Characterizing antigenic determinants in Helicobacter pylori CagA capable of detecting serum antibodies in children
Min-Kyoung Shin1,2, Jin-Su Jun3, Soon-Wook Kwon1
1Department of Microbiology, Gyeongsang National University School of Medicine, Jinju, Gyeongsangnam-do 52727, Korea.
Insights
This study identifies specific regions of the cytotoxin-associated gene A protein (CagA) that are useful for diagnosing Helicobacter pylori infection in children. These findings offer a promising new serological method for detecting H. pylori.
Area of Science:
- Medical Microbiology
- Immunology
- Pediatric Gastroenterology
Background:
- Helicobacter pylori infection is a common cause of gastric disorders.
- Accurate diagnosis of H. pylori infection in children is crucial but challenging due to invasive methods.
- Serological methods are preferred for pediatric diagnosis, necessitating the identification of suitable antigens.
Purpose of the Study:
- To identify immunodominant regions of the cytotoxin-associated gene A protein (CagA) for H. pylori serodiagnosis in children.
- To evaluate the diagnostic value of a partial recombinant CagA protein for detecting H. pylori infection.
Main Methods:
- Subdividing CagA into 17 overlapping fragments for antigenic determinant analysis.
- Immunoblot analysis using pooled serum from children with and without gastric symptoms.
- Production of a partial recombinant CagA protein (683-749 amino acids) for serological testing.
Main Results:
- Serum IgG reactivities were significantly higher (threefold) in children with gastric symptoms compared to those without.
- Higher serum IgG reactivities correlated with stronger urease activity in gastric biopsies.
- Identified specific epitope regions within CagA (683-749 amino acids) showing significant antigenicity.
Conclusions:
- A partial recombinant CagA protein containing identified epitope regions is a valuable candidate antigen for H. pylori serodiagnosis in children.
- This approach offers a non-invasive and potentially more accurate method for diagnosing H. pylori infection in pediatric populations.
Abstract:
Helicobacter pylori can persistently colonize the mucosa of the human stomach, resulting in gastric disorders. Endoscopic biopsy for rapid urease test and histopathologic examination are considered as the most accurate diagnostic methods for H. pylori infection. Serological methods are recommended for children because of invasiveness of the diagnosis mentioned above. Here, the cytotoxin-associated gene A protein (Cag A), as an immunodominant antigen, was subdivided to determine which regions harbor antigenicity for humans. CagA was divided into 17 overlapping fragments of ∼400 bp, which were used for the analysis of antigenic determinants. The partial proteins were subjected to immunoblot analysis using pooled serum samples from children with gastric symptoms. A partial recombinant CagA protein containing epitope regions (683-749 amino acids), which were identified in this study, was produced and used for the detection of anti-CagA antibodies and further investigated its serodiagnostic value for determination of H. pylori infection in children. The serum IgG reactivities from children with gastric symptoms were significantly three times more than that of serum samples from children with non-gastric symptoms (P < 0.005). Moreover, the serum IgG reactivities from children showing strong urease activity of gastric biopsies were significantly higher than those with moderate and weak urease activities (P < 0.05). Hence, the partial CagA is a candidate antigen for diagnosis of H. pylori infection.
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