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Review
. 2025 Apr 11;104(15):e42187.
doi: 10.1097/MD.0000000000042187.

Exploring the intricate relationship between peptic ulcers and immunohematological responses: A narrative review

Affiliations
Review

Exploring the intricate relationship between peptic ulcers and immunohematological responses: A narrative review

Emmanuel Ifeanyi Obeagu et al. Medicine (Baltimore). .

Abstract

Peptic ulcers have long been a focus of medical research due to their significant impact on public health worldwide. Traditionally attributed to factors such as Helicobacter pylori infection and excessive gastric acid secretion, recent scientific endeavors have increasingly unveiled the pivotal role of immunohematological responses in the pathogenesis and clinical course of peptic ulcers. This review aims to synthesize and analyze the intricate relationship between peptic ulcers and immunohematological responses, shedding light on the complex interplay between the immune system and ulcer development, progression, and healing. Immunological factors, encompassing inflammatory mediators, immune cells, and the host response to H pylori, play a substantial role in the multifaceted landscape of peptic ulcers. Inflammation orchestrated by cytokines and chemokines derived from immune cells intricately contributes to mucosal damage and repair processes. Moreover, the chronic nature of H pylori infection triggers a cascade of immune responses, involving both innate and adaptive immunity, which significantly influences the course of ulceration. This paper consolidates current knowledge while highlighting the need for further research elucidating the intricate immunological pathways involved in peptic ulcer pathogenesis. The integration of immunology into the broader context of peptic ulcer disease presents opportunities for innovative therapeutic interventions aimed at modulating immune responses for improved clinical outcomes and enhanced patient care. Ultimately, unraveling the intricate relationship between peptic ulcers and immunohematological responses holds significant promise in advancing the understanding and management of this prevalent gastrointestinal disorder.

Keywords: gastric mucosa; immune system; immunohematological responses; inflammation; pathogenesis; peptic ulcers.

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Conflict of interest statement

The authors have no funding and conflicts of interest to disclose.

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