Cystathionine γ-lyase exacerbates Helicobacter pylori immunopathogenesis by promoting macrophage metabolic remodeling

Yvonne L Latour1,2, Johanna C Sierra2,3, Jordan L Finley2

  • 1Department of Pathology, Microbiology, and Immunology.

JCI Insight
|May 17, 2022
PubMed

Insights

Helicobacter pylori infection upregulates cystathionine γ-lyase (CTH) in macrophages, promoting persistent inflammation and gastric disease. CTH deficiency reduces inflammation by altering macrophage metabolism and activation.

Area of Science:

  • Immunology
  • Gastroenterology
  • Cellular Metabolism

Background:

  • Helicobacter pylori infection affects half the global population and is a major cause of gastric cancer.
  • Macrophage immunometabolism is critical for regulating immune cell activation and function.
  • Cystathionine γ-lyase (CTH) is upregulated in H. pylori infection, but its role in pathogenesis is unclear.

Purpose of the Study:

  • To investigate the role of cystathionine γ-lyase (CTH) in macrophage activation and inflammation during H. pylori infection.
  • To elucidate the mechanisms by which CTH influences cellular respiration and immune responses.
  • To determine if CTH is a potential therapeutic target for H. pylori-induced gastric disease.

Main Methods:

  • Utilized Cth-/- mice and wild-type (WT) mice infected with H. pylori.
  • Analyzed macrophage and T cell activation markers in infected tissues.
  • Performed metabolomic and proteomic analyses of Cth-deficient macrophages.
  • Assessed cellular respiration, including oxidative phosphorylation and glycolysis.

Main Results:

  • H. pylori induction of CTH in macrophages promotes persistent inflammation.
  • Cth-/- mice exhibited reduced immune cell activation, altered metabolomes, and decreased gastritis.
  • CTH deficiency impaired macrophage NF-κB activation, reduced activation markers, and altered cellular respiration.
  • S-adenosylmethionine (SAM) accumulated in Cth-/- mice, but SAM treatment did not protect WT mice.

Conclusions:

  • CTH is a key enhancer of macrophage activation by altering cellular respiration.
  • CTH contributes to the pathogenic inflammatory response driving H. pylori-induced gastric disease.
  • Targeting CTH may offer a novel therapeutic strategy for H. pylori-associated pathologies.

Related Concept Videos

Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
637
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...
738
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.
619
Peptic Ulcer Disease I: Introduction01:30

Peptic Ulcer Disease I: Introduction

Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
306
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy01:16

Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy

Helicobacter pylori, a resilient gram-negative bacterium, can thrive in the stomach's harsh, acidic environment. Infection with H. pylori leads to a cascade of events within the stomach lining. One of the critical disruptions caused by this bacterium is the interference with somatostatin production, a hormone responsible for regulating acid secretion. This interference tips the balance, escalating acid secretion and diminishing bicarbonate levels. This imbalance compromises the defensive...
568
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.
930