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Evolutionary Medicine Perspectives: Helicobacter pylori, Lactose Intolerance, and 3 Hypotheses for Functional and Inflammatory Gastrointestinal and Hepatobiliary Disorders

AMERICAN JOURNAL OF GASTROENTEROLOGY (2022)

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Zilia Y. Munoz-Ramirez et al.

Summary: Helicobacter pylori is a common component of the human stomach microbiota, with evidence of frequent admixture in American strains leading to the development of novel American H. pylori subpopulations. Virulence genes in America show the strongest fixation, with unique evolutionary paths contributing to the high risk of gastric cancer in the region.

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Summary: The continuous characterization of genome-wide diversity in population and case-cohort samples, allied to the development of new algorithms, are shedding light on host ancestry impact and selection events on various infectious diseases. Especially interesting are the long-standing associations between humans and certain bacteria, such as the case of Helicobacter pylori, which could have been strong drivers of adaptation leading to coevolution. The results showed that African human ancestry showed signs of coevolution with H. pylori while European ancestry appeared to be maladapted.

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Hyuna Sung et al.

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Comparative Effectiveness of Multiple Different First-Line Treatment Regimens for Helicobacter pylori Infection: A Network Meta-analysis

Theodore Rokkas et al.

Summary: The study compared the effectiveness of different first-line regimens for Helicobacter pylori infection through a network meta-analysis. Results showed that vonoprazan triple therapy and reverse hybrid therapy achieved high eradication rates above 90%, with levofloxacin triple therapy performing best in Western countries. Standard triple therapy was found to be the least efficacious in this analysis.

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Helicobacter pylori infection causes both protective and deleterious effects in human health and disease

Anna K. Miller et al.

Summary: Infection with H. pylori is necessary but not sufficient for the development of gastric cancer, affecting over half of people globally non-uniformly, with infection rates declining in developed countries but plateauing in developing countries where gastric cancer is most prevalent. H. pylori, an ancient bacterium, has effects throughout an individual's life, depending on human and bacterial genetics that co-evolved over millennia. Universal eradication of H. pylori in its host may cause more harm than good for those infected.

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The Importance of Lactose in the Human Diet: Outcomes of a Mexican Consensus Meeting

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Late Pleistocene exploration and settlement of the Americas by modern humans

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Genome-wide association meta-analysis yields 20 loci associated with gallstone disease

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EVOLUTION MEDICINE AND PUBLIC HEALTH (2018)

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AIMS MICROBIOLOGY (2018)

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Review Gastroenterology & Hepatology

Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis

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World-wide distributions of lactase persistence alleles and the complex effects of recombination and selection

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HUMAN GENETICS (2017)

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