Isolated for the first time in 1982 from human gastric biopsy, Helicobacter
pylori is responsible for gastritis, peptic ulcer, and gastric cancer. A p
athogenicity island acquired by horizontal transfer, coding for a type IV s
ecretion system, is a major determinant of virulence. The infection is now
treated with antibiotics, and vaccines are in preparation. The geographic d
istribution suggests coevolution of man and Helicobacter pylori.