Infection with cagA- and vacA-positive and -negative strains of Helicobacter pylori in a mouse model

E Sturegård1, H Sjunnesson, H Nilsson

  • 1Department of Infectious Diseases and Medical Microbiology, Lund University, Sölvegatan 23, S-22362, Lund, Sweden.

Insights

Helicobacter pylori strains expressing vacuolating cytotoxin (vacA) induced higher antibody titers in mice. Certain vacA-positive strains, with or without cytotoxin-associated protein (cagA), dominated mixed infections.

Area of Science:

  • Microbiology
  • Immunology
  • Gastroenterology

Background:

  • Helicobacter pylori is a significant human pathogen.
  • The roles of cytotoxin-associated protein (cagA) and vacuolating cytotoxin (vacA) in H. pylori pathogenesis are critical.
  • Understanding strain dynamics in vivo is essential for comprehending infection outcomes.

Purpose of the Study:

  • To investigate the impact of cagA and vacA on H. pylori colonization and host immune response in a murine model.
  • To analyze the competitive dynamics of different H. pylori strains during mixed infections.

Main Methods:

  • Experimental infection of NMRI mice with seven H. pylori strains varying in cagA and vacA status.
  • Analysis of colonization, antibody titers, and strain dominance using randomly amplified polymorphic DNA-polymerase chain reaction (RAPD-PCR).
  • Infection monitored at multiple time points post-inoculation.

Main Results:

  • All seven H. pylori strains successfully colonized mice over a 5-week period.
  • Mice infected with vacA-positive strains exhibited elevated antibody titers, irrespective of cagA status.
  • In mixed infections, specific vacA-positive strains (both cagA-positive and cagA-negative) demonstrated competitive advantages, leading to dominance.
  • Coexistence of multiple strains was observed in some cases, but distinct compartmentalization was not found.

Conclusions:

  • Vacuolating cytotoxin (vacA) plays a significant role in eliciting host antibody responses during H. pylori infection.
  • The vacA genotype influences the competitive fitness of H. pylori strains during mixed infections in a murine model.
  • CagA status appears less critical than vacA status in determining strain dominance in this experimental setting.