Skip to main content

Detection of Helicobacter pylori DNA in Formalin-Fixed Paraffin-Embedded Gastric Biopsies Using Laser Microdissection and qPCR

  • Protocol
  • First Online:
Diagnostic Bacteriology

Abstract

Molecular detection and analysis of virulence factors of Helicobacter pylori depends on the specificity of cell selection in the gastric biopsies. The laser microdissection (LM) instruments combine microscopy with laser cut sectioning. This combination allows one to choose only the bacteria that are in direct contact with epithelial cells in the gastric biopsy sample, avoiding those microorganisms attached to the mucus layer in the sample. The average concentration of DNA isolated from 25 cuts with selected bacteria is around 1.94 ng/μL, which is enough DNA to perform a qPCR protocol using real-time instruments to amplify 16sDNA or virulence factors like cagA or vacA. Consequently, the application of these technologies in the molecular analysis of Helicobacter pylori directly in contact with the surface of gastric epithelial cells is more precise and could yield better insights about the complex mechanisms of interactions between pathogen and host. Insights derived from research using the techniques described herein may in future facilitate prevention of infection or improved therapeutic options.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Versalovic J, Lupski JR (2002) Molecular detection and genotyping of pathogens: more accurate and rapid answers. Trends Microbiol 10:15–21. doi:10.1016/S0966-842X(02)02438-1

    Article  Google Scholar 

  2. Bibby K (2013) Metagenomic identification of viral pathogens. Trends Biotechnol 31:275–279. doi:10.1016/j.tibtech.2013.01.016

    Article  CAS  PubMed  Google Scholar 

  3. Abreu ALP, Souza RP, Gimenes F, Consolaro MEL (2012) A review of methods for detect human Papillomavirus infection. Virol J 9:262. doi:10.1186/1743-422X-9-262

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Nahid P, Pai M, Hopewell PC (2006) Advances in the diagnosis and treatment of tuberculosis. Proc Am Thorac Soc 3:103–110. doi:10.1513/pats.200511-119JH

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Alzahrani S (2014) Effect of Helicobacter pylori on gastric epithelial cells. World J Gastroenterol 20:12767. doi:10.3748/wjg.v20.i36.12767

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Calvet X, Ramírez Lázaro M-J, Lehours P, Mégraud F (2013) Diagnosis and epidemiology of Helicobacter pylori infection. Helicobacter 18:5–11. doi:10.1111/hel.12071

    Article  PubMed  Google Scholar 

  7. Choi YJ, Kim N, Lim J et al (2012) Accuracy of diagnostic tests for Helicobacter pylori in patients with peptic ulcer bleeding. Helicobacter 17:77–85. doi:10.1111/j.1523-5378.2011.00915.x

    Article  PubMed  Google Scholar 

  8. de Bernard M, Josenhans C (2014) Pathogenesis of Helicobacter pylori infection. Helicobacter 19:11–18. doi:10.1111/hel.12160

    Article  PubMed  Google Scholar 

  9. Eusebi LH, Zagari RM, Bazzoli F (2014) Epidemiology of Helicobacter pylori infection. Helicobacter 19:1–5. doi:10.1111/hel.12165

    Article  PubMed  Google Scholar 

  10. Testerman TL (2014) Beyond the stomach: an updated view of Helicobacter pylori pathogenesis, diagnosis, and treatment. World J Gastroenterol 20:12781. doi:10.3748/wjg.v20.i36.12781

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Salama NR, Hartung ML, Müller A (2013) Life in the human stomach : persistence strategies of the bacterial pathogen Helicobacter pylori. Nat Rev Microbiol 11(6):385–399. doi:10.1038/nrmicro3016

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Plummer M, Franceschi S, Vignat J et al (2014) Global burden of gastric cancer attributable to H. pylori. Int J Cancer 136:487–490. doi:10.1002/ijc.28999

    Article  PubMed  Google Scholar 

  13. Abreu MT, Peek RM (2014) Gastrointestinal malignancy and the microbiome. Gastroenterology 146:1534–1546.e3. doi:10.1053/j.gastro.2014.01.001

  14. Micu G, Stăniceanu F, Zurac S et al (2010) Carcinogenesis and infection with Helicobacter pylori. Rom J Intern Med 48:299–306

    PubMed  Google Scholar 

  15. Backert S, Selbach M (2008) Role of type IV secretion in Helicobacter pylori pathogenesis. Cell Microbiol 10:1573–1581. doi:10.1111/j.1462-5822.2008.01156.x

    Article  CAS  PubMed  Google Scholar 

  16. Saxena A, Shukla S, Prasad KN, Ghoshal UC (2011) Virulence attributes of Helicobacter pylori isolates & their association with gastroduodenal disease. Indian J Med Res 133:514–520

    CAS  PubMed  PubMed Central  Google Scholar 

  17. Yamaoka Y (2010) Mechanisms of disease: Helicobacter pylori virulence factors. Nat Rev Gastroenterol Hepatol 7:629–641. doi:10.1038/nrgastro.2010.154

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Loh JT, Shaffer CL, Piazuelo MB et al (2011) Analysis of cagA in Helicobacter pylori strains from Colombian populations with contrasting gastric cancer risk reveals a biomarker for disease severity. Cancer Epidemiol Biomark Prev 20:2237–2249. doi:10.1158/1055-9965.EPI-11-0548

    Article  CAS  Google Scholar 

  19. Konturek PC, Konturek SJ, Brzozowski T (2009) Helicobacter pylori infection in gastric cancerogenesis. J Physiol Pharmacol 60:3–21

    CAS  PubMed  Google Scholar 

  20. Correa P, Piazuelo MB (2012) Evolutionary history of the Helicobacter pylori genome: implications for gastric carcinogenesis. Gut Liver 6:21–28. doi:10.5009/gnl.2012.6.1.21

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Ben Mansour K, Fendri C, Zribi M et al (2010) Prevalence of Helicobacter pylori vacA, cagA, iceA and oipA genotypes in Tunisian patients. Ann Clin Microbiol Antimicrob 9:10. doi:10.1186/1476-0711-9-10

    Article  PubMed  PubMed Central  Google Scholar 

  22. Simone, N. L., Bonner, R. F., Gillespie, J. W., Emmert-Buck, M. R., & Liotta, L. a. (1998). Laser-capture microdissection: Opening the microscopic frontier to molecular analysis. Trends in Genetics, 14(7), 272–276. https://doi.org/10.1016/S0168-9525(98)01489-9

  23. Loayza MF, Villavicencio FX, Santander SC et al (2015) Improved method for extraction and detection of Helicobacter pylori DNA in formalin-fixed paraffin embedded gastric biopsies using laser micro-dissection. MethodsX 2:1–7. doi:10.1016/j.mex.2014.11.003

    Article  PubMed  Google Scholar 

  24. Vivar N (2010) Manual de procedimientos en anatomía patológica, 1st edn. ROCHE, Quito-Ecuador

    Google Scholar 

  25. Rolls G (2016) Performing a hematoxylin and eosin stain (H&E). Leica Science Lab Tutorial. http://www.leicabiosystems.com/pathologyleaders/performing-a-hematoxylin-and-eosin-stain-a-step-by-step-guide. Accessed 29 Dec 2015

  26. De la Torre Bravo A (2009) Procedimientos endoscópicos en gastroenterología, 2nd edn. Médica Panamericana. Córdova Villalobos, D.T.B.

    Google Scholar 

  27. Lee JY, Kim N (2015) Diagnosis of Helicobacter pylori by invasive test: histology. Ann Transl Med 3:10. doi:10.3978/j.issn.2305-5839.2014.11.03

    PubMed  PubMed Central  Google Scholar 

  28. Churukian C (2009) Microwave modification of the Warthin Starry method for bacteria, 2nd edn. University of Rochester Medical Center. http://www.urmc.rochester.edu/urmc-labs/pathology/stainsmanual/index.html?MICROWAVEMODIFICATIONOFTHEWARTHIN-STARRYMETHODFORBACTERIA. Accessed 20 Dec 2015

  29. Sepúlveda E, Moreno J, Spencer ML, Quilodrán S, Brethauer U, Briceño C, García A (2012) Comparación de Helicobacter pylori en la cavidad oral y mucosa gástrica de acuerdo a genotipo de virulencia (cagA y vacAm1). Rev Chil Infectol 29(3):278–283. doi:10.4067/S0716-10182012000300005

    Article  Google Scholar 

  30. Herrera V (2015) Genotipificación de Helicobacter pylori a traves de PCR en Tiempo real a partir de biopsias gástricas parafinadasde pacientes de Esmeraldas y Quito. Disertation.Universidad de las Fuerzas Armadas ESPE

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicolás Vivar-Diaz .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Science+Business Media LLC

About this protocol

Cite this protocol

Loayza Villa, M.F., Herrera Sevilla, V.L., Vivar-Diaz, N. (2017). Detection of Helicobacter pylori DNA in Formalin-Fixed Paraffin-Embedded Gastric Biopsies Using Laser Microdissection and qPCR. In: Bishop-Lilly, K. (eds) Diagnostic Bacteriology. Methods in Molecular Biology, vol 1616. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-7037-7_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-7037-7_4

  • Published:

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-7035-3

  • Online ISBN: 978-1-4939-7037-7

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics