We read with interest the paper by Basiri and colleagues studying the prevalence of vacA d1 and d2 genotypes in the H pylori isolates from patients with gastric adenocarcinoma, peptic ulcer disease and gastritis in East Azerbaijan region, where the incidence of gastric cancer (GC) is high. They found that 43.4% of the isolate carried the d1 allele and 56.6% carried subtype d2. A significant cor...