The pepsinogen releasing effect of Helicobacter pylori lipopolysaccharide

G O Young1, S Brown, N Stemmet

  • 1GI Clinic and Department of Medicine, University of CapeTown, South Africa.

Helicobacter
|April 10, 2002
PubMed
Abstract

Insights

Helicobacter pylori lipopolysaccharide (LPS) stimulates pepsinogen release, an innate property of all cagA+ strains. The molecule's structure and side-chains, partly driven by lipid A, are crucial for this effect.

Area of Science:

  • Gastroenterology
  • Microbiology
  • Immunology

Background:

  • Helicobacter pylori lipopolysaccharide (LPS) influences pepsinogen release via a non-toxic pathway.
  • The study investigated if this effect is strain-specific and linked to clinical status.

Purpose of the Study:

  • To determine if H. pylori LPS elicits pepsinogen release.
  • To assess if this effect is specific to H. pylori and related to strain characteristics.

Main Methods:

  • LPS from 11 H. pylori strains and 4 other bacteria were isolated.
  • Pepsinogen release was measured in guinea pig gastric mucosa using Ussing chambers.
  • The impact of LPS structural modifications (Polymyxin B, dephosphorylation) was assessed.

Main Results:

  • H. pylori LPS dose-dependently stimulated pepsinogen release.
  • LPS from other Helicobacter or Campylobacter species showed no effect.
  • Significant variations in pepsinogen release efficacy were observed among H. pylori strains, linked to LPS structure and lipid A.

Conclusions:

  • Pepsinogen release is an intrinsic characteristic of all cagA+ H. pylori LPS.
  • LPS structure and side-chain composition are critical for this response.
  • The mechanism appears to be partially driven by lipid A.

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...
Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors01:24

Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors

Peptic ulcer disease, commonly called PUD, represents a multifaceted condition characterized by disruptions in the lining of the gastrointestinal (GI)  tract. Central to the protection of the gastrointestinal lining is the mucosal-bicarbonate barrier. This physiological defense mechanism is a formidable shield against the corrosive effects of gastric acid and pepsin secretion in the stomach. Its role is pivotal in maintaining the structural integrity of the stomach's inner lining. Bicarbonate,...
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.
Peptic Ulcer01:27

Peptic Ulcer

Peptic ulcers are erosive lesions of the gastric or duodenal lining, most commonly caused by Helicobacter pylori infection. This Gram-negative, helical bacterium has adapted to survive the stomach’s acidic environment by producing urease, which converts urea into ammonia and carbon dioxide. The ammonia neutralizes gastric acid in the bacterium’s immediate environment, allowing colonization of the gastric mucosa. H. pylori attaches to mucus-secreting epithelial cells, penetrates the mucus...
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...