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Kim DH, Son BK, Min KW, Han SK, Na JU, Choi PC, Kim HL, Kwon MJ, Oh YH, Jung WY, Moon JY, Hong S, Oh KW, Kim YS. Chronic Gastritis Is Associated with a Decreased High-Density Lipid Level: Histological Features of Gastritis Based on the Updated Sydney System. J Clin Med 2020; 9:jcm9061856. [PMID: 32545889 PMCID: PMC7355915 DOI: 10.3390/jcm9061856] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 05/20/2020] [Accepted: 06/07/2020] [Indexed: 12/14/2022] Open
Abstract
Chronic gastritis could activate a systemic inflammatory response that could result in adverse lipid profiles. To determine the severity of chronic gastritis, Helicobacter pylori (HP), mononuclear cell (lymphocytes and plasma cells), and neutrophil scores were assessed on the basis of the updated Sydney system (USS), which is widely used for histological grading. The aim of this study was to assess the relationships between gastric histological features and lipid profile levels. This study included 15,322 males and 5929 females who underwent a health checkup and gastric biopsy at the Kangbuk Samsung Medical Center (KBSMC). We analyzed whether the HP, mononuclear cell, and neutrophil grades according to the USS were related to serum leukocyte count, unhealthy behaviors, and lipid profile levels. Gastritis with HP, neutrophils, or moderate to severe mononuclear cells was associated with an elevated serum leukocyte count. A high leukocyte count was related to increased low-density lipoproteins (LDL) and triglycerides/very-low-density lipoprotein (VLDL) and decreased high-density lipoproteins (HDL). In multivariate analyses, chronic gastritis with HP or moderate to severe mononuclear cells was significantly associated with decreased HDL in males, while mononuclear cells were significantly related to decreased HDL in females. Chronic gastritis was associated with an increased systemic inflammatory response, which was associated with unfavorable lipid profiles, especially low HDL levels.
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Affiliation(s)
- Dong-Hoon Kim
- Departments of Pathology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Korea;
| | - Byoung Kwan Son
- Department of Internal Medicine, Eulji Hospital, Eulji University School of Medicine, Seoul 01830, Korea;
| | - Kyueng-Whan Min
- Department of Pathology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri-si, Gyeonggi-do 11923, Korea; (Y.H.O.); (W.Y.J.)
- Correspondence: (K.-W.M.); (S.K.H.); Tel.: +82-31-560-2496 (K.-W.M); +82-02-2001-2591 (S.K.H.); Fax: +82-31-560-2339 (K.-W.M.); +82-02-2220-2891 (S.K.H.)
| | - Sang Kuk Han
- Departments of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Korea; (J.U.N.); (P.C.C.)
- Correspondence: (K.-W.M.); (S.K.H.); Tel.: +82-31-560-2496 (K.-W.M); +82-02-2001-2591 (S.K.H.); Fax: +82-31-560-2339 (K.-W.M.); +82-02-2220-2891 (S.K.H.)
| | - Ji Ung Na
- Departments of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Korea; (J.U.N.); (P.C.C.)
| | - Pil Cho Choi
- Departments of Emergency Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Korea; (J.U.N.); (P.C.C.)
| | - Hack-Lyoung Kim
- Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Boramae Medical Center, Seoul 07061, Korea;
| | - Mi Jung Kwon
- Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang-si, Gyeonggi-do 14068, Korea;
| | - Young Ha Oh
- Department of Pathology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri-si, Gyeonggi-do 11923, Korea; (Y.H.O.); (W.Y.J.)
| | - Woon Yong Jung
- Department of Pathology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri-si, Gyeonggi-do 11923, Korea; (Y.H.O.); (W.Y.J.)
| | - Ji-Yong Moon
- Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri-si, Gyeonggi-do 11923, Korea;
| | - Sangmo Hong
- Division of Endocrinology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri-si, Gyeonggi-do 11923, Korea;
| | - Ki-Wook Oh
- Department of Neurology, Hanyang University College of Medicine, Seoul 04763, Korea; (K.-W.O.); (Y.S.K.)
| | - Young Seo Kim
- Department of Neurology, Hanyang University College of Medicine, Seoul 04763, Korea; (K.-W.O.); (Y.S.K.)
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