Evidence map›Paper›PMID 33413074›Full record

ArticleBMC molecular and cell biology2021

New genotypes of Helicobacter Pylori VacA d-region identified from global strains.

Djaleel Muhammad Soyfoo, Yussriya Hanaa Doomah, Dong Xu, Chao Zhang, Huai-Ming Sang, Yan-Yan Liu, Guo-Xin Zhang, Jian-Xia Jiang, Shun-Fu Xu

Abstract read
In one paragraph

Article in BMC molecular and cell biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

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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

13 citing papers in PubMed.

  1. Biomolecules · 2026
    Review
  2. Research Status and Prospects ofGastroenterology research and practice · 2026
    Review
  3. Genotypic diversity of theJournal of medical microbiology · 2025
    Article
  4. Pathogens (Basel, Switzerland) · 2024
    Review
  5. Review
  6. Article
  7. Study ofCancers · 2023
    Article
  8. Article
  9. Microorganisms · 2023
    Review
  10. Article
  11. Review
  12. The Pan African medical journal · 2022
    Article
  13. Increased Risk of Severe Gastric Symptoms by Virulence FactorsJournal of microbiology and biotechnology · 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

9 authors.

Djaleel Muhammad SoyfooDepartment of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yussriya Hanaa DoomahDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Dong XuDepartment of Electrical Engineering and Computer Science, Bond Life Sciences Center, University of Missouri, Columbia, MO, USA.
Chao ZhangInstitute for Computational Biomedicine, Weill Cornell Medicine, New York, NY, 10021, USA.
Huai-Ming SangDepartment of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Yan-Yan LiuDepartment of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Guo-Xin ZhangDepartment of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jian-Xia JiangDepartment of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. jjxcasey@njmu.edu.cn.ORCID http://orcid.org/0000-0002-1776-685X
Shun-Fu XuDepartment of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. xushfu@126.com.

Funding

Priority Academic Program Development of Jiangsu Higher Education Institutions JX10231801Science and Technology Support Program of Jiangsu Province No.2017CX021
6 · The paper itself

Abstract

backgroundPathogenesis of Helicobacter Pylori (HP) vacuolating toxin A (vacA) depends on polymorphic diversity within the signal (s), middle (m), intermediate (i), deletion (d) and c-regions. These regions show distinct allelic diversity. The s-region, m-region and the c-region (a 15 bp deletion at the 3'-end region of the p55 domain of the vacA gene) exist as 2 types (s1, s2, m1, m2, c1 and c2), while the i-region has 3 allelic types (i1, i2 and i3). The locus of d-region of the vacA gene has also been classified into 2 genotypes, namely d1 and d2. We investigated the "d-region"/"loop region" through bioinformatics, to predict its properties and relation to disease. One thousand two hundred fifty-nine strains from the NCBI nucleotide database and the dryad database with complete vacA sequences were included in the study. The sequences were aligned using BioEdit and analyzed using Lasergene and BLAST. The secondary structure and physicochemical properties of the region were predicted using PredictProtein.

resultsWe identified 31 highly polymorphic genotypes in the "d-region", with a mean length of 34 amino acids (9 ~ 55 amino acids). We further classified the 31 genotypes into 3 main types, namely K-type (strains starting with the KDKP motif in the "d-region"), Q-type (strains starting with the KNQT motif), and E-type (strains starting with the ESKT motif) respectively. The most common type, K-type, is more prevalent in cancer patients (80.87%) and is associated with the s1i1m1c1 genotypes (P < .01). Incidentally, a new region expressing sequence diversity (2 aa deletion) at the C-terminus of the p55 domain of vacA was identified during bioinformatics analysis.

conclusionsPrediction of secondary structures shows that the "d-region" adopts a loop conformation and is a disordered region.

Indexed as

Amino Acid MotifsAmino Acid SequenceBacterial ProteinsGenotypeHelicobacter pyloriHumansPrevalenceProtein Structure, SecondarySolventsStomach NeoplasmsBacterial ProteinsSolventsVacA protein, Helicobacter pyloriBioinformaticsHelicobacter pyloriIntrinsically disordered proteinsPolymorphismVacuolating toxin a

Identifiers

PMID33413074
PMCPMC7791883

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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.