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H. pylori: What is in a Name?

Have you ever heard of Helicobacter pylori, or H. pylori for short? This tiny but troublesome bacterium has a big impact on the health of millions of people worldwide. Let’s examine the world of H. pylori, explore symptoms it creates, and discover the available treatments.

Meet Helicobacter pylori

First things first, what is H. pylori? Helicobacter pylori is a unique bacterium that calls our stomach and duodenum (the part of the intestine just below the stomach) its home. Its name comes from its distinct spiral shape (helicobacter, meaning spiral) and its preference for the stomach (pylori, meaning stomach). What makes H. pylori truly remarkable is its ability to thrive in the highly acidic environment of the human stomach, defying the belief that no bacteria could survive there. Its discovery in 1984 challenged the scientific status quo.

The Experiment that Changed Everything

Dr. Barry Marshall, a researcher from the University of Western Australia, played a pivotal role in uncovering the mysteries of H. pylori. In 1984, he confirmed that symptoms like upper stomach pain, heartburn, bloating, loss of appetite, nausea, and bad breath were the result of H. pylori presence in the stomach. What’s intriguing is that he conducted his groundbreaking research through a rather unconventional method – by experimenting on himself!

Dr. Marshall and his colleague, Dr. Robin Warren, initially faced scepticism when they proposed that H. pylori was the culprit behind gastritis and stomach ulcers. At the time, these conditions were believed to be chronic diseases, not bacterial infections.

Firm in his belief, Dr. Marshall embarked on a daring experiment in 1984. He first confirmed the absence of H. pylori in his stomach, then voluntarily ingested a solution containing live H. pylori. Within days, he experienced classic H. pylori infection symptoms: stomach swelling, digestive difficulties, reduced appetite, bad breath, nausea, and vomiting. Tests confirmed his H. pylori infection. After antibiotic therapy, both his symptoms and the infection disappeared. His findings were published, listing Dr. Barry Marshall simply as a “male volunteer.”

Nobel Prize-Worthy Discovery

In 2005, Dr. Marshall and Dr. Warren were awarded the Nobel Prize in Physiology for their groundbreaking discovery. Overnight, H. pylori caused gastritis and stomach ulcers transitioned from chronic diseases to infectious ones. Dr. Marshall’s story of self-experimentation became famous, with his humorous remark: “If I had known that the story would become so popular, I would have taken a picture while drinking a solution with H. pylori.”

Surviving in Hostile Territory

The human stomach boasts an intensely acidic environment, but H. pylori manages to survive by taking refuge within the stomach’s mucus lining. Once established, it employs specific mechanisms to battle the acidity. H. pylori produces an enzyme called urease, which converts urea, abundant in the stomach, into ammonia. Ammonia neutralizes stomach acid, transforming the hostile environment into a neutral one, ideal for H. pylori‘s survival and growth. This adaptation sets the stage for H. pylori infection and its associated symptoms.

The Immune Battle

H. pylori‘s stealthy tactics make it difficult for the immune system to detect and combat the infection. It hides within the stomach’s mucous layer, shielding itself from immune cells. When the immune system senses an infection in the stomach, it sends immune response agents to the site. However, these agents struggle to penetrate the mucous barrier. This triggers a robust immune response, but H. pylori remains, leading to the eventual death of immune cells within the stomach. These dying cells release harmful substances, including free radicals, which damage the stomach wall, culminating in gastritis.

The Toll of H. pylori

Gastritis and its associated symptoms, such as upper stomach pain, heartburn, bloating, loss of appetite, nausea, and bad breath, are not directly caused by H. pylori itself. They result from intense immune responses in the stomach, leading to localized inflammation of the stomach wall. When H. pylori is eradicated, these symptoms usually subside, and the stomach lining returns to normal. However, long-term H. pylori infection can lead to more severe conditions like stomach and duodenal ulcers, and even stomach cancer – the second most common cause of cancer-related deaths globally. Shockingly, about 90% of gastritis and stomach cancer patients test positive for H. pylori, making it a primary contributor to these diseases.

The Global Impact

H. pylori infections are widespread, affecting approximately 50% of the world’s population. However, most infected individuals don’t develop symptoms. Of those infected, about 17% may develop stomach ulcers, and approximately 1% could face stomach cancer. These statistics vary globally, with developing countries bearing a higher burden. H. pylori‘s classification as a type I carcinogen by the World Health Organization places it in the same category as smoking and tobacco smoke in terms of cancer risk.

Spreading the Unseen Menace

H. pylori infection spreads more rapidly in regions with reduced hygiene and limited access to clean water, common in underdeveloped and developing countries. It primarily spreads through oral transmission, often from contaminated hands or shared food and utensils. Most individuals acquire the infection during childhood through oral transmission but typically don’t develop symptoms until middle age or later.

The Antibiotic Challenge

While antibiotics have significantly reduced gastritis and stomach ulcers by targeting H. pylori, the bacterium is becoming increasingly resistant to treatment. Approximately 20% of patients remain uncured despite antibiotic therapy. Antibiotics can also bring unwanted side effects, making them hard for patients to tolerate. Researchers are actively seeking new H. pylori treatments.

Exploring Natural Solutions

Alternative therapies for H. pylori are limited, with most aiming to alleviate antibiotic side effects rather than eliminate the bacterium. However, natural treatments based on essential oils like Wild Oregano. Thyme and Summer Savory provide an option for those seeking alternatives.

Author: Dr. Marija Lesjak, PhD in Biochemistry