Parameters of proliferation and apoptosis of epithelial cells in the gastric mucosa in indigenous and non-indigenous residents of Khakassia with Helicobacter pylori positive duodenal ulcer disease.

We evaluated parameters of apoptosis in the mucosa of the gastric antrum and body of indigenous and non-indigenous residents of Khakassia with duodenal ulcer disease associated with Helicobacter pylori infection. In the gastric antrum, apoptotic index was significantly increased in patients with ulcer disease in comparison with healthy individuals in both populations. The ratio of proliferation index to apoptotic index was lower in patients with ulcer disease in comparison with healthy individuals in both populations. Similar, but less pronounced processes were recorded in the body of the stomach. Significant changes in the parameters of proliferation and apoptosis were noted in the gastric antrum and body of the stomach in both populations, but they were more pronounced in Caucasians in comparison with Khakasses.

[The prevalence and clinical aspects of Barrett's esophagus in the population of Eastern Siberia].

AIM: To study the prevalence and clinical aspects of Barrett's esophagus (BE) in natives and newcomers in East Siberia. SUBJECTS AND METHODS: Clinical examinations and esophagogastroduodenoscopy were performed in 12975 Caucasoids and 1489 Khakases in Abakan (Khakasia), 1861 Caucasoids and 5829 Tuvinians in Kyzyl (Republic of Tuva), and 1177 Caucasoids in Dudinka (Taimyr). The diagnosis of BE was verified by morphological study. RESULTS: Among the Caucasoids, the total prevalence of BE was 1.6% (2.4% in men and 0.8% in women; odds ratio (OR) was 3.21 with 95% CI 2.40-4.29; p < 0.001); among the Mongoloids, that was 3.1% (4.5% in men and 2% in women; OR, 2.3 with 95% CI 1.75-3.04; p < 0.001). Heartburn and other typical symptoms was more prevalent in patients with BE. The risk factors of BE in all the examined populations were male sex, age over 40 years, smoking more than 20 cigarettes a day for 10 years or more in men, and obesity. CONCLUSION: There were ethnic differences in the prevalence of BE, which were prevalent in East Siberia in the Mongoloids as compared to the Caucasoids.

[Peculiarities of relationship between atrophic gastritis and stomach cancer in the population of Eastern Siberia].

The authors studied the prevalence of atrophic gastritis, H.pylori strains carrying the CagA gene, seeding and apoptosis indices of gastric mucosa in indigenous and newcomer residents of Evenkia. A total of 136 Evenks and 159 newcomers were examined using fibrogastroscopy and biopsy of antral gastric mucosa. Morphological study included light microscopy of hematoxylin and eosin-stained biopsies and their analysis using a visual-analog scale to reveal signs of inflammation, apoptosis, intestinal metaplasia and the degree of insemination by P. pylori. Urease and morphological tests were used to identify H. pylori and the TUNEL technique (Mebstain Apoptosis kit direct, France) to determine apoptosis index; serum anti-Helicobacter and CagA antibodies were detected by an immunoenzyme assay in 22 Evenks and 24 newcomers with chronic H. pylori-associated gastritis. The prevalence of atrophic gastritis in these groups was estimated at 13.2 and 23.9% respectively, seeding density 45.37 +/- 2.01 and 214 +/- 8.75 (p < 0.001). H. pylori strains carrying the CagA gene were identified in 59.6 and 43.6% of the newcomers and Evenks (p = 0.01), total apoptosis index in greater curvature mucosa was 4.99 +/- 0.23 and 3.19 +/- 0.28 (p < 0.01) respectively. These ethnic difference in the prevalence of atrophic gastritis appear to be attributable to different intensity of apoptosis in greater curvature mucosa.

[Genetic diversity of Khakassian gene pool: subethnic differensiation and the structure of Y-chromosome haplogroups,].

The structure of Khakass gene pool has been investigated: compositions and frequencies of Y-chromosome haplogroups were described in seven population samples of two basic subethnic groups--Sagays and Kachins from three territorially distanced regions of Khakassia Republic. Eight haplogroups: C3, E, N*, N1b, N1c, R1a1a and R1b1b1 have been determined in Khakass gene pool. Significant differences between Sagays and Kachins were shown in haplogroup spectra and a level of genetic diversity in haplogroups and YSTR-haplotypes. Kachin samples are characterized by a low value of gene diversity, whereas the level of Sagay diversity is similar to that of other South-Siberian ethnoses. Sagay samples from Askizsky region are very similar to each other just as two Kachin samples from Shirinsky region, while Sagay samples from Tashtypsky region greatly differ from each other. A great portion of intergroup differences was determined among different ethnic groups, which testifies to significant genetic differentiation of native populations in Khakassia. Khakass gene pool is greatly differentiated both in haplogroup frequencies and in YSTR-haplotypes within N1b haplogroup. Frequencies and molecular phylogenesis of YSTR-haplotypes were revealed within N1b, N1c and R1a1 haplogroups of Y-chromosome. We carried out comparative analysis of the data obtained. The results of factor, cluster and dispersion analyses are evidence of structuredness of Khakass gene pool according to territorial-subethnic principle.

[Population association features of interleukine gene polymorphism in khakases with gastroduodenal diseases].

AIM: To investigate association of polymorphisms of IL-1 genes and antagonist of IL-2 receptor (IL1Ra). MATERIAL AND METHODS: Patients with chronic gastritis and ulcer were examined using the method of restriction analysis. RESULTS: It was found that CCILbeta and R4/R4IL1Ra are most prevalent allel variants in khakas population. CONCLUSION: It is expedient to define population risk and protective genotypes of development of ulcer associated with Helicobacter pylori in khakases.

Characteristics of Populations of the Russian Federation over the Panel of Fifteen Loci Used for DNA Identification and in Forensic Medical Examination.

Seventeen population groups within the Russian Federation were characterized for the first time using a panel of 15 genetic markers that are used for DNA identification and in forensic medical examinations. The degree of polymorphism and population diversity of microsatellite loci within the Power Plex system (Promega) in Russian populations; the distribution of alleles and genotypes within the populations of six cities and 11 ethnic groups of the Russian Federation; the levels of intra- and interpopulation genetic differentiation of population; genetic relations between populations; and the identification and forensic medical characteristics of the system of markers under study were determined. Significant differences were revealed between the Russian populations and the U.S. reference base that was used recently in the forensic medical examination of the RF. A database of the allelic frequencies of 15 microsatellite loci that are used for DNA identification and forensic medical examination was created; the database has the potential of becoming the reference for performing forensic medical examinations in Russia. The spatial organization of genetic diversity over the panel of the STR markers that are used for DNA identification was revealed. It represents the general regularities of geographical clusterization of human populations over various types of genetic markers. The necessity to take into account a population's genetic structure during forensic medical examinations and DNA identification of criminal suspects was substantiated.

[Prevalence of Helicobacter pylori CaGa strains and peptic ulcer in the population of Eastern Siberia].

AIM: To study prevalence of Helicobacter pylori (Hp) CagA strains and ulcer disease in native population of eastern Siberia and migrants. MATERIAL AND METHODS: Epidemiological screening of Hp CagA strains and ulcer disease was performed by cross-sectional method in population of Evenkia, Khakassia, Tuva. Fibrogastroduodenoscopy was made in 3602 examinees; IgG of CagA Hp was detected in the sera of 2472 patients with entyme immunoassay. RESULTS: Prevalence of ulcer was higher in Europeans than in Mongoloids. Detectability of CagA Hp was 36.5% among khakas population, 43.8% among evenks, 60.1% among tyvin population, 59.8% among European population. In khakas and tyva population with ulcer CagA Hp incidence was higher than in healthy subjects. CONCLUSION. CagA HP is associated with ulcer in mongoloid population. This was not confirmed for European populatioin of the Eastern Siberia.

[Features of the association of Helicobacter pylori infection and ulcer in Europeans and Mongoloids in Siberia]. / Osobennosti assotsiatsii infektsii Helicobacter pylori i iazvennoi bolezni u evropeoidov i mongoloidov Sibiri.

AIM: To study association between Helicobacter Pylori infection in ulcer in native population and migrants in Siberia. MATERIALS AND METHODS: Epidemiological survey of ulcer has been performed in Northern (Evenkia, Yakutia) and Southern (Khakasia) regions of Siberia. Clinical examination covered 3908 Europeoids (Russians, Ukrainians) and 1999 Mongoloids (Evenks, Evens, Khakases). Endoscopic examination was made in 2144 patients. Light microscopy has detected Helicobacter pylori (HP) in 453 patients (215 migrants and 238 natives). RESULTS: Prevalence of ulcer in the South of Siberia was 6.1 and 1.5% for migrants and natives, respectively. In the North--8.9 and 0.6%, respectively. HP was diagnosed in 83.7% of Mongoloids and 69.2% of Europeoids in the South and 92.2 and 100%, respectively, in the North. HP index, contamination and adhesion in migrants were higher than in native population. CONCLUSION: Siberial Europeoids and Mongoloids have specific ethnic features of ulcer occurrence and its association with HP. Native population is protected better from the pathogenic bacteria. Further study of the causes of virulent bacterial properties and mechanisms maintaining long persistance of HP in the stomach is necessary.

[Helicobacter pylori and peptic ulcer in the population of Khakasiia]. / Helicobacter pylori i iazvennaia bolezn' u naseleniia Khakasii.

AIM: To investigate the relationship between Helicobacter pylori infection and ulcer in population of Khakasiia. MATERIALS AND METHODS: An epidemiological study of dyspepsia and ulcer prevalence in Khakasiia population covered 1052 patients (564 residents and 488 immigrants). 339 patients were examined endoscopically. Helicobacter pylori (HP) was detected in gastric mucosa using light microscopy after Giemsa staining in 214 patients (104 immigrants and 110 residents). RESULTS: Prevalence of ulcer and HP were 6.1, 1.5% and 69.2 and 88.9% in immigrants and residents, respectively. HP index, degree of dissemination and adhesion in gastric mucosa of immigrants with duodenal ulcer were higher than in controls. The same but less manifest tendency was in the residents. CONCLUSION: The population of the Siberian South has ethnic features of ulcer prevalence and pathogenesis. It is thought more valid to study mechanisms of ulcerogenesis through quantitative rather than qualitative characteristics of HP infection.