The Ulcer Bug's Effect on Aspirin-Induced Stomach
Damage
5/31/2002
(New York) -- According to findings from a new animal study, aspirin's
harmful effect on the stomach lining is more damaging in the presence of
infection from the "ulcer bug", the Helicobacter pylori bacterium that
causes ulcers.
Lead study author Dr. N. Yoshida and colleagues from the Kyoto
Prefectural University of Medicine in Japan gave aspirin to gerbils
experimentally infected with H. pylori, and to uninfected animals. Infected
animals had more widespread areas of tissue erosion and bleeding than uninfected
animals. Infected animals also had a larger accumulation of white blood cells,
called neutrophils. Treatment with anti-neutrophil serum produced a more
dramatic reduction in stomach damage in the H. pylori infected animals.
The findings indicate that H. pylori worsens stomach damage from aspirin
through mechanisms that include the accumulation of neutrophils. Both aspirin and H. pylori had been known to damage the stomach lining, but
how the two factors interacted had previously been unclear.
In a related editorial, Dr. Adrian Schmassmann from KSSW Lucerne in
Switzerland notes that the results should be "completed" in a future
study by showing that eliminating H. pylori would "reverse the severity of
aspirin-induced gastric injury to levels found in uninfected gerbils."