Evidence map›Paper›PMID 41588349›Full record

Observational studyBMC gastroenterology2026

Differential impacts of Helicobacter pylori antibody typing on gastric secretory function: a cross-sectional study based on serum biomarkers.

Hongyuan Xu, Chenliu Zhu, Yang Yang, Xueping Zhao, Xiaotian Chen, Guangshi Zhong, Xue Liang, Chengning Yang

Abstract readObservational Study
In one paragraph

Observational study in BMC gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Component-specific effects of PMFrontiers in public health · 2026
    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.

Hongyuan Xu *Department of Gastroenterology, Longchuan County People's Hospital, Heyuan, Guangdong, People's Republic of China.
Chenliu Zhu *Department of Endocrinology and Nephrology, Longchuan County People's Hospital, Heyuan, Guangdong, People's Republic of China.
Yang Yang *Graduate School, Guangxi University of Chinese Medicine, Nanning, Guangxi, People's Republic of China.
Xueping ZhaoCenter for Preventive Treatment of Diseases, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, Guangxi, People's Republic of China.
Xiaotian ChenDepartment of Gastroenterology, Longchuan County People's Hospital, Heyuan, Guangdong, People's Republic of China.
Guangshi ZhongDepartment of Gastroenterology, Longchuan County People's Hospital, Heyuan, Guangdong, People's Republic of China.
Xue LiangSecond Department of Spleen and Stomach Diseases, The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi, People's Republic of China.
Chengning YangSecond Department of Spleen and Stomach Diseases, The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi, People's Republic of China. ychn1006@163.com.

Funding

Chengning Yang No.82460915Hongyuan Xu No.B2024316
6 · The paper itself

Abstract

objectiveAlthough gastric secretory dysfunction is common in H.pylori-associated gastropathy, the precise mechanisms underlying these functional alterations across different H.pylori antibody subtypes remain incompletely elucidated. This cross-sectional clinical observational study aimed to systematically investigate the associations between specific H.pylori antibody subtype infection status and multiple gastric functional parameters, thereby elucidating potential differences in their impact on gastric secretory function.

methodsA total of 2,618 patients were included in this analysis. Serum levels of pepsinogen I (PGI), pepsinogen II (PGII), the PGI/PGII ratio (PGR), gastrin-17 (G-17), and H.pylori antibody subtypes were measured. A cross-sectional study design was employed to analyze baseline characteristics and serological data.

resultsCompared to the H.pylori-positive group, the H.pylori-negative group demonstrated significantly higher PGI (P = 0.020) and PGR (P < 0.001) levels, while PGII levels were markedly lower (P < 0.001). In the H.pylori subtype analysis, both H.pylori(I) and H.pylori(II) groups exhibited elevated PGII levels compared to the negative group, whereas PGR showed a progressive decreasing trend: H.pylori(I) < H.pylori(II) < H.pylori(-) (P < 0.001). Furthermore, both infected groups had significantly higher G-17 levels than the H.pylori(-) group (all P < 0.001). Males showed higher PGI levels in the infected groups, while in the H.pylori(-) group, multiple parameters (PGII, PGI, G-17) were elevated in males compared to females (P < 0.05). Patients aged ≤ 60 years had lower PGI and PGII levels but higher PGR (P < 0.05). Correlation analysis further indicated that G-17 was positively correlated with PGII and negatively correlated with PGR (P < 0.05).

conclusionsH.pylori infection characteristically alters gastric functional serum markers in a virulence-dependent manner. These patterns biologically reflect the continuous pathological process from gastric mucosal inflammation to atrophy. Our findings underscore the clinical relevance of integrating H.pylori subtyping with gastric function assessment in gastric cancer risk screening, providing a novel perspective for the precise identification of high-risk individuals.

Indexed as

Antibodies, BacterialGastric MucosaHelicobacter InfectionsHelicobacter pyloriAdultAgedBiomarkersCross-Sectional StudiesFemaleGastrinsHumansMaleMiddle AgedPepsinogen APepsinogen CAntibodies, BacterialBiomarkersgastrin 17GastrinsPepsinogen APepsinogen CGastrin-17H. pyloriPepsinogen IPepsinogen IIPGR

Identifiers

PMID41588349
PMCPMC12918245

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.