TABLE 2.
Distribution of H. pylori virulence markers and antimicrobial susceptibility over multilocus sequence types and geographic origins of H. pylori isolates
Type or origin (no.) of isolates | % of isolates positive for virulence factor: |
% of isolates antibiotic resistanta |
||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
cag | vacA s1 | babA2 | dupA | iceA2 | PZ1b | PZ2b | jhp918 | Clarc | Mtzr | Fqr | Tetrd | |
Multilocus sequence types: | ||||||||||||
hpAfrica1 (171) | 85 | 87 | 75 | 32 | 71 | 80 | 45 | 92 | 1/0 | 57 | 4 | 18 |
hpAfrica2 (32) | 0 | 0 | 28 | 91 | 6 | 66 | 50 | 72 | 2/0 | 41 | 0 | 3 |
hpAsia2 (17) | 94 | 59 | 100 | 100 | 47 | 65 | 35 | 24 | 0/94 | 59 | 12 | 0 |
hpEurope (98) | 61 | 67 | 63 | 44 | 57 | 62 | 61 | 51 | 9/11 | 45 | 6 | 1 |
hspAmerind (11) | 73 | 91 | 73 | 100 | 64 | 0 | 18 | 64 | 0/100 | 9 | 9 | 0 |
hspEasia (47) | 96 | 98 | 91 | 60 | 28 | 40 | 34 | 38 | 11/81 | 34 | 11 | 0 |
Geographic origins:e | ||||||||||||
Africa (158) | 57 | 60 | 60 | 77 | 58 | 69 | 47 | 88 | 3/1 | 58 | 4 | 13 |
North America (94) | 72 | 84 | 80 | 74 | 68 | 84 | 50 | 67 | 5/13 | 36 | 3 | 11 |
South America (41) | 88 | 98 | 78 | 63 | 56 | 49 | 44 | 63 | 7/22 | 66 | 10 | 2 |
Europe (19) | 89 | 89 | 36 | 26 | 42 | 53 | 68 | 32 | 0/16 | 16 | 0 | 0 |
East Asia (54) | 100 | 98 | 91 | 52 | 31 | 44 | 39 | 39 | 11/80 | 44 | 11 | 0 |
Other (11)e | 91 | 100 | 91 | 27 | 45 | 64 | 27 | 55 | 0/64 | 36 | 18 | 0 |
Clar, clarithromycin resistance; Mtzr, metronidazole resistance; Fqr, fluoroquinolone resistance; Tetr, tetracycline resistance.
The presence of PZ1 and PZ2 was determined as described in reference 36.
The first value is percent resistance based on A2142G, A2142C, and A2143G mutations, and the second value possible low-level resistance based on the T2182C mutation (52, 60).
Tetr is represented by single and double AGA926 mutations and represents only low levels of tetracycline resistance.
Geographic origin is based on information included in GenBank data files. The category “other” includes Russia (n = 2), India (n = 5), and Australia (n = 4).