Evidence map›Paper›PMID 32410092›Full record

ArticleBrazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]2020

Genetic variation in the cag pathogenicity island of Helicobacter pylori strains detected from gastroduodenal patients in Thailand.

Wongwarut Boonyanugomol, Worrarat Kongkasame, Prasit Palittapongarnpim, Seung-Chul Baik, Myung-Hwan Jung, Min-Kyoung Shin, Hyung-Lyun Kang, Woo-Kon Lee

Open access · greenAbstract read
In one paragraph

Article in Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology], 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. The Effect ofPathogens (Basel, Switzerland) · 2025
    Article
  7. Article
  8. Prevalence of cagA, cagM, vacA and oipA genes in isolates of Helicobacter pylori obtained from hospital patients in Northeast Brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  9. Article
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  11. Is There a Real Relationship between the Presence ofInternational journal of microbiology · 2023
    Article
  12. Pathogens (Basel, Switzerland) · 2022
    Article
  13. Article
  14. Associations between seroprevalence ofThe Journal of international medical research · 2021
    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

8 authors at 3 institutions in 2 countries.

Wongwarut BoonyanugomolDepartment of Sciences and Liberal Arts, Mahidol University, Amnatcharoen Campus, Amnatcharoen, 37000, Thailand. Wongwarut.boo@mahidol.edu.ORCID http://orcid.org/0000-0003-1981-0305
Worrarat KongkasameUnit of Endoscopy Medicine, Sunpasitthiprasong Hospital, Ubon Ratchathani, 34000, Thailand.
Prasit PalittapongarnpimDepartment of Microbiology, Faculty of Science, Mahidol University, Bangkok, 10400, Thailand.
Seung-Chul BaikDepartment of Microbiology, Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, 52727, Republic of Korea.
Myung-Hwan JungDepartment of Microbiology, Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, 52727, Republic of Korea.
Min-Kyoung ShinDepartment of Microbiology, Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, 52727, Republic of Korea.
Hyung-Lyun KangDepartment of Microbiology, Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, 52727, Republic of Korea.
Woo-Kon LeeDepartment of Microbiology, Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, 52727, Republic of Korea.
Gyeongsang National University · KRMahidol University · THSappasithiprasong Hospital · TH

Funding

Thailand Research Fund MRG5980069
6 · The paper itself

Abstract

There is a lack of evidence of genetic variation in the Helicobacter pylori cag-PAI in Thailand, a region with the low incidence of gastric cancer. To clarify this issue, variation in the H. pylori cag-PAI in strains detected in Thailand was characterized and simultaneously compared with strains isolated from a high-risk population in Korea. The presence of ten gene clusters within cag-PAI (cagA, cagE, cagG, cagH, cagL, cagM, cagT, orf13, virB11, and orf10) and IS605 was characterized in H. pylori strains detected from these two countries. The cagA genotypes and EPIYA motifs were analyzed by DNA sequencing. The overall proportion of the ten cag-PAI genes that were detected ranged between 66 and 79%; additionally, approximately 48% of the strains from Thai patients contained an intact cag-PAI structure, while a significantly higher proportion (80%) of the strains from Korean patients had an intact cag-PAI. A significantly higher proportion of IS605 was detected in strains from Thai patients (55%). Analysis of cagA genotypes and EPIYA motifs revealed a higher frequency of Western-type cagA in Thai patients (87%) relative to Korean patients (8%) who were predominately associated with the East Asian-type cagA (92%). Variations in the Western-type cagA in the Thai population, such as EPIYA-BC patterns and EPIYA-like sequences (EPIYT), were mainly detected as compared with the Korean population (p < 0.05). In summary, H. pylori strains that colonize the Thai population tend to be associated with low virulence due to distinctive cag-PAI variation, which may partially explain the Asian paradox phenomenon in Thailand.

Indexed as

Antigens, BacterialBacterial ProteinsGenetic VariationGenomic IslandsGenotypeHelicobacter InfectionsHelicobacter pyloriHumansPeptic UlcerRepublic of KoreaSequence Analysis, DNAThailandAntigens, BacterialBacterial ProteinscagA protein, Helicobacter pyloricag pathogenicity islandEPIYA motifsHelicobacter pyloriIS605Thailand

Identifiers

PMID32410092
PMCPMC7455669
OpenAlexW3024229946

What OpenQuestion holds

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Registered trials

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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.