, A M Zaitoun, J C Atherton and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Cellular microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 49 citations in OpenAlex.

  1. Emerging antimicrobial peptides in gastrointestinal disorders: Dual role in immunity and therapy.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
  2. Biphasic Regulation of Epithelial Antimicrobial Peptides DuringJournal of fungi (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. The Challenges of Eradicating PediatricChildren (Basel, Switzerland) · 2022
    Review
  10. Review
  11. Journal of fungi (Basel, Switzerland) · 2021
    Article
  12. Review
  13. Journal of biosciences · 2020
    Review
  14. Article
  15. β-Defensins in the Fight against Helicobacter pylori.Molecules (Basel, Switzerland) · 2017
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

S R PatelNottingham Digestive Diseases Biomedical Research Unit, University of Nottingham, Nottingham, NG7 2RD, UK; Centre for Biomolecular Sciences, University of Nottingham, Nottingham, NG7 2RD, UK.
K Smith
D P Letley
K W Cook
A A Memon
R J M Ingram
E Staples
S Backert
A M Zaitoun
J C Atherton
K Robinson
NIHR Nottingham Digestive Diseases Biomedical Research Unit · GBUniversity of Nottingham · GBFriedrich-Alexander-Universität Erlangen-Nürnberg · DENottingham University Hospitals NHS Trust · GB

Funding

Medical Research Council G0601170Medical Research Council G0701377Medical Research Council G1000311
6 · The paper itself

Abstract

Helicobacter pylori establishes a chronic lifelong infection in the human gastric mucosa, which may lead to peptic ulcer disease or gastric adenocarcinoma. The human beta-defensins (hβDs) are antimicrobial peptides, hβD1 being constitutively expressed in the human stomach. We hypothesized that H. pylori may persist, in part, by downregulating gastric hβD1 expression. We measured hβD1 and hβD2 expression in vivo in relation to the presence, density and severity of H. pylori infection, investigated differential effects of H. pylori virulence factors, and studied underlying signalling mechanisms in vitro. Significantly lower hβD1 and higher hβD2 mRNA and protein concentrations were present in gastric biopsies from infected patients. Those patients with higher-level bacterial colonization and inflammation had significantly lower hβD1 expression, but there were no differences in hβD2. H. pylori infection of human gastric epithelial cell lines also downregulated hβD1. Using wild-type strains and isogenic mutants, we showed that a functional cag pathogenicity island-encoded type IV secretion system induced this downregulation. Treatment with chemical inhibitors or siRNA revealed that H. pylori usurped NF-κB signalling to modulate hβD1 expression. These data indicate that H. pylori downregulates hβD1 expression via NF-κB signalling, and suggest that this may promote bacterial survival and persistence in the gastric niche.

Indexed as

Bacterial Secretion Systemsbeta-DefensinsCell LineDown-RegulationGastric MucosaHelicobacter InfectionsHelicobacter pyloriHumansImmune EvasionMitogen-Activated Protein Kinase 1NF-kappa B p50 SubunitRNA InterferenceRNA, MessengerRNA, Small InterferingSignal TransductionStomachBacterial Secretion Systemsbeta-DefensinsDEFB1 protein, humanDEFB4A protein, humanMAPK1 protein, humanMitogen-Activated Protein Kinase 1NF-kappa B p50 SubunitNFKB1 protein, humanRELA protein, humanRNA, MessengerRNA, Small InterferingTranscription Factor RelA

Identifiers

PMID23870035
PMCPMC4028989
OpenAlexW2115253935

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.