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Journal of Clinical Microbiology, April 2001, p. 1510-1516, Vol. 39, No. 4
Max von Pettenkofer Institute for Hygiene and
Medical Microbiology, Ludwig Maximilians University,
Munich,1 and Institute for Pathology,
Klinikum, Bayreuth,2 Germany
Received 11 September 2000/Returned for modification 28 October
2000/Accepted 27 January 2001
Gastric infection with Helicobacter heilmannii
(previously known as Gastrospirillum hominis) is
invariably linked with the presence of chronic gastritis and the risk
of developing low-grade mucosa-associated lymphoid tissue lymphoma in
humans. In contrast to Helicobacter pylori, various
H. heilmannii species colonize the stomachs
of domestic animals, which might be a reservoir for transmission to
humans (zoonosis). To identify the number and prevalence of different
H. heilmanni types in humans, we analyzed 89 gastric biopsy samples histologically identified as H.
heilmannii positive by fluorescence in situ
hybridization. Of these gastric specimens, 84 (94.4%) contained a
single H. heilmannii type. In five samples,
however, two different H. heilmannii types
were detected. The most prevalent species in monoinfected samples is H. heilmannii type 1, found in 78.5% (66 of 84) of the specimens, followed by a novel H.
heilmannii-like organism (HHLO), HHLO type 4, identified in 9.6% (8 of 84) of tissue sections. H.
heilmannii type 2 and a further HHLO type not described
before, type 3, were found in 8.3% (7 of 84) and 1.2% (1 of 84) of
the monoinfected samples, respectively. Additionally, HHLO type 5 with
a 16S ribosomal DNA sequence identical to that of Helicobacter
salomonis was found with a prevalence of 2.4% (2 of 89).
Thirteen of these biopsy samples were also investigated by a PCR
approach developed for this study that allows a
Helicobacter-specific amplification of a variable
portion of the 16S rRNA gene and subsequent sequencing. In total, five
different types of HHLOs could be identified within these samples. We
conclude that humans can be infected by at least five different HHLO
types, which presumably have their origin in animal species like dogs,
cats, and pigs.
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.4.1510-1516.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Specific Detection and Prevalence of Helicobacter
heilmannii-Like Organisms in the Human Gastric Mucosa by
Fluorescent In Situ Hybridization and Partial 16S Ribosomal DNA
Sequencing
*
Corresponding author. Mailing address: Max von
Pettenkofer Institute for Hygiene and Medical Microbiology,
Pettenkoferstr. 9a, D-80336 Munich, Germany. Phone: 49-89-5160 5255. Fax: 49-89-5160 5223. E-mail:
haas{at}m3401.mpk.med.uni-muenchen.de.
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