- All
- Product Management
- News
- Introduction
- Enterprise outlets
- FAQ
- Enterprise Video
- Enterprise Atlas
"Using bacteria to treat bacteria" | Research progress on the auxiliary treatment of Helicobacter pylori infection with probiotics.
Preface
Introduction to Helicobacter pylori
Helicobacter pylori infection is a major pathogenic factor for chronic active gastritis, peptic ulcers, gastric mucosa-associated lymphoid tissue (MALT) lymphoma, and gastric cancer. In 1994, the World Health Organization/International Agency for Research on Cancer (WHO/IARC)classified Helicobacter pylori as a Group I carcinogen..
The issue of antibiotic resistance in the clinical treatment of Helicobacter pylori
ForHelicobacter pylori, there are mainly two treatment regimens in clinical practice:proton pump inhibitors(PPI) combined with two otherantibiotics in a triple therapy and a quadruple therapy containing bismuth agents.With the widespread use of antibiotics in the treatment of Helicobacter pylori, the number of resistant strains of Helicobacter pylori continues to increase, meaning that the strains' resistance to drugs is enhanced, leading to an increased failure rate of treatment, which affects the prognosis of various gastrointestinal diseases.[2].
The mechanism by which probiotics enhance the cure rate of Helicobacter pylori
In clinical practice, using probiotics to replace or reduce the use of antibiotics can not only reduce the colonization of Hp in the stomach and alleviate gastric inflammation but also reduce side effects and improve patient compliance. Probiotics play a positive role in the treatment of Hp through various regulatory mechanisms (Figure 1):
Figure 1 Possible mechanisms of probiotics in the treatment of Hp infection[3]
Hp mainly exerts its pathogenic effects by adhering to and colonizing the gastric mucosal tissue. Reducing Hp adhesion is an important mechanism to protect the gastric and duodenal lumen from inflammation and to prevent atrophic gastritis, which can lower its pathogenicity. On one hand, some metabolic products of probiotics can exert anti-adhesion activity, reducing Hp adhesion on cell surfaces. On the other hand, probiotics can adhere to gastric epithelial cells through their own strong adhesion, competing for binding sites with Hp, thereby inhibiting Hp colonization.[1].

Research shows that probiotics can inhibit Hp growth by secreting metabolites such as lactic acid, short-chain fatty acids, hydrogen peroxide, and bacteriocins. Among them, lactic acid bacteria, Bacillus subtilis, and Bifidobacterium can all produce bacteriocins. The antibacterial substance Amicoumacin A produced by Bacillus subtilis not only inhibits pathogenic bacteria such as Shigella and Campylobacter jejuni but also inhibits 21 strains of Hp.[1]Research shows that Bacillus subtilis R-179 has a gene encoding the production of subtilosin A.[4]Subtilosin A is a type of thiopeptide antibacterial substance, and the expression level of its precursor gene is positively correlated with the ability to resist Helicobacter pylori.[5].
In summary,probioticscan inhibit Helicobacter pylori to some extent through the bacteria themselves or their metabolic products, mainly achieved through various pathways such as competitive binding sites, production of antibacterial active substances, and regulation of inflammatory factors.
References:
1. Shang Yanyan, et al. Mechanisms and research progress of probiotics in inhibiting Helicobacter pylori [J/OL]. Acta Microbiologica Sinica: 1-21.
2. Kong Xiangye, Ouyang Jiandong. Research progress on the auxiliary treatment of Helicobacter pylori infection with probiotics [J]. World Medical Information Digest, 2017, 17(99): 63-64.
3. Eslami M, et al. Comp Immunol Microbiol Infect Dis. June 2019; 64: 99-108.
4. Liu Wei, et al. Advances in Modern Biomedical Science, 2021, 21(08): 1425-1429.
5. Yu Gang, et al. Journal of Drug Analysis, 2014, 34(10): 1902-1906.
(The article is extracted from popular science literature and does not provide any medical guidance.)
Some images and texts are sourced from the internet. If there is any infringement, please inform us for deletion.

hp, probiotics, Helicobacter pylori, antibiotics
Related News
