Correlation of T cell response and bacterial clearance in human volunteers challenged with Helicobacter pylori revealed by randomised controlled vaccination with Ty21a-based Salmonella vaccines
2008

Vaccination Against Helicobacter Pylori in Humans

Sample size: 58 publication Evidence: moderate

Author Information

Author(s): Aebischer T, Bumann D, Epple H J, Metzger W, Schneider T, Cherepnev G, Walduck A K, Kunkel D, Moos V, Loddenkemper C, Jiadze I, Panasyuk M, Stolte M, Graham D Y, Zeitz M, Meyer T F

Primary Institution: Max Planck Institute for Infection Biology, Berlin, Germany

Hypothesis

Can vaccination with Ty21a-based Salmonella vaccines induce protective immunity against Helicobacter pylori in humans?

Conclusion

The study found that while the vaccines did not provide satisfactory protection, some volunteers showed evidence of T cell-mediated immunity and reduced H pylori burden.

Supporting Evidence

  • 13 of 58 volunteers cleared H pylori or reduced its burden after vaccination.
  • T cell responses were detected in 69% of volunteers who cleared H pylori.
  • Vaccines were well tolerated with only mild adverse effects reported.

Takeaway

The study tested a vaccine to see if it could help people fight off a stomach bug called Helicobacter pylori, and while it didn't work perfectly, some people did show signs of their body fighting the bug better.

Methodology

Two prospective, randomised, double-blind, controlled studies were conducted where volunteers were vaccinated with Salmonella Ty21a and then challenged with H pylori.

Limitations

The vaccines did not show satisfactory protection, and the study only observed volunteers for three months post-infection.

Participant Demographics

Volunteers were healthy males aged 20-50 years, seronegative for H pylori.

Statistical Information

P-Value

0.0002

Statistical Significance

p=0.0002

Digital Object Identifier (DOI)

10.1136/gut.2007.145839

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication