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The
Corkscrew Twist of H.Pylori lets it set up
shop in the stomach
Newswise, June 2010 — The bacterium Helicobacter pylori,
which lives in the human stomach and is
associated with ulcers and gastric cancer,
is shaped like a corkscrew, or helix. For
years researchers have hypothesized that the
bacterium’s twisty shape is what enables it
to survive – and thrive – within the
stomach’s acid-drenched environment, but
until now they have had no proof.
For the first time, researchers at Fred Hutchinson Cancer
Research Center have found that, at least
when it comes to H. pylori’s ability
to colonize the stomach, shape indeed
matters. Microbiologist Nina Salama, Ph.D.,
and colleagues report their findings May 28
in Cell.
Salama and colleagues are the first to demonstrate that the
bug’s helical shape helps it set up shop in
the protective gelatin-like mucus that coats
the stomach. Such bacterial colonization –
present in up to half of the world’s
population – causes chronic inflammation
that is linked to a variety of stomach
disorders, from chronic gastritis and
duodenitis to ulcers and cancer.
“By understanding how the bug colonizes the
stomach, we can think about targeting
therapy to prevent infection in the first
place,” said Salama, the paper’s
corresponding author and an associate member
of the Human Biology Division at the
Hutchinson Center.
The paper’s first author, Laura K. Sycuro,
Ph.D., conducted this work while a student
in the University of Washington/Fred
Hutchinson Cancer Research Center Molecular
and Cellular Biology graduate program. She
is now a postdoctoral research associate in
the Hutchinson Center’s Clinical Research
Division.
Specifically, the researchers discovered a
group of four proteins that are responsible
for generating H. pylori’s
characteristic curvature. Using a mouse
model, they found that laboratory-engineered
mutant strains of H. pylori that are
deficient in these proteins fail to twist
properly and, consequently, are unable to
colonize the stomach.
“Having these mutant strains in hand allowed
us to test whether the helical shape is
important for H. pylori infection,
and it is,” Salama said.
“All
of our mutants had trouble colonizing the
stomach and were out-competed by normal,
helical-shaped bugs.” Interestingly and
somewhat puzzlingly, the H. pylori
mutants retained their ability to propel
themselves through a thick, mucus-like gel
in a petri dish even though they were unable
to establish infection in stomach
colonization experiments.
The researchers also discovered a novel
mechanism by which these proteins drive the
organism’s shape, in essence acting like
wire cutters on a chain-link fence to
strategically snip certain sections, or
crosslinks, of the bacterium’s mesh-like
cell wall. “The crosslinks preserve the
structural integrity of the bacterial wall,
but if certain links are cleaved or relaxed
by these proteins, it allows the rod shape
to twist into a helix,” Salama said.
Mutant forms of H. pylori that lack
these proteins are misshapen, ranging from
rods to crescents, which hampers their
ability to bore through or colonize the
stomach lining.
“We found that the bacteria that lost their
normal shape did not infect well, and so we
know that if we inhibit normal shape we can
slash infection rates,” Salama said.
Other disease-inducing bacteria that have
these proteins include Vibrio cholerae, a
comma-shaped bug that causes cholera, and
the curved to helical rod-shaped
Campylobacter jejuni, which is the leading
cause of bacterial diarrhea in developed
countries.
“The fact that we found proteins that act on
the cell wall of H. pylori that seem
to be important for bacterial survival and
that these proteins are found in other
pathogens with similar shapes makes them a
possible drug target for a number of
bacterial diseases,” she said.
H. pylori
is contagious, but its exact transmission
route is unknown. While more than 80 percent
of those infected will remain asymptomatic,
an estimated 10 percent to 15 percent will
develop related diseases such as ulcers
and/or stomach cancer. About 70 percent of
stomach cancers are associated with H.
pylori infection.
The current treatment for H. pylori
infection in those diagnosed with peptic
ulcers is a combination of proton-pump
inhibitors to reduce gastric acid secretion
paired with antibiotics to eradicate the
bug. The treatment is not always effective,
however, due to the prevalence of antibiotic
resistance.
“H. pylori infection is hard to
treat. There are no vaccines. Right now the
only treatment is eradication therapy, and
we are running out of tricks because of
resistance to essentially all current
antibiotics,” Salama said.
The bug was first characterized in the early
1980s by Australian researchers Barry J.
Marshall and Robin Warren, who in 2005
received the Nobel Prize in physiology or
medicine for their discovery. Prior to their
finding, the prevailing theory was that most
stomach ulcers and gastritis were caused by
spicy food or stress.
In addition to helical rods or spirals,
bacterial species come in a wide variety of
highly conserved shapes that range from
spheres and rods to crescents and stars.
They can be found on and within animals and
plants – and indeed wherever life exists,
from deep in the Earth’s crust to the oceans
and forests – and they play a key role in
regulating the environment. In humans, which
harbor 10 times more bacterial cells than
human cells, bacteria not only cause
diseases ranging from strep throat to
pneumonia, but they also perform a host of
helpful duties, from aiding digestion to
making vitamins that the human body alone
cannot produce.
“We are a consortium. We depend on them as
they depend on us,” Salama said.
The National Institutes of Health and the
National Science Foundation funded this
research, which also involved investigators
from Yale University and Newcastle
University (U.K.).
# # #
At Fred Hutchinson Cancer Research Center, our
interdisciplinary teams of world-renowned
scientists and humanitarians work together
to prevent, diagnose and treat cancer,
HIV/AIDS and other diseases. Our
researchers, including three Nobel
laureates, bring a relentless pursuit and
passion for health, knowledge and hope to
their work and to the world.
www.fhcrc.org
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