implication of the structure of the Helicobacter pylori cag pathogenicity island in induction of interleukin-8

C Audibert1, C Burucoa, B Janvier

  • 1Laboratoire de Microbiologie A, CHU La Milétrie, 86021 Poitiers Cedex, France.

Infection and Immunity
|February 17, 2001
PubMed

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.

Related Concept Videos

Pathophysiology of Peptic Ulcer Disease: Injurious Factors01:22

Pathophysiology of Peptic Ulcer Disease: Injurious Factors

Peptic ulcers are sores on the stomach's inner lining and the upper small intestine, which are the result of disruptions in the mucosal layer that houses parietal cells which produce gastric acid, and chief cells which secrete pepsinogen.
In the antrum region, G cells secrete the gastrin hormone that binds to gastrin-cholecystokinin-B (CCK2) receptors on parietal and enterochromaffin-like (ECL) cells in the fundic glands. Simultaneously, the vagus nerve releases acetylcholine, which binds to M3...
Peptic Ulcer Disease II: Pathophysiology01:28

Peptic Ulcer Disease II: Pathophysiology

Peptic Ulcer Disease (PUD) is characterized by the development of ulcers in the stomach or duodenal mucosa. Its pathophysiology is complex, involving a balance between damaging and protective elements.
Damaging agents such as Helicobacter pylori, gastric acid, pepsin, and nonsteroidal anti-inflammatory drugs (NSAIDs) can weaken the mucosal defense, allowing hydrogen ions to infiltrate back and harm epithelial cells.
Determinants of Bacterial Pathogenicity and Virulence01:20

Determinants of Bacterial Pathogenicity and Virulence

Pathogenic bacteria employ a variety of strategies to establish infections, including the secretion of extracellular enzymes that act as potent virulence factors. These enzymes facilitate bacterial colonization of host tissues and help evade immune surveillance. By targeting structural components of host tissues and interfering with immune mechanisms, these enzymes play a pivotal role in disease progression.Extracellular Enzymes Facilitating Tissue Invasion: Several bacterial pathogens secrete...
Regulation of Bacterial Virulence01:28

Regulation of Bacterial Virulence

Pathogenic bacteria employ a range of regulatory mechanisms to modulate the expression of virulence genes in response to environmental and host-derived signals. These mechanisms ensure that virulence factors are expressed only under favorable conditions, thereby optimizing infection and survival strategies.Mechanisms of Virulence RegulationKey regulatory strategies include:Two-Component Systems: These consist of a membrane-bound sensor kinase and a cytoplasmic response regulator. Environmental...
Gastritis II: Pathophysiology01:26

Gastritis II: Pathophysiology

The pathophysiology of gastritis begins with the colonization of the stomach lining by Helicobacter pylori (H. pylori). This bacterium spreads mainly via the oral-oral route through saliva or shared utensils, and can also be transmitted in overcrowded or unhygienic environments through contaminated water, despite its brief survival outside the body.ColonizationOnce ingested, H. pylori enters the stomach and begins colonization by navigating through the mucus layer lining the stomach wall. It...
Peptic Ulcer Disease II: Pathophysiology01:24

Peptic Ulcer Disease II: Pathophysiology

Peptic ulcer disease develops when protective mechanisms of the gastrointestinal mucosa are overwhelmed by harmful factors, leading to localized erosions in the stomach or proximal duodenum. The main causes are Helicobacter pylori infection and chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs).Helicobacter pylori–Induced InjuryBacterial Adaptation and Colonization:H. pylori is a spiral, Gram-negative bacterium adapted to the acidic stomach. and transmitted through oral-oral or...