Increased gastric IL-1β concentration and iron deficiency parameters in H. pylori infected children.

Association between H. pylori infection, iron deficiency and iron deficiency anaemia has been described, but the mechanisms involved have not been established. We hypothesized that in H. pylori infected children increased gastric concentrations of IL-1β and/or TNF-α, both potent inhibitors of gastri...

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Autores principales: Dulciene Maria Magalhaes Queiroz, Andreia Maria Camargos Rocha, Fabricio Freire Melo, Gifone Aguiar Rocha, Kádima Nayara Teixeira, Simone Diniz Carvalho, Paulo Fernando Souto Bittencourt, Lucia Porto Fonseca Castro, Jean E Crabtree
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:8f406ed7a02c4b63b6b616e461836e912021-11-18T07:56:05ZIncreased gastric IL-1β concentration and iron deficiency parameters in H. pylori infected children.1932-620310.1371/journal.pone.0057420https://doaj.org/article/8f406ed7a02c4b63b6b616e461836e912013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23451225/?tool=EBIhttps://doaj.org/toc/1932-6203Association between H. pylori infection, iron deficiency and iron deficiency anaemia has been described, but the mechanisms involved have not been established. We hypothesized that in H. pylori infected children increased gastric concentrations of IL-1β and/or TNF-α, both potent inhibitors of gastric acid secretion that is essential for iron absorption, are predictors for low blood concentrations of ferritin and haemoglobin, markers of early depletion of iron stores and anaemia, respectively. We evaluated 125 children undergoing endoscopy to clarify the origin of gastrointestinal symptoms. Gastric specimens were obtained for H. pylori status and cytokine evaluation and blood samples for determination of iron deficiency/iron deficiency anaemia parameters and IL1 cluster and TNFA polymorphisms that are associated with increased cytokine secretions. Higher IL-1β and TNF-α gastric concentrations were observed in H. pylori-positive (n = 47) than in -negative (n = 78) children. Multiple linear regression models revealed gastric IL-1β, but not TNF-α, as a significant predictor of low ferritin and haemoglobin concentrations; results were reproduced in young children in whom IL1RN polymorphic genotypes associated with higher gastric IL-1β expression and lower blood ferritin and haemoglobin concentrations. In conclusion, high gastric levels of IL-1β can be the link between H. pylori infection and iron deficiency/iron deficiency anaemia in childhood.Dulciene Maria Magalhaes QueirozAndreia Maria Camargos RochaFabricio Freire MeloGifone Aguiar RochaKádima Nayara TeixeiraSimone Diniz CarvalhoPaulo Fernando Souto BittencourtLucia Porto Fonseca CastroJean E CrabtreePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 2, p e57420 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Dulciene Maria Magalhaes Queiroz
Andreia Maria Camargos Rocha
Fabricio Freire Melo
Gifone Aguiar Rocha
Kádima Nayara Teixeira
Simone Diniz Carvalho
Paulo Fernando Souto Bittencourt
Lucia Porto Fonseca Castro
Jean E Crabtree
Increased gastric IL-1β concentration and iron deficiency parameters in H. pylori infected children.
description Association between H. pylori infection, iron deficiency and iron deficiency anaemia has been described, but the mechanisms involved have not been established. We hypothesized that in H. pylori infected children increased gastric concentrations of IL-1β and/or TNF-α, both potent inhibitors of gastric acid secretion that is essential for iron absorption, are predictors for low blood concentrations of ferritin and haemoglobin, markers of early depletion of iron stores and anaemia, respectively. We evaluated 125 children undergoing endoscopy to clarify the origin of gastrointestinal symptoms. Gastric specimens were obtained for H. pylori status and cytokine evaluation and blood samples for determination of iron deficiency/iron deficiency anaemia parameters and IL1 cluster and TNFA polymorphisms that are associated with increased cytokine secretions. Higher IL-1β and TNF-α gastric concentrations were observed in H. pylori-positive (n = 47) than in -negative (n = 78) children. Multiple linear regression models revealed gastric IL-1β, but not TNF-α, as a significant predictor of low ferritin and haemoglobin concentrations; results were reproduced in young children in whom IL1RN polymorphic genotypes associated with higher gastric IL-1β expression and lower blood ferritin and haemoglobin concentrations. In conclusion, high gastric levels of IL-1β can be the link between H. pylori infection and iron deficiency/iron deficiency anaemia in childhood.
format article
author Dulciene Maria Magalhaes Queiroz
Andreia Maria Camargos Rocha
Fabricio Freire Melo
Gifone Aguiar Rocha
Kádima Nayara Teixeira
Simone Diniz Carvalho
Paulo Fernando Souto Bittencourt
Lucia Porto Fonseca Castro
Jean E Crabtree
author_facet Dulciene Maria Magalhaes Queiroz
Andreia Maria Camargos Rocha
Fabricio Freire Melo
Gifone Aguiar Rocha
Kádima Nayara Teixeira
Simone Diniz Carvalho
Paulo Fernando Souto Bittencourt
Lucia Porto Fonseca Castro
Jean E Crabtree
author_sort Dulciene Maria Magalhaes Queiroz
title Increased gastric IL-1β concentration and iron deficiency parameters in H. pylori infected children.
title_short Increased gastric IL-1β concentration and iron deficiency parameters in H. pylori infected children.
title_full Increased gastric IL-1β concentration and iron deficiency parameters in H. pylori infected children.
title_fullStr Increased gastric IL-1β concentration and iron deficiency parameters in H. pylori infected children.
title_full_unstemmed Increased gastric IL-1β concentration and iron deficiency parameters in H. pylori infected children.
title_sort increased gastric il-1β concentration and iron deficiency parameters in h. pylori infected children.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/8f406ed7a02c4b63b6b616e461836e91
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