Helicobacter pylori: 2nd Edition

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Microbiology".

Deadline for manuscript submissions: 28 November 2025 | Viewed by 1202

Special Issue Editors


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Guest Editor
Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania
Interests: H. pylori; cancers; antioxidative process; diagnostic methods
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Guest Editor
Department of Pathology, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology, 38 Gheorghe Marinescu Street, 540139 Targu Mures, Romania
Interests: oncopathology; gastric cancer; colorectal cancer; hepatocellular carcinoma; epithelial–mesenchymal transition; targeted therapy of cancer; histopathology; molecular pathology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Volume 2 of the highly successful Life Special Issue entitled “Helicobacter pylori” (originally published in 2022, https://www.mdpi.com/journal/life/special_issues/_helicobacter_pylori) will collect additional reviews and original research articles, all written by promising and leading experts in the field.

The scope of the special issue includes approaching H. pylori infection from a new perspective of multidisciplinary approach. The carcinogenic role of infection is well known but the mechanisms of production are still poorly understood. From this perspective, we want to reconsider the role of oxidative stress in oncological pathology as well as other cellular mechanisms that have the potential to induce cancer. Another objective is to evaluate the role of new diagnostic methods in terms of their sensitivity and specificity.

Prof. Dr. Ovidiu Pop
Prof. Dr. Simona Gurzu
Guest Editors

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Keywords

  • H. pylori
  • cancers
  • antioxidative process
  • diagnostic methods

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Related Special Issue

Published Papers (2 papers)

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Research

13 pages, 1428 KB  
Article
Risk Factors for Endoscopic Gastric Mucosal Lesions: Analysis of Lifestyle, Dietary, and Clinical Determinants in 361 Patients
by Patrick-Lazăr-Dominik Chiciudean, Ana-Maria Filip, Sabrina-Nicoleta Munteanu, Cristian-Ioan Cîmpian, Simona Mocan, Monica Pantea and Anca Elena Negovan
Life 2025, 15(9), 1474; https://doi.org/10.3390/life15091474 - 19 Sep 2025
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Abstract
Background/Objectives: Gastric mucosal lesions represent a significant health burden, with Helicobacter pylori infection being the primary cause of chronic gastritis worldwide. However, the role of modifiable lifestyle factors in modulating the severity of gastric lesions remains incompletely characterized, particularly in Eastern European populations. [...] Read more.
Background/Objectives: Gastric mucosal lesions represent a significant health burden, with Helicobacter pylori infection being the primary cause of chronic gastritis worldwide. However, the role of modifiable lifestyle factors in modulating the severity of gastric lesions remains incompletely characterized, particularly in Eastern European populations. This study aimed to analyze the relationship between dietary behaviors, smoking, alcohol consumption, and the severity of endoscopic gastric lesions in Romanian patients. Methods: We conducted a cross-sectional study including 361 patients who underwent upper gastrointestinal endoscopy at Târgu Mureș County Clinical Emergency Hospital between 2019 and 2025. Endoscopic lesion severity was classified on an ordinal scale (0 = normal; 1 = edema/erythema; 2 = erosions; 3 = ulcer/bleeding). Dietary intake was assessed using a validated food frequency questionnaire, with foods classified as pro-inflammatory or protective. Ordinal logistic regression models were used to examine associations between lifestyle factors and the severity of gastric lesions, adjusted for age, sex, and H. pylori status. Results: Among participants (median age 65 years, 46.5% male), 45.2% had clinically significant lesions (≥2). H. pylori infection was present in 31.6% of participants. Current smoking (15.2% of participants) showed a trend toward increased severity of gastric lesions (fully adjusted OR 1.59, 95% CI 0.93–2.71, p = 0.092), though not statistically significant. Among current smokers, 52.7% had clinically significant lesions versus 43.8% among non/former smokers. The smoking–alcohol interaction was not statistically significant (interaction OR = 1.19, 95% CI: 0.34–4.17, p = 0.780). Dietary balance score showed no association with the severity of gastric lesions (OR = 1.061 per 10-unit increase, p = 0.355). NSAID use emerged as the strongest predictor (OR = 1.68, 95% CI 1.01–2.78, p = 0.044). The number of cumulative risk factors correlated significantly with clinically significant lesions (Spearman r = 0.107, p = 0.042), with prevalence increasing from 34.5% in patients with 0–1 factors to 83.3% with 6+ factors. Conclusions: Current smoking showed a trend toward increased severity of gastric lesions in this Romanian cohort, though not reaching statistical significance. NSAID use was the only significant independent predictor. The dose–response relationship between cumulative risk factors and the severity of lesions emphasizes the importance of comprehensive risk assessment and multi-factorial interventions in gastric disease prevention. However, as a cross-sectional study, these associations cannot establish causality and should be confirmed in prospective cohorts. Full article
(This article belongs to the Special Issue Helicobacter pylori: 2nd Edition)
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14 pages, 1656 KB  
Article
Correlations Between H. pylori Gastric Histopathology and NAFLD: A Retrospective Observational Study
by Ioana Alexandra Cardos, Cătălina Dănilă, Ovidiu Laurean Pop, Andrea Pop-Crisan, Ovidiu Pavel Burta, Andreea Camarasan, Felicia Marc and Simona Daniela Cavalu
Life 2025, 15(8), 1309; https://doi.org/10.3390/life15081309 - 18 Aug 2025
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Abstract
The importance of H. pylori infection in the development of non-alcoholic fatty liver disease, liver fibrosis, cirrhosis, insulin resistance, and non-alcoholic steatohepatitis has been shown in earlier studies. Our work aims to assess the risk of developing hepatic fibrosis in patients with or [...] Read more.
The importance of H. pylori infection in the development of non-alcoholic fatty liver disease, liver fibrosis, cirrhosis, insulin resistance, and non-alcoholic steatohepatitis has been shown in earlier studies. Our work aims to assess the risk of developing hepatic fibrosis in patients with or without H. pylori, using noninvasive scores such as the APRI index, the BARD score, or the FIB-4 index, and to evaluate a possible association between the severity of fibrosis scores and histopathology evidence (such as chronic gastritis, gastric atrophy, gastric metaplasia, and gastric dysplasia). Moreover, the risk of preneoplastic stomach lesions was assessed in patients with hepatic fibrosis. The study enrolled a total of 110 patients: 65 were H. pylori-positive and 45 were negative. The differences in BARD, APRI, and FIB-4 indexes between H. pylori-positive and negative cases were assessed using the Mann–Whitney test. Noticeably higher BARD scores and APRI indexes were observed when comparing H. pylori-positive patients with NAFLD to H. pylori-negative ones. In terms of the FIB-4 index, an insignificant increase was observed in H. pylori-positive versus H. pylori-negative patients. Multiple linear regression was performed for the BARD scores and APRI indexes, revealing further significant associations with age and H. pylori status. A substantial correlation was demonstrated between H. pylori and elevated hepatic fibrosis scores in individuals with NAFLD and gastritis, suggested by the complexity features of infection and the intricacies of histology. Full article
(This article belongs to the Special Issue Helicobacter pylori: 2nd Edition)
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