The effect of Helicobacter mustelae infection on gastric epithelial pr
oliferation was studied in ferrets colonized with H.mustelae and speci
fic pathogen-free (SPF) ferrets not infected with H.mustelae. Thirteen
H.mustelae-infected ferrets between the ages of 13 and 32 months and
16 SPF ferrets between 6 and 18 months were analyzed, Bacterial cultur
es, urease tests and Warthin-Starry stains were used to identify H.mus
telae. Tissues obtained from the antrum and the body regions of the st
omach were assayed by proliferating cell nuclear antigen (PCNA) immuno
histochemistry and measured using a computerized color image analysis
system, PCNA-expressing gastric epithelia in the antrum and the body r
egions were significantly increased in the H.mustelae-infected ferrets
versus the SPF ferrets (P < 0.001). PCNA positivity in the antrum reg
ions of both the H.mustelae-infected ferrets and SPF ferrets was signi
ficantly higher than that of the body regions (P < 0.001). Comparison
of the histopathology of infected ferrets indicated that PCNA positivi
ty correlated with the histological severity of gastritis, This study
suggests that cell proliferation in ferret gastric mucosa increases wi
th H.mustelae infection and provides evidence that PCNA is a useful bi
omarker for studying the changes in cell kinetics in the ferret stomac
h, The data also further support the use of the H.mustelae-infected fe
rret as an animal model for studying the pathogenesis of Helicobacter
pylori-induced gastric diseases of humans.