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Review - Treatment of Helicobacter pylori infection 2020

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TLDR
This review summarizes important studies regarding Helicobacter pylori therapy published from April 2019 to April 2020 that involve studies assessing antibiotic resistance, and there is also growing momentum behind the utility of vonoprazan as an alternative to proton pump inhibitor (PPI) therapy and also bismuth‐based regimens as a first‐line regimen.
Abstract
This review summarizes important studies regarding Helicobacter pylori therapy published from April 2019 to April 2020. The main themes that emerge involve studies assessing antibiotic resistance, and there is also growing momentum behind the utility of vonoprazan as an alternative to proton pump inhibitor (PPI) therapy and also bismuth-based regimens as a first-line regimen. Antibiotic resistance is rising wherever it is being assessed, and clarithromycin resistance in particular has reached a point where it may no longer be a viable therapy without previous testing in many regions of the world. The evidence for the efficacy of a bismuth-based quadruple therapy as a first-line therapy is now very clearly established, and there is substantial evidence that it is the best performing first-line therapy. The utility of vonoprazan as an alternative to PPI therapy, especially in resistant and difficult-to-treat groups, has also been considered in great detail this year, and it may offer an opportunity in the near future to reduce the problem of antibiotic resistance.

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40 Years of Helicobacter pylori: A Revolution in Biomedical Thought

TL;DR: The role of the bacterium H. pylori in carcinogenesis has been discovered and demonstrated, and new prospective research is currently attempting to investigate the role of other factors in the stomach and other organs.
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Impact of food-derived bioactive peptides on gut function and health.

TL;DR: This review summarizes the available evidence regarding the effects of food-derived bioactive peptides on gut function and health and concludes that dietary peptides positively impact gastrointestinal homeostasis by modulating the barrier function, immune responses, and gut microbiota.
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Lactobacillus plantarum ZJ316 Attenuates Helicobacter pylori-Induced Gastritis in C57BL/6 Mice.

TL;DR: Zhang et al. as discussed by the authors found that Lactobacillus plantarum ZJ316 had preventive and therapeutic effects on H. pylori-induced gastritis by regulating the gastric microbiota and reducing mucosal inflammation.
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Antibody-conjugated liposomes loaded with indocyanine green for oral targeted photoacoustic imaging-guided sonodynamic therapy of Helicobacter pylori infection.

TL;DR: In this paper , a monoclonal antibody-conjugated nanoliposome loaded with indocyanine green (ICG) was successfully developed for targeted photoacoustic (PA) imaging-guided sonodynamic therapy (SDT) of H. pylori infection in vivo.
References
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Mechanism-based inhibition of cytochrome P450 3A4 by therapeutic drugs.

TL;DR: It appears that the chemical properties of a drug critical to CYP3A4 inactivation include formation of reactive metabolites by CYP isoenzymes, preponderance of CYP inducers and P-glycoprotein (P-gp) substrate, and occurrence of clinically significant pharmacokinetic interactions with coadministered drugs.
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Effect of genetic differences in omeprazole metabolism on cure rates for Helicobacter pylori infection and peptic ulcer.

TL;DR: Whether differences in CYP2C19 genotype status would affect cure rates for H. pylori infection and peptic ulcer in patients who received dual therapy with omeprazole and amoxicillin is prospectively studied.
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Vonoprazan, a novel potassium-competitive acid blocker, as a component of first-line and second-line triple therapy for Helicobacter pylori eradication: a phase III, randomised, double-blind study

TL;DR: Vonoprazan is effective as part of first-line triple therapy and aspart of second- line triple therapy in H pylori-positive patients with a history of gastric or duodenal ulcer.
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