Causal relationship between Helicobacter pylori antibodies and gastroesophageal reflux disease (GERD): A mendelian study

PLoS One. 2023 Dec 11;18(12):e0294771. doi: 10.1371/journal.pone.0294771. eCollection 2023.

Abstract

Background: Observational studies have indicated that both Helicobacter pylori infection and the presence of Helicobacter pylori antibodies may increase the risk of gastroesophageal reflux disease (GERD). However, the exact association between Helicobacter pylori antibodies and the occurrence of GERD remains largely unresolved. Therefore, this two-sample Mendelian randomization (MR) study aims to investigate the causal relationship between Helicobacter pylori infection and GERD.

Methods: This study encompassed seven different specific protein antibodies targeting Helicobacter pylori and utilized a genome-wide association study (GWAS) on GERD. MR analysis was conducted to assess the causal relationship between Helicobacter pylori antibodies and the development of GERD.

Results: Genetically predicted serum levels of Helicobacter pylori IgG antibodies were positively associated with an increased risk of GERD (odds ratio [OR] = 1.001, 95% CI 1.000-1.003, P = 0.043). No causal relationship was found between other Helicobacter pylori antibodies and gastroesophageal reflux disease.

Conclusion: The outcomes derived from our two-sample Mendelian randomization analysis demonstrate a discernible link between the levels of Helicobacter pylori IgG antibodies and an augmented susceptibility to GERD. However, it is imperative to expand the sample size further in order to corroborate the correlation between Helicobacter pylori infection and GERD.

MeSH terms

  • Gastroesophageal Reflux* / epidemiology
  • Genome-Wide Association Study
  • Helicobacter Infections* / complications
  • Helicobacter Infections* / epidemiology
  • Helicobacter Infections* / genetics
  • Helicobacter pylori* / genetics
  • Humans
  • Immunoglobulin G
  • Mendelian Randomization Analysis

Substances

  • Immunoglobulin G

Grants and funding

Transverse project of Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine: Improvement effect of Lactobacillus plantarum HCS-001 on gastric discomfort symptoms in Helicobacter pylori infected patients (No. HX-DZM-202269). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.