Target intelligence / Profile preview

Helicobacter pylori deoxyribonucleic acid (H. pylori DNA)

Target
H. pylori DNA
Molecular classification
Nucleic acid, Bacterial genome
01

Overview

Helicobacter pylori deoxyribonucleic acid (DNA) is the genomic blueprint of the Gram-negative bacterium responsible for the majority of peptic ulcers and gastric cancers worldwide (WHO, 2021). This target is central to the organism's ability to persist in the acidic gastric environment, encoding essential survival enzymes like urease and virulence factors such as CagA and VacA that modulate host immune responses (PubMed, PMID: 30254054). In clinical practice, H. pylori DNA is the direct target of nitroimidazole antibiotics, such as metronidazole, which are reduced within the bacterium to form reactive radicals that cause lethal DNA strand breaks (StatPearls, 2023). Additionally, fluoroquinolones like levofloxacin target the DNA-protein complexes of DNA gyrase and topoisomerase IV, effectively halting DNA replication and transcription (PubMed, PMID: 25103491). The emergence of multidrug-resistant H. pylori strains has made the study of DNA-level mutations critical for tailoring effective 'rescue' therapies (NCBI, 2022). Consequently, H. pylori DNA serves both as a primary pharmacological target and a diagnostic substrate for precision medicine in gastroenterology.

Other names
Helicobacter pylori genomeH. pylori bacterial DNAH. pylori chromosome
02

Mechanism of action

Inhibition of DNA replication through the targeting of DNA gyrase and topoisomerase IV, or the induction of direct DNA strand breakage via reactive intermediate metabolites.

03

Biological functions

Genetic information storageTemplate for DNA replicationTemplate for transcriptionEncoding of virulence factors
04

Disease associations

InfectionGastritisPeptic ulcer diseaseGastric adenocarcinomaMALT lymphoma
05

Safety considerations

Development of multidrug-resistant bacterial strainsDisruption of the gastric and intestinal microbiome (dysbiosis)Systemic side effects of DNA-targeting antibiotics (e.g., tendinopathy with fluoroquinolones)
06

Interacting drugs

Metronidazole

5 more in the full profile.

07

Biomarkers

H. pylori DNA (detected via PCR)gyrA gene mutations (fluoroquinolone resistance biomarker)23S rRNA gene mutations (clarithromycin resistance biomarker)rDXA gene mutations (metronidazole resistance biomarker)

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