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English: One mechanism H. pylori has to combat the acidic environment of the stomach is the urease enzyme. This enzyme can be found on the surface of and inside the cell. It takes urea and water from the bloodstream and stomach and converts them to ammonia and carbon dioxide.
Rapid urease test, also known as the CLO test (Campylobacter-like organism test), is a rapid diagnostic test for diagnosis of Helicobacter pylori. [1] The basis of the test is the ability of H. pylori to secrete the urease enzyme, which catalyzes the conversion of urea to ammonia and carbon dioxide .
Urease activity was first identified in 1876 by Frédéric Alphonse Musculus as a soluble ferment. [4] In 1926, James B. Sumner, showed that urease is a protein by examining its crystallized form. [5]
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Urease is the most abundant protein, its expression representing about 10% of the total protein weight. [33] H. pylori possesses five major outer membrane protein families. [32] The largest family includes known and putative adhesins. The other four families are porins, iron transporters, flagellum-associated proteins, and proteins of unknown ...
Patients swallow urea labelled with an uncommon isotope, either radioactive carbon-14 (nowadays preferred in many countries) or non-radioactive carbon-13.In the subsequent 10–30 minutes, the detection of isotope-labelled carbon dioxide in exhaled breath indicates that the urea was split; this indicates that urease (the enzyme that H. pylori uses to metabolize urea to produce ammonia) is ...
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The stomach does vary in size but its J shape is constant. [citation needed] The stomach lies in the upper part of the abdomen just below the left rib cage. The term gastropathy means "stomach disease" and is included in the name of the diseases portal hypertensive gastropathy, hyperplastic hypersecretory gastropathy (Ménétrier's disease ...