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Antimicrobial Agents and Chemotherapy, 06 1996, 1486-1490, Vol 40, No. 6
SE Perkins, LL Yan, Z Shen, A Hayward, JC Murphy and JG Fox
Helicobacter pylori causes gastritis and peptic ulcers and is linked to
gastric cancer. Domestic cats from a commercial source were found to be
naturally infected with H. pylori, and studies were undertaken to eradicate
H. pylori from infected cats by using triple antimicrobial therapy. Eight
cats infected with H. pylori were used in the study. Six cats received a
21-day course of oral amoxicillin, metronidazole, and omeprazole, and two
cats served as controls. Two weeks and 4 weeks posttreatment (p.t.), all
six treated cats were negative at several sites (saliva, gastric juice, and
gastric mucosa) for H. pylori by culture. However, as determined by PCR
with primers specific for the 26- kDa product, the majority of cats at 2
and 4 weeks p.t. had gastric fluid samples which were positive for H.
pylori and three of three cats at 2 weeks p.t. had dental plaque which was
positive for H. pylori. At 6 weeks p.t., all six cats had H.
pylori-negative cultures for samples from several gastric sites taken at
necropsy, and only one cat had H. pylori cultured from gastric juice. PCR
analysis revealed that five of six cats had H. pylori DNA amplification
products from plaque, saliva, and/or gastric fluid samples. Negative
bacterial cultures for cats for which there was demonstrable PCR
amplification of H. pylori DNA may reflect the inability of in vitro
culture techniques to isolate small numbers of H. pylori organisms, focal
colonization at sites not cultured, or a failure of the antibiotics to
successfully eradicate H. pylori from extragastric sites which allowed
subsequent recolonization of the stomach after cessation of therapy.
Alternatively, the treatment strategy may have induced in vivo viable but
nonculturable coccoid forms of H. pylori. The H. pylori cat model should
allow further studies to test these hypotheses as well as the efficacies of
other combined therapeutic regimens. Also, because 100% of these cats were
naturally infected with H.pylori, this model should prove useful in
exploring mechanisms whereby human populations in underdeveloped countries,
which have H. pylori infection rates approaching 100%, have a high rate of
recurrence of H. pylori infection after use of prescribed antibiotic
therapies that successfully eradicate H. pylori in individuals in developed
countries.
Copyright © 1996 by the American Society for Microbiology. All rights reserved.
Use of PCR and culture to detect Helicobacter pylori in naturally infected cats following triple antimicrobial therapy
Division of Comparative Medicine, Massachusetts Institute of Technology, Cambridge 02139, USA.
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