Helicobacter pylori genetics involves both bacterial and host factors. Bacterial virulence genes like cagA and vacA are linked to increased risk of peptic ulcers and gastric cancer. On the host side, variants in immune-related genes (e.g., IL1B, TNF, TLR4) modulate inflammatory responses and disease progression. A genetic test for these markers can provide risk indications but is not a substitute for clinical diagnostics (e.g., stool antigen test, breath test, or endoscopy). The predictive power of such tests is limited due to multifactorial influences (diet, environment, other genes). Effect sizes are generally small. A positive result should not cause alarm but may prompt a discussion with a healthcare provider. Evidence: moderate (human-observational, GWAS).
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