Abstract

Helicobacter pylori causes a wide range of human diseases including cancer. Carcinogenic foodborne trematodes Opisthorchis viverrini, Clonorchis sinensis, and O. felineus might promote transmission and spread of H. pylori infection in the definitive mammalian host, which in turn might contribute to the liver fluke-associated malignancy. Our objectives were to find out whether liver flukes O. felineus, O. viverrini, and C. sinensis are carriers of Helicobacter pylori and to determine whether H. pylori is present in feces, bile, and stomach samples from the experimentally infected hamsters. We found that liver flukes are not reservoirs of H. pylori. Nevertheless, the prevalence of H. pylori and the H. pylori ureA gene copy number were significantly elevated after the infection. Overall, although the liver flukes O. felineus, C. sinensis, and O. viverrini are not reservoirs of H. pylori, the infection with the liver flukes significantly modifies the biliary and gut microbiota by increasing H. pylori abundance. This may be a feature of any liver fluke pathogenesis that have not previously been taken into account. Our findings appear to be novel in terms of comparative assessment of the host microbiota and Helicobacter abundance during epidemiologically important liver fluke infections.

Highlights

  • Abbreviations O. felineus Opisthorchis felineus C. sinensis Clonorchis sinensis O. viverrini Opisthorchis viverrini H. pylori Helicobacter pylori CCA Cholangiocarcinoma

  • O. felineus is endemic in Western Siberia and Eastern Europe; O. viverrini in Southeast Asia, predominantly in Thailand, and Laos; and C. sinensis is endemic in China and South Korea

  • The prevalence of fecal H. pylori was significantly higher in the infected groups than in the control group (χ2 = 24.23, df = 3, p = 0.000), in particular, this prevalence was 73% among C. sinensis–infected, 66.7% among O. viverrini–infected, 53.3% among O. felineus–infected hamsters (Table 1)

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Summary

Introduction

Abbreviations O. felineus Opisthorchis felineus C. sinensis Clonorchis sinensis O. viverrini Opisthorchis viverrini H. pylori Helicobacter pylori CCA Cholangiocarcinoma. Three epidemiologically significant food-borne trematodes Opisthorchis felineus, O. viverrini, and Clonorchis sinensis contain in their life cycle two intermediate hosts (freshwater gastropods and cyprinids) and one final host (fish-eating mammals, including humans). Clonorchis sinensis geographic areas hold an intermediate position, with many native and domestic reservoir animal hosts and with high levels of human fecal contamination of the environment playing a considerable role in the transmission ­cycle[3]. O. viverrini and C. sinensis are recognized as the first group of biological carcinogens (Group 1A), and the highest incidence of cholangiocarcinoma (CCA) associated with the liver fluke infection is observed in anthropogenic areas of infection in Thailand and Lao P­ DR4. Taking into account the climatic differences, nonoverlapping geographic ranges, the presence of a free-living aquatic life stage, and different natural reservoirs of the liver flukes, there should be differences in the microbiome of these three epidemiologically significant species

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