Related Experiment Video
Updated: Jul 6, 2026

Mouse Models Of Helicobacter Infection And Gastric Pathologies
Published on: October 18, 2018
Helicobacter pylori induces an antimicrobial response in rhesus macaques in a cag pathogenicity island-dependent
Michael J Hornsby1, Jennifer L Huff, Robert J Kays
1Department of Medical Microbiology & Immunology, University of California, Davis, Davis, California, USA.
Background & Aims:
We used the rhesus macaque model to study the effects of the cag pathogenicity island (cag PAI) on the H pylori host-pathogen interaction.
Methods:
H pylori-specific pathogen-free (SPF) monkeys were experimentally challenged with wild-type (WT) H pylori strain J166 (J166WT, n = 4) or its cag PAI isogenic knockout (J166Deltacag PAI, n = 4). Animals underwent endoscopy before and 1, 4, 8, and 13 weeks after challenge. Gastric biopsies were collected for quantitative culture, histopathology, and host gene expression analysis.
Results:
Quantitative cultures showed that all experimentally challenged animals were infected with J166WT or its isogenic J166Deltacag PAI. Histopathology demonstrated that inflammation and expansion of the lamina propria were attenuated in animals infected with J166Deltacag PAI compared with J166WT. Microarray analysis showed that of the 119 up-regulated genes in the J166WT-infected animals, several encode innate antimicrobial effector proteins, including elafin, siderocalin, DMBT1, DUOX2, and several novel paralogues of human-beta defensin-2. Quantitative RT-PCR confirmed that high-level induction of each of these genes depended on the presence of the cag PAI. Immunohistochemistry confirmed increased human-beta defensin-2 epithelial cell staining in animals challenged with J166WT compared with either J166Deltacag PAI-challenged or uninfected control animals.
Conclusions:
We propose that one function of the cag PAI is to induce an antimicrobial host response that may serve to increase the competitive advantage of H pylori in the gastric niche and could even provide a protective benefit to the host.
Insights
The cag pathogenicity island (cag PAI) of H pylori induces antimicrobial proteins, potentially aiding H pylori colonization and offering host protection. This study used a rhesus macaque model to investigate these effects.
Area of Science:
- Microbiology
- Immunology
- Gastroenterology
Background:
- Helicobacter pylori infection is a significant global health concern.
- The cag pathogenicity island (cag PAI) is a key virulence factor in H. pylori.
- Understanding host-pathogen interactions is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the role of the cag PAI in H. pylori host-pathogen interactions.
- To determine the impact of the cag PAI on host gene expression and immune response.
- To elucidate the function of the cag PAI in the gastric niche.
Main Methods:
- Rhesus macaque model used for experimental H. pylori challenge.
- Comparison of wild-type (WT) H. pylori strain J166 with its isogenic cag PAI knockout mutant.
- Analysis of gastric biopsies via quantitative culture, histopathology, and host gene expression (microarray, RT-PCR, immunohistochemistry).
Main Results:
- The cag PAI significantly influenced host gene expression, up-regulating innate antimicrobial effector proteins.
- Key induced genes included elafin, siderocalin, DMBT1, DUOX2, and human-beta defensin-2 paralogues.
- Inflammation and lamina propria expansion were attenuated in animals infected with the cag PAI knockout strain, indicating the cag PAI's role in modulating the host inflammatory response.
Conclusions:
- The cag PAI induces a host antimicrobial response, potentially enhancing H. pylori's competitive advantage in the gastric environment.
- This cag PAI-mediated response may offer a protective benefit to the host.
- The findings provide insights into H. pylori pathogenesis and host adaptation strategies.
Related Concept Videos
Gastritis II: Pathophysiology
Peptic Ulcer Disease II: Pathophysiology
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy
Pathophysiology of Peptic Ulcer Disease: Injurious Factors
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...
Cell-mediated Immune Responses

