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H pylori might protect children from asthma

26-Apr-07

Antibiotics taken as a child may increase risk of asthma
Helicobacter pylori, a cause of stomach cancer and peptic ulcers, might help protect children from developing asthma, say US researchers.

The findings suggest that giving antibiotics to children early in life might make them more susceptible to asthma by reducing levels of H pylori in the body.

Previous research has suggested that the cagA strain of H pylori can protect against gastro-oesophageal reflux disease (GORD) and could, therefore, protect against GORD-related asthma.

For the latest study, the link between H pylori and asthma was assessed in 7,663 adult asthmatics.

Each participant answered a questionnaire on medical history of asthma and allergy symptoms.

They were then tested for antibodies for H pylori and the cagA protein in their blood.

A sub-group of 2,385 participants also underwent skin testing for six asthma allergens, including ragweed and rye grass. The results were correlated with participants' H pylori status.

Those with the cagA strain of H pylori were found to be 20 per cent less likely to have ever had asthma compared with participants without H pylori.

This association seemed dependant on age. Those with the virulent cagA strain were 40 per cent less likely to have had asthma before the age of 15.

sanjay.tanday@haymarket.com

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