implication of the structure of the Helicobacter pylori cag pathogenicity island in induction of interleukin-8 secretion
C Audibert1, C Burucoa, B Janvier
1Laboratoire de Microbiologie A, CHU La Milétrie, 86021 Poitiers Cedex, France.
Abstract:
Helicobacter pylori virulence is associated with the presence of the cag pathogenicity island (PAI). The cag PAI is involved in the ability to induce interleukin-8 (IL-8) secretion by human cells, which is implicated in the inflammatory response of the gastric mucosa to H. pylori infection. The aim of this study was to determine whether the genetic structure of the cag PAI is conserved and whether it is linked to IL-8 induction ability. Detection of specific markers (cagA, picB, cag13-cag14, virD4, and IS605) by PCR and dot blot hybridization and long-distance PCR determination of the presence of cagI, cagII, and the middle region of the cag PAI were performed on 153 strains isolated from adults suffering from ulcers (n = 79) or gastritis (n = 74). IL-8 induction ability was evaluated by coculture of the strains with HEp-2 cells. Eighty-three strains (54.3%) had an entire cag PAI, 12 strains (7.8%) had the cag PAI split in two, 49 strains (32%) had no cag PAI, and 9 strains exhibited other structural combinations. The presence of an entire cag PAI was statistically correlated with the presence of IS605 (P = 0.006) and the ability to induce IL-8 secretion but not with clinical presentation of the infection. The structure of the cag PAI appears to be rather conserved and is related to the proinflammatory power of a strain. The existence of strains inducing IL-8 secretion regardless of the cag PAI structure suggests that this region is not the only requirement for IL-8 secretion.
Insights
The cag pathogenicity island (PAI) structure is conserved in Helicobacter pylori and linked to interleukin-8 (IL-8) secretion, a key factor in gastric inflammation. However, some strains induce IL-8 independently of the cag PAI.
Area of Science:
- Microbiology
- Genetics
- Immunology
Background:
- Helicobacter pylori virulence is linked to the cag pathogenicity island (PAI).
- The cag PAI influences interleukin-8 (IL-8) secretion, crucial for gastric inflammation during H. pylori infection.
Purpose of the Study:
- To investigate the genetic conservation of the cag PAI.
- To determine the association between cag PAI structure and IL-8 induction ability.
Main Methods:
- PCR and dot blot hybridization for specific marker detection (cagA, picB, cag13-cag14, virD4, IS605).
- Long-distance PCR to assess cagI, cagII, and middle regions of the cag PAI.
- Coculture of H. pylori strains with HEp-2 cells to evaluate IL-8 induction.
Main Results:
- 54.3% of 153 strains had an intact cag PAI; 32% lacked it.
- An intact cag PAI correlated with IS605 presence and IL-8 secretion ability (P = 0.006).
- Clinical presentation (ulcers vs. gastritis) was not linked to cag PAI structure.
Conclusions:
- The cag PAI structure is relatively conserved and influences H. pylori's proinflammatory potential.
- While the cag PAI is a major driver of IL-8 secretion, other factors may also contribute.
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