Evidence map›Paper›PMID 25728540›Full record

ReviewHelicobacter2015

Helicobacter pylori Eradication in Patients with Immune Thrombocytopenic Purpura: A Review and the Role of Biogeography.

Galit H Frydman, Nick Davis, Paul L Beck, James G Fox

Abstract readReview
In one paragraph

Review in Helicobacter, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Frontiers in cellular and infection microbiology · 2025
    Article
  5. Article
  6. Article
  7. Journal of clinical medicine · 2022
    Review
  8. Old and New Aspects ofChildren (Basel, Switzerland) · 2022
    Review
  9. Immune thrombocytopenic purpura secondary toProceedings (Baylor University. Medical Center) · 2022
    Article
  10. Article
  11. Effect ofBlood research · 2021
    Article
  12. Article
  13. AIMS microbiology · 2021
    Review
  14. Epidemiology and infection · 2020
    Article
  15. Review
  16. Article
  17. Article
  18. Immune thrombocytopenic purpura.Journal of community hospital internal medicine perspectives · 2019
    Article
  19. Article
  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

4 authors at 2 institutions in 2 countries.

Galit H FrydmanDepartment of Biological Engineering, Division of Comparative Medicine, Massachusetts Institute of Technology, Cambridge, MA, USA.
Nick DavisDepartment of Biological Engineering, Division of Comparative Medicine, Massachusetts Institute of Technology, Cambridge, MA, USA.
Paul L BeckThe Gastrointestinal Research Group, Division of Gastroenterology, University of Calgary, Calgary, AB, Canada.
James G FoxDepartment of Biological Engineering, Division of Comparative Medicine, Massachusetts Institute of Technology, Cambridge, MA, USA.
Massachusetts Institute of Technology · USUniversity of Calgary · CA

Funding

TOXICOLOGY CORE UNITP30ES002109 · NIEHS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI YAFFE, MICHAEL B · 1985 to 2020
$25.6M
Project 3 - Molecular Signatures of Gastric Carcinogenesis in the Host Response to H. pyloriP01CA028842 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILSON, KEITH T. · 1985 to 2019
$15.8M
Biomedical Research Training for Veterinary ScientistsT32OD010978 · OD · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI FOX, JAMES G · 2012 to 2017
$2.2M
NCI NIH HHS P01 CA028842NCI NIH HHS P01CA028842-23NIEHS NIH HHS P30 ES002109NIEHS NIH HHS P30ES002109NIH HHS T32 OD010978PHS HHS NIH T320D010978-26
6 · The paper itself

Abstract

Idiopathic thrombocytopenic purpura (ITP) is typically a diagnosis of exclusion, assigned by clinicians after ruling out other identifiable etiologies. Since a report by Gasbarrini et al. in 1998, an accumulating body of evidence has proposed a pathophysiological link between ITP and chronic Helicobacter pylori (H. pylori) infection. Clinical reports have described a spontaneous resolution of ITP symptoms in about 50% of chronic ITP patients following empirical treatment of H. pylori infection, but response appears to be geography dependent. Studies have also documented that ITP patients in East Asian countries are more likely to express positive antibody titers against H. pylori-specific cytotoxic-associated gene A (CagA), a virulence factor that is associated with an increased risk for gastric diseases including carcinoma. While a definitive mechanism by which H. pylori may induce thrombocytopenia remains elusive, proposed pathways include molecular mimicry of CagA by host autoantibodies against platelet surface glycoproteins, as well as perturbations in the phagocytic activity of monocytes. Traditional treatments of ITP have been largely empirical, involving the use of immunosuppressive agents and immunoglobulin therapy. However, based on the findings of clinical reports emerging over the past 20 years, health organizations around the world increasingly suggest the detection and eradication of H. pylori as a treatment for ITP. Elucidating the exact molecular mechanisms of platelet activation in H. pylori-positive ITP patients, while considering biogeographical differences in response rates, could offer insight into how best to use clinical H. pylori eradication to treat ITP, but will require well-designed studies to confirm the suggested causative relationship between bacterial infection and an autoimmune disease state.

Indexed as

Purpura, Thrombocytopenic, IdiopathicAdultAnti-Bacterial AgentsAntigens, BacterialAutoimmune DiseasesAutoimmunityBacterial ProteinsBlood PlateletsComputational BiologyHelicobacter InfectionsHelicobacter pyloriHumansImmunization, PassiveImmunosuppressive AgentsMiddle AgedMolecular MimicryAnti-Bacterial AgentsAntigens, BacterialBacterial ProteinscagA protein, Helicobacter pyloriImmunosuppressive AgentsPlatelet Membrane GlycoproteinsVacA protein, Helicobacter pyloribiogeographyCagAHelicobacterimmune-mediatedinfectiousthrombocytopenia

Identifiers

PMID25728540
PMCPMC4506733
OpenAlexW1980977585

What OpenQuestion holds

Textmetadata
LicenceTDM
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.