The role of local immunity in chronic gastroduodenitis in children
DOI:
https://doi.org/10.61699/cjmps-v2-i3-4-p46-62Keywords:
chronic gastroduodenitis, immunity, childrenAbstract
An analysis of literature data on the role of local immune response in the
pathogenesis of chronic gastroduodenitis in children was carried out. A persistent trend
of increasing incidence of gastroenterological illnesses in children has been observed
at the present time. The greatest probability of manifestation of gastroenterological
illnesses occurs at ages 3-6 and 9-12. In 40-60% of adults, gastroenterological illnesses
originate in childhood. For this reason, it is necessary to study the initiating and
causative factors in in the development of digestive organ pathologies in children, and
especially their progress. This article discusses the role of the local immune system in
the pathogenesis of chronic gastroduodenitis. Inflammation lies at the core of chronic
gastritis, and an integral part of it is local immune reaction. Its essence is the infiltration
of the mucous membrane of the stomach by plasmocytes, lymphocytes, histiocytes,
with an increase in the quantity of macrophages, fibroblasts, eosinophils, mast cells,
intraepithelial lymphocytes (IEL). The degree of lymphoplasmacytic infiltration reflects
the gravity of the inflammation.
References
Helmin-Basa A, Michalkiewicz J, Gackowska L, et al. Pediatric Helicobacter pylori infection and circulating T-lymphocyte activation and differentiation. Helicobacter. 2011;16(1):27-35. doi:10.1111/j.1523-5378.2010.00809.x
Helmin-Basa A, Michalkiewicz J, Gackowska L, et al. Pediatric Helicobacter pylori infection and circulating T-lymphocyte activation
and differentiation. Helicobacter. 2011;16(1):27-35. doi:10.1111/ j.1523-5378.2010.00809.x
Kimang’a A, Revathi G, Kariuki S, et al. IL-17A and IL-17F gene expression is strongly induced in the mucosa of H. pylori-infected ubjects
from Kenya and Germany. Scand J Immunol. 2010;72(6):522 528. doi:10.1111/j.13653083.2010.02469.x
Crabtree JE, Taylor JD, Wyatt JI, et al. Mucosal IgA recognition of Helicobacter pylori 120 kDa protein, peptic ulceration, and gastric pathology. Lancet. 1991;338(8763):332-335. doi:10.1016/0140-6736(91)90477-7
Jaśkiewicz K, Kobierska G. Lymphoid aggregates in gastric biopsies: relationship to other mucosal lesions. Arch Immunol Ther Exp (Warsz). 2000;48(3): 201-204.
Serrano C, Wright SW, Bimczok D, et al. Downregulated Th17 responses are associated with reduced gastritis in Helicobacter pylori-infected children. Mucosal Immunol. 2013;6(5):950-959. doi:10.1038/mi.2012.133
Bienenstock J, Ernst PB, Underdown BJ. The gastrointestinal tract as an immunologic organ--state of the art. Ann Allergy. 1987;59(5 Pt
:17-20.
Douraghi M, Goudarzi H, Nateghi Rostami M, Nikmanesh B. Immune responses to Helicobacter pylori infection in children with intellectual disabilities. Res Dev Disabil. 2012;33(2):663-669. doi:10.1016/j. ridd.2011.11.010
Kimang’a A, Revathi G, Kariuki S, et al. IL-17A and IL-17F gene expression is strongly induced in the mucosa of H. pylori-infected ubjects
from Kenya and Germany. Scand J Immunol. 2010;72(6):522528. doi:10.1111/j.1365 3083.2010.02469.x
Crabtree JE, Taylor JD, Wyatt JI, et al. Mucosal IgA recognition of Helicobacter pylori 120 kDa protein, peptic ulceration, and gastric pathology. Lancet. 1991;338(8763):332 335. doi:10.1016/0140-6736(91) 90477-7
Jaśkiewicz K, Kobierska G. Lymphoid aggregates in gastric biopsies: relationship to other mucosal lesions. Arch Immunol Ther Exp (Warsz). 2000;48(3):201-204.
Serrano C, Wright SW, Bimczok D, et al. Downregulated Th17 responses are associated with reduced gastritis in Helicobacter pylori-infected children. Mucosal Immunol. 2013;6(5):950-959. doi:10.1038/mi.2012.133
Bienenstock J, Ernst PB, Underdown BJ. The gastrointestinal tract as an immunologic organ--state of the art. Ann Allergy. 1987;59(5 Pt
:17-20.
Douraghi M, Goudarzi H, Nateghi Rostami M, Nikmanesh B. Immune responses to Helicobacter pylori infection in children with intellec
tual disabilities. Res Dev Disabil. 2012;33(2):663-669. doi:10.1016/j. ridd.2011.11.010
Seiskari T, Kondrashova A, Viskari H, et al. Allergic sensitization and microbial load--a comparison between Finland and Russian Karelia. Clin Exp Immunol. 2007;148(1):47-52. doi:10.1111/j.1365-2249.2007.03333.x
Jalkanen S. Lymphocyte homing into the gut. Springer Semin Immunopathol. 1990;12(2-3):153-164. doi:10.1007/BF00197503
MacDermott RP, Stenson WF. The immunology of idiopathic inflammatory bowel disease. Hosp Pract (Off Ed). 1986;21(11):97-116.
Markovska R, Boyanova L, Yordanov D, Gergova G, Mitov I. Helicobacter pylori oipA genetic diversity and its associations with both disease and cagA, vacA s, m, and i alleles among Bulgarian patients. Diagn Microbiol Infect Dis. 2011;71(4):335-340. doi:10.1016/j. diagmicrobio.2011.08.008
Китаева Л.В., Евстратова Ю.С., Новикова В.П. Генотоксическое действие НР на эпителиоциты слизистой оболочки фундального отдела желудка в зависимости от возраста // Материалы научно-практической конференции сотрудников и студентов СПбГМА им. И.И. Мечникова, посвященной 60-летию Победы в ВОВ. – СПб., 2005. – С. 116-117.
Сарсенбаева А.С., Воротникова С.В. Апоптоз лимфоцитов периферической крови при геликобактерной инфекции // Тезисы V съезда научного общества гастроэнтерологов России. – М., 2005. – С. 150-151.
Seiskari T, Kondrashova A, Viskari H, et al. Allergic sensitization and microbial load--a comparison between Finland and Russian Karelia. Clin Exp Immunol. 2007;148(1):47-52. doi:10.1111/ j.1365-2249.2007.03333.x
Jalkanen S. Lymphocyte homing into the gut. Springer Semin Immunopathol. 1990;12(2-3):153-164. doi:10.1007/BF00197503
MacDermott RP, Stenson WF. The immunology of idiopathic inflammatory bowel disease. Hosp Pract (Off Ed). 1986;21(11):97-116.
Markovska R, Boyanova L, Yordanov D, Gergova G, Mitov I. Helicobacter pylori oipA genetic diversity and its associations with both disease and cagA, vacA s, m, and i alleles among Bulgarian patients. Diagn Microbiol Infect Dis. 2011;71(4):335-340. doi:10.1016/j. diagmicrobio.2011.08.008
Kitaeva L.V., Evstratova Yu.S., Novikova V.P. Genotoxic effect of HP on epithelial cells of the fundal gastric mucosa depending on age // Materials of the scientific and practical conference of staff and students of St. Petersburg State Medical University named after I.I.
Mechnikov, dedicated to the 60th anniversary of Victory in the Great Patriotic War, St. Petersburg, 2005, pp. 116-117. (in Russian)
Sarsenbayeva A.S., Vorotnikova S.V. Apoptosis of peripheral blood lymphocytes in case of helicobacter infection // Abstracts of the
V Congress of the Scientific Society
Кононов А.В. Иммунная система слизистых оболочек и инфекция Helicobacter pylori // Материалы 6 сессии Российской группы по изучению Helicobacterpylori. - Омск, 1997. - С.3-6.
Kotłowska-Kmieć A, Bakowska A, Wołowska E, Łuczak G, Liberek A. Markery okołoapoptotyczne w zakazeniu Helicobacter
pylori u dzieci [Periapoptotic markers in children with Helicobacter pylori infection]. Med Wieku Rozwoj. 2009;13(4):231-236.
Liu WP, Sun SF, Zhang GL. Zhongguo Dang Dai Er Ke Za Zhi. 2010;12(2):110-112.
Rautelin H., Tervahartiala T., Lauhio A. et al. Assessment of systemic matrix metalloproteinase and their regulator response in children
with Helicobacter pylori gastritis // Scand. J. Clin. Lab. Invest. - 2010. – Vol.70 (7). – P.492-496. DOI: 10.3109/00365513.2010.520732
Ивашкин В.Т., Шептулин А.А., Лапина Т.Л. и др. Рекомендации Российской гастроэнтерологической ассоциации по диагностике
и лечению функциональной диспепсии // Росс. журн. гастроэнтерологии, гепатологии, колопроктологии. – 2012. - № 3. - С. 80-92.
Кононов А.В. Местный иммунный ответ на инфекцию Нelicobacter pylori // Нelicobacter pylori:
революция в гастроэнтерологии. – М.: Триада-Х, 1999. – С.29-45.of Gastroenterologists of Russia, Moscow, 2005, pp. 150-151.
(in Russian)
Kononov A.V. The immune system of mucous membranes and Helicobacter pylori infection // Proceedings of the 6th session of
the Russian Group for the study of Helicobacter Pylori. Omsk, 1997. pp.3-6. (in Russian)
Kotłowska-Kmieć A, Bakowska A, Wołowska E, Łuczak G, Liberek A. Markery okołoapoptotyczne w zakazeniu Helicobacter pylori u
dzieci [Periapoptotic markers in children with Helicobacter pylori infection]. Med Wieku Rozwoj. 2009;13(4):231-236.
Liu WP, Sun SF, Zhang GL. Zhongguo Dang Dai Er Ke Za Zhi. 2010;12(2):110-112.
Rautelin H., Tervahartiala T., Lauhio A. et al. Assessment of systemic matrix metalloproteinase and their regulator response in children
with Helicobacter pylori gastritis // Scand. J. Clin. Lab. Invest. - 2010. – Vol.70 (7). – P.492-496. DOI: 10.3109/00365513.2010.520732
Ivashkin V.T., Sheptulin A.A., Lapina T.L. and others. Recommendations of the Russian Gastroenterological Association for the diagnosis and treatment of functional dyspepsia // Ross. Journal. Gastroenterology, hepatology, coloproctology. - 2012. - No. 3. - pp. 80-92 (in Russian) Kononov A.V. Local immuneresponse to Helicobacter pylori infection // Helicobacter pylori: a revolution in gastroenterology. Moscow: Triada-X, 1999. pp.29-45. (in Russian)
Adler-Shohet F, Palmer P, Reed G, Edwards K. Prevalence of Helicobacter pylori antibodies in normal children. Pediatr Infect Dis J. 1996;15(2):172-174. infection // Helicobacter pylori: a revolution in gastroenterology. Moscow: Triada-X, 1999. pp.29-45.
(in Russian)
Adler-Shohet F, Palmer P, Reed G, Edwards K. Prevalence of Helicobacter pylori antibodies in normal children. Pediatr Infect Dis J. 1996;15(2):172-174. doi:10.1097/00006454-19960200000017
Tseng FC, Brown EE, Maiese EM, et al. Polymorphisms in cytokine genes and risk of Helicobacter pylori infection among Jamaican children. Helicobacter. 2006;11(5):425-430. doi:10.1111/ j.1523-5378.2006.00433.x
Игнатова Г.Л., Сарсенбаева А.С., Теплова С.Н., Федоренко С.В. Состояние процессов клеточного обновления в слизистой оболочке желудка и лимфоцитов крови при Helicobacter pylori инфекции // Вестник ЮжноУральского государственного
университета. – 2006. – № 36. – С. 234-237.
Neefjes VM, Heijboer H, Tamminga RY. H. pylori infection in childhood chronic immune thrombocytopenic purpura. Haematologica. 2007;92(4):576. doi:10.3324/haematol.10940
Климанская Е.В., Возжаева Ф.С., Новикова А.В., Шевцова Г.В. Клинико-эпидемиологическое наблюдение при хроническом
гастродуодените у детей, проживающих в условиях мегаполиса // Росс. журн. гастроэнтерол. гепатол. колопроктол. - 1997. - Т.VII, № 5. – Прил. № 4. - С.193.
Tseng FC, Brown EE, Maiese EM, et al. Polymorphisms in cytokine genes and risk of Helicobacter pylori infection among Jamaican children. Helicobacter. 2006;11(5):425-430. doi:10.1111/ j.1523-5378.2006.00433.x
Ignatova G.L., Sarsenbayeva A.S., Teplova S.N., Fedorenko S.V. The state of cell renewal processes in the gastric mucosa and blood lymphocytes in Helicobacter pylori infection // Bulletin of the South Ural State University. - 2006. – No. 36. – pp. 234-237. (in
Russian)
Neefjes VM, Heijboer H, Tamminga RY. H. pylori infection in childhood chronic immune thrombocytopenic purpura. Haematologica.
;92(4):576. doi:10.3324/haematol.10940
Klimanskaya E.V., Vozzhaeva F.S., Novikova A.V., Shevtsova G.V. Clinical and epidemiological surveillance of chronic gastroduodenitis
in children living in a megalopolis // Russian Journal of Gastroenterology. hepatol. coloproctol. - 1997.
Корсунский А.А. Инфекция Helicobacter pylori в педиатрической практике.В сборнике Helicobacter pylori: революция в гастроэнтерологии / Ред. акад. РАМН В.Т Ивашкина, проф. Ф. Мегро, Т.Л. Лапин. М.; 1999: 224 243
Корсунский А.А., Щербаков П.Л., Исаков В.А. Хеликобактериоз и болезни органов пищеварения у детей. - М.: Мед. Практика, 2002. – 168 с.
Малямова Л.Н., Медведева С.Ю. Динамика воспалительного процесса в слизистой оболочке желудка у детей с хеликобактерным гастритом на фоне проводимой терапии // Сб. науч. работ. ЦНИЛ. - Екатеринбург: Изд. УГМА, 2001. – С. 47-52.
Малямова Л.Н., Чередниченко А.М., Медведева С.Ю., Сафонова Л.М. Динамика морфологических изменений слизистой
оболочки желудка у детей с хеликобактерной инфекцией и эффективность терапии // Сб. материалов 9-го симпозиума
«Актуальные проблемы абдоминальной патологии у детей». - СПб., 2002. – С. 129-130.
Szajewska H, Setty M, Mrukowicz J, Guandalini S. Probiotics in gastrointestinal diseases in children: hard and not-so-hard evidence of efficacy. J Pediatr Gas-- Vol. VII, No. 5. – Appendix No. 4. - p. 193. (in Russian)
Korsunsky A.A. Helicobacter pylori infection in pediatric practice.In the collection of Helicobacter pylori: a revolution in gastroenterology / Ed. by akad. Russian Academy of Medical Sciences V.T. Ivashkina, Prof. F. Megro, T.L. Lapin, M.; 1999: 224 243(in Russian)
Korsunsky A.A., Shcherbakov P.L., Isakov V.A. Helicobacteriosis and diseases of the digestive system in children. - M.: Med. Praktika, 2002. 168 p. (in Russian)
Malyamova L.N., Medvedeva S.Y. Dynamics of the inflammatory process in the gastric mucosa in children with helicobacter gastritis on
the background of therapy // Collection of scientific papers. HE EXPLAINED IT. Yekaterinburg: UGMA Publishing House, 2001, pp. 47-52.
(in Russian)
Malyamova L.N., Cherednichenko A.M., Medvedeva S.Yu., Safonova L.M. Dynamics of morphological changes in the gastric mucosa in
children with helicobacter infection and the effectiveness of therapy // Proceedings of the 9th symposium “Actual problems of abdominal pathology in children”. - St. Petersburg, 2002. – pp. 129-130. (in Russian)
Szajewska H, Setty M, Mrukowicz J, Guandalini S. Probiotics in gastrointestinal diseases in children: hard and not-so-hard evidence of efficacy. J Pediatr Gastroenterol Nutr. 2006;42(5):454 475. doi:10.1097/01.mpg.0000221913.88511.72
Martigne L, Michaud L, Gottrand F, Boman F, Husson MO. Thirteen year spontaneous evolution of Helicobacter pylori gastritis acquired
during early childhood. Pediatrics. 2007;119(3):658. doi:10.1542/peds.2006-3619 troenterol Nutr. 2006;42(5):454
doi:10.1097/01. mpg.0000221913.88511.72
Martigne L, Michaud L, Gottrand F, Boman F, Husson MO. Thirteen year spontaneous evolution of Helicobacter pylori gastritis acquired
during early childhood. Pediatrics. 2007;119(3):658. doi:10.1542/peds.2006-3619
Хакимова Л.Р., Потапова С.М., Ахметова Л.Р., Гимранова И.А. Изучение биологических свойств аутоштаммов lactobacillus spp.
для создания пробиотиков// Научно практический журнал «Клиническая лабораторная диагностика». -2023. - Т.68. -№8. -P 480-488.
Gong YH, Sun LP, Jin SG, Yuan Y. Comparative study of serology and histology based detection of Helicobacter pylori infections: a large
population-based study of 7,241 subjects from China. Eur J Clin Microbiol Infect Dis. 2010;29(7):907911. doi:10.1007/s10096-0100944-9
Veres G, Pehlivanoglu E. Helicobacter pylori infection in pediatrics. Helicobacter. 2007;12 Suppl 1:38-44. doi:10.1111/j.1523 5378.2007.00532.x
Джали Н.Ф., Бони Е.Г Становление биоценоза кишечника у здоровых и больных новорожденных детей // Педиатрия. - 1991. - № 2. -С. 88-92
Khademi B, Niknejad N, Gandomi B, Yeganeh F. Comparison of Helicobacter pylori colonization on the tonsillar surface versus tonsil
lar core tissue as determined by the CLO test. Ear Nose Throat J. 2007;86(8):498-501.
Khakimova L.R., Potapova S.M., Akhmetova L.R., Gimranova I.A. Study of biological properties of lactobacillus spp. strains. to create probiotics// Scientific and practical journal “Clinical Laboratory diagnostics”. -2023. - Vol.68. -No. 8. -P 480-488. (in Russian)
Gong YH, Sun LP, Jin SG, Yuan Y. Comparative study of serology and histology based detection of Helicobacter pylori infections: a large population-based study of 7,241 subjects from China. Eur J Clin Microbiol Infect Dis. 2010;29(7):907911. doi:10.1007/s10096-010 0944-9
Veres G, Pehlivanoglu E. Helicobacter pylori infection in pediatrics. Helicobacter. 2007;12 Suppl 1:38-44. doi:10.1111/j.15235378.2007.00532.x
Djali N.F., Boni E.G. Formation of intestinal biocenosis in healthy and sick newborn children // Pediatrics. - 1991. - No. 2. -pp. 88-92 9 (in
Russian)
Khademi B, Niknejad N, Gandomi B, Yeganeh F. Comparison of Helicobacter pylori colonization on the tonsillar surface versus tonsil lar core tissue as determined by the CLO test. Ear Nose Throat J. 2007;86(8):498-501.59
Lang L. Childhood acquisition of Helicobacter pylori linked to reduced asthma and allergy risk. Gastroenterology. 2007;133(1):6. doi:10.1053/j.gastro.2007.05.011
Ashorn M. What are the specific features of Helicobacter pylori gastritis in children?. Ann Med. 1995;27(5):617-620. doi:10.3109/07853899509002480
Carpentieri DF, Wenner W, Liquornik K, Ruchelli E. Significance of lymphoid follicles and aggregates in gastric mucosa of children. Pediatr Dev Pathol. 2000;3(2):177-179. doi:10.1007/s100240050022
Brynskov J, Nielsen OH, Ahnfelt Rønne I, Bendtzen K. Cytokines in inflammatory bowel disease. Scand J Gastroenterol. 1992;27(11):897-906. doi:10.3109/00365529209000160
Burgio G.R., Ugazio A.G. L’immunologie pediatrique: modele de developpment d’une sousspecialite. Ann. Nestle. - 1992. -
Vol.50, № 1. - Р.23-25.
Figueiredo Soares T, Aguiar Rocha G, Camargos Rocha AM, et al. Differences in peripheral blood lymphocyte phenotypes between Helicobacter pylori-positive children and adults with duodenal ulcer. Clin Microbiol Infect. 2007;13(11):1083 1088. doi:10.1111/j.1469 0691.2007.01814.x
Lang L. Childhood acquisition of Helicobacter pylori linked to reduced asthma and allergy risk. Gastroenterology. 2007;133(1):6. doi:10.1053/j.gastro.2007.05.011
Ashorn M. What are the specific features of Helicobacter pylori gastritis in children?. Ann Med. 1995;27(5):617-620. doi:10.3109/07853899509002480
Carpentieri DF, Wenner W, Liquornik K, Ruchelli E. Significance of lymphoid follicles and aggregates in gastric mucosa of children. Pediatr Dev Pathol. 2000;3(2):177-179. doi:10.1007/s100240050022
Brynskov J, Nielsen OH, Ahnfelt-Rønne I, Bendtzen K. Cytokines in inflammatory bowel disease. Scand J Gastroenterol. 1992;27(11):897-906. doi:10.3109/00365529209000160
Burgio G.R., Ugazio A.G. L’immunologie pediatrique: modele de developpment d’une sousspecialite. Ann. Nestle. - 1992. - Vol.50, № 1. - Р.23-25.
Figueiredo Soares T, Aguiar Rocha G, Camargos Rocha AM, et al. Differences in peripheral blood lymphocyte phenotypes between He
licobacter pylori-positive children and adults with duodenal ulcer. Clin Microbiol Infect. 2007;13(11):1083 1088. doi:10.1111/j.1469 0691.2007.01814.x
Muñoz L, Camorlinga M, Hernández R, et al. Immune and proliferative cellular responses to Helicobacter pylori infection in the gastric mucosa of Mexican children. Helicobacter. 2007;12(3):224 230. doi:10.1111/j.1523 5378.2007.00493.x
Зайцева К.К. Helicobacter pylori в пато- и морфогенезе хронического гастрита и язвенной болезни // Арх. пат. - 1991. – Т.53, № 2. - С.72-75.
Süoglu OD, Gökçe S, Saglam AT, Sökücü S, Saner G. Association of Helicobacter pylori infection with gastroduodenal disease, epidemiologic factors and iron deficiency anemia in Turkish children undergoing endoscopy, and impact on growth. Pediatr Int.
;49(6):858-863. doi:10.1111/ j.1442-200X.2007.02444.x
Бахметова Л. Э. Особенности микроэкологии кишечника у детей, проживающих на загрязненных радионуклидами территориях в условиях сочетанного действия неблагоприятных факторов // Морфофункциональные аспекты
действия радионуклидов на процессы антенатального и постнатального развития. – Гомель: Гомельский гос. мед. ин-т., 1996. - С.44-47.
Данилаш М.М., Торохтин М.Д., Урбан В.И. и др. Некоторые особенности в патологии двенадцатиперстной кишки у лиц, подвергшихся действию ионизующей радиации // Врач. дело. - 1996. - № 5-6. – С. 64-66.
Muñoz L, Camorlinga M, Hernández R, et al. Immune and proliferative cellular responses to Helicobacter pylori infection in the
gastric mucosa of Mexican children. Helicobacter. 2007;12(3):224 230. doi:10.1111/j.1523 5378.2007.00493.x
Zaitseva K.K. Helicobacter pylori in the pathology and morphogenesis of chronic gastritis and peptic ulcer disease // Arch. pat. - 1991. – Vol.53, No. 2. - pp.72-75. (in Russian)
Süoglu OD, Gökçe S, Saglam AT, Sökücü S, Saner G. Association of Helicobacter pylori infection with gastroduodenal disease, epidemiologic factors and irondeficiency anemia in Turkish children undergoing endoscopy, and impact on growth. Pediatr Int. 2007;49(6):858-863. doi:10.1111/j.1442-200X.2007.02444.x
Bakhmetova L. E. Features of intestinal microecology in children living in radionuclide-contaminated territories under the combined action of adverse factors // Morphofunctional aspects of the effect of radionuclides on the processes of antenatal and postnatal development. – Gomel: Gomel State Medical University. in-T., 1996. - pp.44 47. (in Russian)
Danilash M.M., Torokhtin M.D., Urban V.I. and others. Some features in the pathology of the duodenum in persons exposed to ionizing radiation // Vrachebnoe delo – 1996. –No. 5-6. – pp. 64-66 (in Russian)