The Lancet : Helicobacter pylori: the story continues - Published ...
Helicobacter pylori: the story continues. Stewart Goodwin a, E-mail The ... 
In 1981 in Western Australia, I was Head of the Royal Perth Hospital 
Microbiology ...
linkinghub.elsevier.com/retrieve/pii/S014067360005145X

http://en.wikipedia.org/wiki/Timeline_of_peptic_ulcer_disease_and_Helicobacter_pylori

http://jac.oxfordjournals.org/cgi/content/abstract/17/3/309


The Action of Bismuth against Helicobacter pylori Mimics but Is Not Caused 
by Intracellular Iron Deprivation 
http://aac.asm.org/cgi/content/abstract/48/6/1983
Antimicrob. Agents Chemother., June 1, 2004; 48(6): 1983 - 1988.
The Action of Bismuth against Helicobacter pylori Mimics but Is Not Caused 
by Intracellular Iron Deprivation
Michael V. Bland,1 Salim Ismail,2 Jack A. Heinemann,1 and Jacqueline I. 
Keenan2*
School of Biological Sciences, University of Canterbury,1 Department of 
Surgery, Christchurch School of Medicine and Health Sciences, Christchurch, 
New Zealand2
Received 15 October 2003/ Returned for modification 24 December 2003/ 
Accepted 23 February 2004
Helicobacter pylori is highly susceptible to bismuth, a heavy metal with 
antimicrobial activity linked to its effect on bacterial iron uptake. Three 
strains of H. pylori were analyzed for indicators of iron limitation 
following exposure to the MIC of colloidal bismuth subcitrate (MICCBS). 
Similar morphologic and outer membrane changes were observed following 
growth in iron-limiting medium and at the MICCBS that inhibited the growth 
of all three strains. These changes, which were also observed for 
iron-limited bacteria, were alleviated by the addition of iron to the 
cultures. H. pylori ATP levels, reduced in iron-limiting medium, were below 
the limits of detection in two of the three strains following exposure to 
bismuth. The addition of iron partially restored bacterial ATP levels in 
these two strains, although not to normal concentrations. In contrast, 
exposure of the same strains to the MICCBS failed to deplete intracellular 
levels of iron, which were significantly reduced by culturing in 
iron-limiting medium. Thus, the antimicrobial effect of bismuth and of iron 
limitation on H. pylori may be similar. However, the respective mechanisms 
of intracellular action would appear to be mediated by different pathways 
within the cell.


nobelprize.org/nobel_prizes/medicine/laureates/2005/marshall-autobio.html

At the same time I was successfully experimentally treating patients who had 
suffered with life threatening ulcer disease for years. Some of my patients 
had postponed surgery which became unnecessary after a simple 2 week course 
of antibiotics and bismuth. I had developed my hypothesis that these 
bacteria were the cause of peptic ulcers and a significant risk for stomach 
cancer. If I was right, then treatment for ulcer disease would be 
revolutionized. It would be simple, cheap and it would be a cure. It seemed 
to me that for the sake of patients this research had to be fast tracked. 
The sense of urgency and frustration with the medical community was partly 
due to my disposition and age. However, the primary reason was a practical 
one. I was driven to get this theory proven quickly to provide curative 
treatment for the millions of people suffering with ulcers around the world.
Becoming increasingly frustrated with the negative response to my work I 
realized I had to have an animal model and decided to use myself. Much has 
been written about the episode and I certainly had no idea it would become 
as important as it has. I didn't actually expect to become as ill as I did. 
I didn't discuss it with the ethics committee at the hospital. 


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