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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. May 7, 2026; 32(17): 115984
Published online May 7, 2026. doi: 10.3748/wjg.v32.i17.115984
Letter to the Editor: Rethinking Helicobacter pylori culture - toward precision media for a fastidious pathogen
Cheng-Fei Zhao, Xiao-Ting Xu, Shen-Yi Ye, Tian-Hui Liu, Zhi-Feng Xu
Cheng-Fei Zhao, Xiao-Ting Xu, Shen-Yi Ye, Tian-Hui Liu, School of Pharmacy and Medical Technology, Putian University, Putian 351100, Fujian Province, China
Cheng-Fei Zhao, Key Laboratory of Pharmaceutical Analysis and Laboratory Medicine, Putian 351100, Fujian Province, China
Zhi-Feng Xu, Department of Cardiothoracic Surgery, The 95th Hospital of Putian, Putian 351100, Fujian Province, China
Co-first authors: Cheng-Fei Zhao and Xiao-Ting Xu.
Author contributions: Zhao CF and Xu XT mainly wrote and designed this paper as co-first authors; Zhao CF, Xu XT, Ye SY, Liu TH, and Xu ZF checked and proofread this paper, searched related literatures and information for this paper; and all authors have read and approve the final manuscript.
Supported by Scientific Research Project of Putian University, No. 2022059; Special Project for Outstanding Young Talents of Putian University, No. 2024072; and Natural Science Foundation of Fujian Province, No. 2023J01160.
Conflict-of-interest statement: The authors declare that there is no conflict of interest in this paper.
Corresponding author: Zhi-Feng Xu, Chief Physician, Department of Cardiothoracic Surgery, The 95th Hospital of Putian, No. 485 Dongyan Road, Licheng District, Putian 351100, Fujian Province, China. zhifengxu1972@163.com
Received: October 31, 2025
Revised: December 3, 2025
Accepted: January 12, 2026
Published online: May 7, 2026
Processing time: 176 Days and 0.2 Hours
Core Tip

Core Tip: Cultivating Helicobacter pylori (H. pylori) remains one of persistent challenges in microbiology due to its stringent nutritional and microaerophilic growth requirements. A recent comparative study across ten liquid media and nine H. pylori strains demonstrated that growth efficiency is highly dependent on both medium composition and strain-specific characteristics. Chopped meat carbohydrate broth, Columbia broth, and fastidious anaerobe broth supported significantly better growth than conventional Brucella broth. These findings underscore that culture media are not passive substrates but active determinants of microbial physiology. An ideal precision medium should be defined not only by its ability to support high biomass but also by its capacity to maintain H. pylori in its viable, spiral form. Such optimization may improve experimental reproducibility and facilitate advances in diagnostics, antimicrobial susceptibility testing, and vaccine development.