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Journal of Clinical Microbiology, 10 1996, 2421-2425, Vol 34, No. 10
T Furuta, E Kaneko, M Suzuki, H Arai and H Futami
Helicobacter pylori is closely related to upper gastrointestinal diseases,
and the precise evaluation of H. pylori infection is necessary for the
treatment of these diseases. The aim of the present study was to establish
a method for the quantitative detection of H. pylori. We applied a
competitive PCR method using various amounts of synthetic DNA fragments
containing the same primer-binding and a subset of the same template
sequences as the target competing for primer binding and amplification in
order to quantify H. pylori in gastric mucus. The results obtained by this
method were compared with the results of histological examination, the
rapid urease test, bacterial culture, the [13C]urea breath test, and urea
and ammonia measurements in gastric juice. As the quantity of H. pylori in
gastric mucus increased, the rates of positivity of histological
examination, the rapid urease test, and bacterial culture increased. The
quantity of H. pylori in gastric mucus was also significantly correlated
with the results of the [13C]urea breath test and was negatively correlated
with the urea/ammonia ratio in gastric juice. The competitive PCR method
provides an objective measure of the quantity of H. pylori and makes it
possible to distinguish true negatives from false negatives due to
incomplete PCR and true positives from false positives due to
contamination. This method is very useful for the precise evaluation of
gastric H. pylori infection.
Copyright © 1996 by the American Society for Microbiology. All rights reserved.
Quantitative study of Helicobacter pylori in gastric mucus by competitive PCR using synthetic DNA fragments
First Department of Medicine, Hamamatsu University School of Medicine, Japan.
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