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Helicobacter pylori lipopolysaccharide in the IL-2 milieu activates lymphocytes from dyspeptic children
Wieslawa Rudnicka1, Agnieszka Jarosinska, Leokadia Bak-Romaniszyn
1Department of Immunology and Infectious Biology, Institute for Microbiology and Immunology, University of Lodz, Banacha 12/16, 90-237 Lodz, Poland. rudw@biol.uni.lodz.pl
Insights
Helicobacter pylori lipopolysaccharide (LPS) can stimulate immune cells in children with dyspepsia. Interleukin-2 (IL-2) enhances this response, potentially reducing gastric inflammation and prolonging infection.
Area of Science:
- Immunology
- Gastroenterology
- Microbiology
Background:
- Chronic dyspepsia affects children and young adolescents.
- Helicobacter pylori infection is a common cause of gastrointestinal issues.
- The role of H. pylori lipopolysaccharide (LPS) in modulating the immune response in dyspeptic patients requires further investigation.
Purpose of the Study:
- To assess the proliferative response of peripheral blood mononuclear leukocytes (PBML) to H. pylori LPS in children with chronic dyspepsia.
- To evaluate the effect of Interleukin-2 (IL-2) on PBML proliferation in response to H. pylori LPS.
- To correlate immune cell responsiveness with clinical and histological findings.
Main Methods:
- PBML were isolated from 33 children/young adolescents with chronic dyspepsia.
- Patients were classified as H. pylori rapid urease test/Helicobacter-like organisms (RUT/HLO)-positive or -negative.
- PBML proliferation was measured in response to H. pylori LPS, with and without IL-2, and phytohemagglutinin (PHA).
Main Results:
- H. pylori LPS alone induced PBML proliferation in a small subset of patients.
- IL-2 significantly increased the prevalence of PBML response to LPS in both RUT/HLO-positive and -negative groups.
- PBML from RUT/HLO-positive patients showed a diminished response to LPS and IL-2 compared to RUT/HLO-negative patients, despite similar PHA responses.
- A negative correlation was observed between PBML responsiveness to LPS and type B gastric inflammation.
Conclusions:
- H. pylori LPS contributes to the immune response outcome in H. pylori infections.
- IL-2 enhances the proliferative capacity of PBML to H. pylori LPS in dyspeptic children.
- H. pylori LPS may modulate immune cell activation, potentially reducing gastric inflammation, decreasing bacterial load, and prolonging infection.
Abstract:
In this study, we assessed the proliferative response of peripheral blood mononuclear leukocytes (PBML) from 33 children/young adolescents with chronic dyspepsia, to H. pylori LPS in the presence and absence of IL-2 as a T cell growth factor. A rapid urease test (RUT) and a presence of Helicobacter-like organisms (HLO) in the biopsy specimens allowed us to distinguish RUT/HLO-positive (17/33) and -negative (16/33) patients. H. pylori LPS alone induced a proliferation of PBML from 4 out of 33 dyspeptic patients. IL-2 increased the prevalence of the response to LPS to 59% and 74% of RUT/HLO-positive and -negative patients, respectively. PBML from RUT/HLO-positive patients responded significantly less intensively to H. pylori LPS in the presence of IL-2, to IL-2 alone and to H. pylori LPS+IL-2. However, there was no difference in PHA-driven proliferation of PBML from the patients of those two groups. A negative correlation between the responsiveness to H. pylori LPS of PBML and occurrence of type B inflammation in gastric mucosa was demonstrated. The results suggest a contribution of H. pylori LPS to an outcome of H. pylori infection. It is speculated that H. pylori LPS by an activation of immunocompetent cells may reduce gastric inflammation, decrease bacterial load and prolong H. pylori infection.
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