Detection of Antibody against Helicobacter pylori in the Saliva of Patients with Dyspepsia

There is a need to develop noninvasive assays to detect Helicobacter pylori infection in the gastric mucosa, Current dogma predicts that the presence of antibody within saliva should accurately reflect contemporary colonization of the gut mucosa. This study examined the clinical value of a saliva en...

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Main Authors: Robert L Clancy, Allan W Cripps, Diana C Taylor, Lois A McShane, Victor J Webster
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1994/628376
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author Robert L Clancy
Allan W Cripps
Diana C Taylor
Lois A McShane
Victor J Webster
author_facet Robert L Clancy
Allan W Cripps
Diana C Taylor
Lois A McShane
Victor J Webster
author_sort Robert L Clancy
collection DOAJ
description There is a need to develop noninvasive assays to detect Helicobacter pylori infection in the gastric mucosa, Current dogma predicts that the presence of antibody within saliva should accurately reflect contemporary colonization of the gut mucosa. This study examined the clinical value of a saliva enzyme-linked immunoadsorbent assay (ELISA) for anti-H pylori antibody, compared with the serum ELISA assay, and found the sensitivity of the saliva assay was 89%, specificity 94%, accuracy 93%, positive predictive value 89% and negative predictive value 94%. Assessment following eradication therapy demonstrated that salivary antibody was a more sensitive indicator of colonization than was serum antibody. The immunoglobulin G antibody in saliva correlated best with colonization, and regression analysis was most consistent with a local production of antibody. These results indicate that detection of antibody in saliva contributes to diagnosis and management of H pylori infection.
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publishDate 1994-01-01
publisher Wiley
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series Canadian Journal of Gastroenterology
spelling doaj-art-95cafcd3c37046ed9e5f3e7636c1bcc92025-02-03T05:57:39ZengWileyCanadian Journal of Gastroenterology0835-79001994-01-018740841210.1155/1994/628376Detection of Antibody against Helicobacter pylori in the Saliva of Patients with DyspepsiaRobert L Clancy0Allan W Cripps1Diana C Taylor2Lois A McShane3Victor J Webster4Faculty of Medicine, University of Newcastle, Newcastle, New South Wales, AustraliaFaculty of Medicine, University of Newcastle, Newcastle, New South Wales, AustraliaFaculty of Medicine, University of Newcastle, Newcastle, New South Wales, AustraliaFaculty of Medicine, University of Newcastle, Newcastle, New South Wales, AustraliaFaculty of Medicine, University of Newcastle, Newcastle, New South Wales, AustraliaThere is a need to develop noninvasive assays to detect Helicobacter pylori infection in the gastric mucosa, Current dogma predicts that the presence of antibody within saliva should accurately reflect contemporary colonization of the gut mucosa. This study examined the clinical value of a saliva enzyme-linked immunoadsorbent assay (ELISA) for anti-H pylori antibody, compared with the serum ELISA assay, and found the sensitivity of the saliva assay was 89%, specificity 94%, accuracy 93%, positive predictive value 89% and negative predictive value 94%. Assessment following eradication therapy demonstrated that salivary antibody was a more sensitive indicator of colonization than was serum antibody. The immunoglobulin G antibody in saliva correlated best with colonization, and regression analysis was most consistent with a local production of antibody. These results indicate that detection of antibody in saliva contributes to diagnosis and management of H pylori infection.http://dx.doi.org/10.1155/1994/628376
spellingShingle Robert L Clancy
Allan W Cripps
Diana C Taylor
Lois A McShane
Victor J Webster
Detection of Antibody against Helicobacter pylori in the Saliva of Patients with Dyspepsia
Canadian Journal of Gastroenterology
title Detection of Antibody against Helicobacter pylori in the Saliva of Patients with Dyspepsia
title_full Detection of Antibody against Helicobacter pylori in the Saliva of Patients with Dyspepsia
title_fullStr Detection of Antibody against Helicobacter pylori in the Saliva of Patients with Dyspepsia
title_full_unstemmed Detection of Antibody against Helicobacter pylori in the Saliva of Patients with Dyspepsia
title_short Detection of Antibody against Helicobacter pylori in the Saliva of Patients with Dyspepsia
title_sort detection of antibody against helicobacter pylori in the saliva of patients with dyspepsia
url http://dx.doi.org/10.1155/1994/628376
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