Helicobacter pylori infection and its impact on psoriasis: a systematic review and meta-analysis

IntroductionPsoriasis is a chronic skin condition characterized by immune-mediated inflammation. Recent research suggests a possible interaction between Helicobacter pylori infection and the immunopathogenesis of psoriasis. However, over the past 5 years, no significant new evidence has clarified th...

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Main Authors: Yijiao Yan, Wenhui Deng, Chengzhi Shi, Jiaxin Xie, Daoshun Sui
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1500670/full
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author Yijiao Yan
Wenhui Deng
Chengzhi Shi
Jiaxin Xie
Daoshun Sui
Daoshun Sui
author_facet Yijiao Yan
Wenhui Deng
Chengzhi Shi
Jiaxin Xie
Daoshun Sui
Daoshun Sui
author_sort Yijiao Yan
collection DOAJ
description IntroductionPsoriasis is a chronic skin condition characterized by immune-mediated inflammation. Recent research suggests a possible interaction between Helicobacter pylori infection and the immunopathogenesis of psoriasis. However, over the past 5 years, no significant new evidence has clarified the relationship between H. pylori and skin diseases. This study aimed to determine the relationship between H. pylori infection and psoriasis through a systematic review and meta-analysis.MethodsWe searched for articles published in databases including PubMed, Embase, the China National Knowledge Infrastructure, and Web of Science up to January 1, 2024. Statistical analyses were conducted using Review Manager 5.3 and Stata 12.0 software.ResultsOur search yielded 271 papers. After rigorous screening by multiple reviewers, 15 studies involving 2,427 individuals were included. The odds ratio for H. pylori infection was significantly higher in the psoriasis group than in the control group (odds ratio = 1.94, 95% confidence interval: 1.40–2.68, p < 0.0001). Subgroup analysis revealed no significant differences in H. pylori infection rates between Asia and Europe. The type of study also did not significantly affect infection rates. The enzyme-linked immunosorbent assay detected H. pylori infection at a significantly higher rate than the breath test. Furthermore, the prevalence of H. pylori infection differed significantly between patients with moderate-to-severe psoriasis and those with mild psoriasis.ConclusionOur findings suggest a relationship between psoriasis and H. pylori infection, with variations observed based on geography, testing methods, and disease severity. These findings hold significant potential for guiding clinical practice.Systematic review registrationhttp://www.crd.york.ac.uk/, identifier CRD42022359427.
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spelling doaj-art-810737952275479bbd2f6d9d25f30b2e2024-12-06T04:33:11ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-12-011110.3389/fmed.2024.15006701500670Helicobacter pylori infection and its impact on psoriasis: a systematic review and meta-analysisYijiao Yan0Wenhui Deng1Chengzhi Shi2Jiaxin Xie3Daoshun Sui4Daoshun Sui5The First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou, ChinaFirst Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaThe First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou, ChinaFirst Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaIntroductionPsoriasis is a chronic skin condition characterized by immune-mediated inflammation. Recent research suggests a possible interaction between Helicobacter pylori infection and the immunopathogenesis of psoriasis. However, over the past 5 years, no significant new evidence has clarified the relationship between H. pylori and skin diseases. This study aimed to determine the relationship between H. pylori infection and psoriasis through a systematic review and meta-analysis.MethodsWe searched for articles published in databases including PubMed, Embase, the China National Knowledge Infrastructure, and Web of Science up to January 1, 2024. Statistical analyses were conducted using Review Manager 5.3 and Stata 12.0 software.ResultsOur search yielded 271 papers. After rigorous screening by multiple reviewers, 15 studies involving 2,427 individuals were included. The odds ratio for H. pylori infection was significantly higher in the psoriasis group than in the control group (odds ratio = 1.94, 95% confidence interval: 1.40–2.68, p < 0.0001). Subgroup analysis revealed no significant differences in H. pylori infection rates between Asia and Europe. The type of study also did not significantly affect infection rates. The enzyme-linked immunosorbent assay detected H. pylori infection at a significantly higher rate than the breath test. Furthermore, the prevalence of H. pylori infection differed significantly between patients with moderate-to-severe psoriasis and those with mild psoriasis.ConclusionOur findings suggest a relationship between psoriasis and H. pylori infection, with variations observed based on geography, testing methods, and disease severity. These findings hold significant potential for guiding clinical practice.Systematic review registrationhttp://www.crd.york.ac.uk/, identifier CRD42022359427.https://www.frontiersin.org/articles/10.3389/fmed.2024.1500670/fullpsoriasisHelicobacter pylorimeta-analysisimmunologyPROSPERO
spellingShingle Yijiao Yan
Wenhui Deng
Chengzhi Shi
Jiaxin Xie
Daoshun Sui
Daoshun Sui
Helicobacter pylori infection and its impact on psoriasis: a systematic review and meta-analysis
Frontiers in Medicine
psoriasis
Helicobacter pylori
meta-analysis
immunology
PROSPERO
title Helicobacter pylori infection and its impact on psoriasis: a systematic review and meta-analysis
title_full Helicobacter pylori infection and its impact on psoriasis: a systematic review and meta-analysis
title_fullStr Helicobacter pylori infection and its impact on psoriasis: a systematic review and meta-analysis
title_full_unstemmed Helicobacter pylori infection and its impact on psoriasis: a systematic review and meta-analysis
title_short Helicobacter pylori infection and its impact on psoriasis: a systematic review and meta-analysis
title_sort helicobacter pylori infection and its impact on psoriasis a systematic review and meta analysis
topic psoriasis
Helicobacter pylori
meta-analysis
immunology
PROSPERO
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1500670/full
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