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.
Background:
Helicobacter pylori lipopolysaccharide (LPS) affects pepsinogen release by a nontoxic mechanism. We hypothesized that this effect was characteristic of the organism and related to the clinical status of the strain.
Materials And Methods:
LPS was isolated from 11 H. pylori strains whose pathogenic profile was known and four other nongastric bacteria. The effects of luminal LPS on guinea pig gastric mucosal pepsinogen release was evaluated using the Ussing chamber technique. CCK-8 (10(-9)M) was used as a positive control.
Results:
H. pylori LPS dose-dependently stimulated pepsinogen release with a maximal stimulation at 250 microg/ml (approximately 4500; p < .001 vs. control). LPS from other Helicobacter or Campylobacter species had no effect on pepsinogen release. ANOVA demonstrated significant differences in the efficacies of pepsinogen release between the 11 clinical H. pylori strains (p < .0001) despite the fact that they were all cagA+ and 90 had the cytotoxic vacA subtype s1. Physical and chemical disruption of the LPS suggested that both the structure and the carbohydrate composition of this molecule may play a critical role in pepsinogen release. Polymyxin B partly (p < .03) inhibited and dephosphorylation completely inhibited (p = .0002) LPS-stimulated pepsinogen release.
Conclusion:
Pepsinogen release is an innate property of all cagA+H. pylori LPS. The structure of the molecule and composition of side-chains are important in this response which appears to be partially lipid A driven.
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.
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