Relevance of Helicobacter pylori infection in Egyptian multiple sclerosis patients

埃及多发性硬化症患者幽门螺杆菌感染的相关性

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作者:Steven Emil Gerges, Taha Kamel Alosh, Salma Hamed Khalil, Mona Mokhtar Waheed El Din

Background

Multiple sclerosis (MS) is an autoimmune demyelinating disorder. The etiology of MS remains unknown exactly. Helicobacter pylori heat shock proteins were suggested as a potential trigger of immune system causing MS. Objectives: The

Conclusion

We conclude that hsp60 of Hp may be a useful biomarker for attesting course progression in MS.

Methods

This study design was a cross-sectional case control one. A total of 65 patients with multiple sclerosis diagnosed according to 2010 revised McDonald criteria and other 65 age- and sex-matched healthy controls were included in this study. All participants were subjected to full history taking, complete neurological examination including Expanded Disability Status Scale (EDSS) for the patients, measurement of serum level of anti-Hp hsp60 IgG using ELISA technique, and MRI brain for all the patients, being a goldstone for inclusion in the study.

Results

There was statistically significant high level of anti-Hp hsp60 IgG at MS patients especially secondary progressive multiple sclerosis (SPMS) patients. Moreover, a positive statistically significant correlation was found between it and age of patients, duration of illness, and EDSS.

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