Summary:
This study was performed to clarify the influence of Helicobacter pylori on the platelet count in patients undergoing bone marrow transplantation (BMT) from unrelated donors. Of 23 consecutive patients undergoing BMT from unrelated donors, the H. pylori antibody test did not change from before conditioning until recovery of the platelet count in 15 patients. These patients were classified into H. pylori antibody-positive (n=8) and -negative (n=7) groups. In the H. pylori antibody-positive group, the platelet count exceeded 20 × 109/l significantly faster after BMT, than in the H. pylori antibody-negative group. When myelosuppression was most severe, the interleukin-6 (IL-6) level was significantly higher in the positive group than in the negative group (67.0±10.6 vs 9.9±2.4 pg/ml, P<0.05). In addition, the thrombopoietin level was significantly lower in the positive group than in the negative (510.1±313.9 vs 3209.1±2006.7 pg/ml, P<0.01). These data suggest that H. pylori infection accelerates recovery of the platelet count after BMT from unrelated donors, possibly by stimulating IL-6 production.
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References
Martin PJ, Hansen JA, Storb R, Thomas ED . Human marrow transplantation: an immunological perspective. Adv Immunol 1987; 40: 379–438.
Taynor AE, Schroeder J, Rosa RM et al. Treatment of severe systemic lupus erythematosus with high-dose chemotherapy and haemopoietic stem-cell transplantation: a phase I study. Lancet 2000; 356: 701–707.
Childs R, Chernoff A, Contentin N et al. Regression of metastatic renal-cell carcinoma after nonmyeloablative allogeneic peripheral-blood stem-cell transplantation. N Engl J Med 2000; 343: 750–758.
Marshall BJ, Warren JR . Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration. Lancet 1984; 16: 1311–1315.
Walsh JH, Peterson WL . The treatment of Helicobacter pylori infection in the management of peptic ulcer disease. N Engl J Med 1995; 333: 984–991.
Howden CW . Recurrent peptic ulceration. Dig Dis 1997; 15: 92–99.
Uemura N, Okamoto S, Yamamoto S et al. Helicobacter pylori infection and the development of gastric cancer. N Engl J Med 2001; 345: 784–789.
Ridker PM, Danesh J, Youngman L et al. A prospective study of Helicobacter pylori seropositivity and the risk for future myocardial infarction among socioeconomically similar U.S. men. Ann Intern Med 2001; 135: 184–188.
Emilia G, Longo G, Luppi M et al. Helicobacter pylori eradication can induce platelet recovery in idiopathic thrombo-cytopenic purpura. Blood 2001; 97: 812–814.
Davies SM, Kollman C, Ansetti C et al. Engraftment and survival unrelated-donor bone marrow transplantation: a report from the National Marrow Donor Program. Blood 2000; 96: 4096–4102.
Savarino V, Vignori S, Celle G . The 13C urea breath test in the diagnosis of Helicobacter pylori infection. Gut 1999; 45: 118–122.
Chao NJ, Schmidt GM, Niland JC et al. Cyclosporin, methotrexate and prednisone compared with cyclosporin and prednisone for prophylaxis of acute graft-versus-host disease. N Engl J Med 1993; 329: 1225–1230.
Burstein SA, Mei RL, Henthorn J et al. Leukemia inhibitory factor and interleukin-11 promote maturation of murine and human megakaryocytes in vitro. J Cell Physiol 1992; 153: 305–312.
Ishibashi T, Kimura H, Shikama Y et al. Interleukin-6 is a potent thrombopoietic factor in vivo in mice. Blood 1989; 74: 1241–1244.
Pertusini E, Ratajczak J, Majka M et al. Investigating the platelet-sparing mechanism of paclitaxel/carboplatin combination chemotherapy. Blood 2001; 97: 638–644.
Lin SK, Lambert JR, Nicholson L et al. Prevalence of Helicobacter pylori in a representative Anglo-Celtic population of urban Melbourne. J Gastroenterol Hepatol 1998; 13: 505–510.
Stone MA, Patel H, Panja KK et al. Results of Helicobacter pylori screening and eradication in a multi-ethnic community in central England. Eur J Gastroenterol Hepatol 1998; 10: 957–962.
Stone MA, Barnett DB, Mayberry JF . Lack of correlation between self-reported symptoms of dyspepsia and infection with Helicobacter pylori, in a general population sample. Eur J Gastroenterol Hepatol 1998; 10: 301–304.
Buckley MJ, O'Shea J, Grace A et al. A community-based study of the epidemiology of Helicobacter pylori infection and associated asymptomatic gastroduodenal pathology. Eur J Gastroenterol Hepatol 1998; 10: 375–379.
Milman N, Rosenstock S, Andersen L et al. Serum ferritin, hemoglobin, and Helicobacter pylori infection: a seroepidemiologic survey comprising 2794 Danish adults. Gastroenterology 1998; 115: 268–274.
Ljungman P, Wang FZ, Clark DA et al. High levels of human herpesvirus 6 DNA in periperal blood leucocytes are correlated to platelet engraftment and disease in allogeneic stem cell transplant patients. Br J Haematol 2000; 111: 774–781.
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We thank Ms R Tanaka for her expert technical assistance.
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Wakae, T., Takatsuka, H., Mori, A. et al. Influence of Helicobacter pylori on platelets after bone marrow transplantation from unrelated donors. Bone Marrow Transplant 31, 493–496 (2003). https://doi.org/10.1038/sj.bmt.1703884
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DOI: https://doi.org/10.1038/sj.bmt.1703884