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Pathogenesis of infections due to persistent bacteria at mucosal surfaces

  • Chapter
Helicobacter pylori Infection

Abstract

Helicobacter pylori and Campylobacter fetus are two spiral Gram-negative bacteria that have evolved lifestyles centred on long-term persistence in the mucus gel overlapping epithelial tissues. Since the discovery of H. pylori in 1983 there has been intense interest in this organism because of its relationship to ulcer disease, among other maladies. However, the pathophysiology of H. pylori infection is largely unknown. In this chapter I review the major points that have been learned about H. pylori pathogenesis, and then review what is known about the pathogenesis of C. fetus infection. It is hoped that bringing together information about these two different organisms that contend with parallel constraints can provide new insights.

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References

  1. Marshall B. Unidentified curved bacillus on gastric epithelium in active chronic gastritis. Lancet. 1983;i:1273–1275.

    Google Scholar 

  2. Blaser MJ. Helicobacter pylori and the pathogenesis of gastroduodenal inflammation. J Infect Dis. 1990;161:626–633.

    Article  PubMed  CAS  Google Scholar 

  3. Dooley CP, Fitzgibbons PL, Cohen H et al. Prevalence of Helicobacter pylori infection and histologie gastritis in asymptomatic persons. N Engl J Med. 1989;321:1562–1566.

    Article  PubMed  CAS  Google Scholar 

  4. Blaser MJ. Hypotheses on the pathogenesis and natural history of Helicobacter pylori-induced inflammation. Gastroenterology. 1992;102:720–727.

    PubMed  CAS  Google Scholar 

  5. Lee A, Fox J, Hazell S. The pathogenicity of Helicobacter pylori: a perspective. Infect Immun. 1993;61:1601–1610.

    PubMed  CAS  Google Scholar 

  6. Karnes WE Jr, Samloff IM, Silrala M et al. Positive serum antibody and negative tissue staining for Helicobacter pylori in subjects with atrophic body gastritis. Gastroenterology. 1991;101:167–174.

    PubMed  Google Scholar 

  7. Ihamaki T, Kekki M, Sipponen P et al. The sequelae and course of chronic gastritis during a 30-to 34-year bioptic follow-up study. Scand J Gastroenterol. 1985;20:485–491.

    Article  PubMed  CAS  Google Scholar 

  8. Sipponen P, Kekki M, Haapakoski J et al. Gastric cancer risk in chronic atrophie gastritis: statistical calculations of cross-sectional data. Int J Cancer. 1985;35:173–177.

    Article  PubMed  CAS  Google Scholar 

  9. Nomura A, Stemmerman GN, Chyou P-H et al. Helicobacter pylori infection and gastric carcinoma in a population of Japanese-Americans in Hawaii. N Engl J Med. 1991;325:1132–1136.

    Article  PubMed  CAS  Google Scholar 

  10. Parsonnet J, Friedman GD, Vandersteen DP et al. Helicobacter pylori infection and the risk of gastric carcinoma. N Engl J Med. 1991;325:1127–1131.

    Article  PubMed  CAS  Google Scholar 

  11. Correa P. Human gastric carcinogenesis — a multistep and multifactorial process. Cancer Res. 1992;52:6735–6740.

    PubMed  CAS  Google Scholar 

  12. Hentschel E, Brandstatter G, Dragosics B et al. Effect of ranitidine and amoxicillin plus metronidazole on the eradication of Helicobacter pylori and the recurrence of duodenal ulcer. N Engl J Med. 1993;328:308–312.

    Article  PubMed  CAS  Google Scholar 

  13. McColl KE, Fullarton GM, Chittajalu R et al. Plasma gastrin, daytime intragastric pH, and nocturnal acid output before and at 1 and 7 months after eradication of Helicobacter pylori in duodenal ulcer subjects. Scand J Gastroenterol. 1991;26:339–346.

    Article  PubMed  CAS  Google Scholar 

  14. Hazell SL, Lee A, Brady L et al. Campylobacter pyloridis and gastritis: association with intercellular spaces and adaptation to an environment of mucus as important factors in colonization of the gastric epithelium. J Infect Dis. 1986;153:658–663.

    Article  PubMed  CAS  Google Scholar 

  15. Falk P, Roth KA, Boren T et al. An in vitro adherence assay reveals that Helicobacter pylori exhibits cell lineage-specific tropism in the human gastric epithelium. Proc Natl Acad Sci USA. 1993;90:2035–2039.

    Article  PubMed  CAS  Google Scholar 

  16. Smoot DT, Resau JH, Naab T et al. Adherence of Helicobacter pylori to cultured human gastric epithelial cells. Infect Immun. 1993;61:350–355.

    PubMed  CAS  Google Scholar 

  17. Mai UE, Perez-Perez GI, Allen JB et al. Surface proteins from Helicobacter pylori exhibit chemotactic activity for human leukocytes and are present in gastric mucosa. J Exp Med. 1992;175:517–525.

    Article  PubMed  CAS  Google Scholar 

  18. Mai UEH, Perez-Perez GI, Wahl LM et al. Soluble surface proteins from Helicobacter pylori activate monocytes/macrophages by lipopolysaccharide-independent mechanism. J Clin Invest. 1991;87:894–900.

    Article  PubMed  CAS  Google Scholar 

  19. Chang WY, Hui PK, Leung KM et al. Modes of Helicobacter colonization and gastric epithelial damage. Histopathology. 1992;21:521–528.

    Article  CAS  Google Scholar 

  20. Labigne A, Cussac V, Courcoux P. Shuttle cloning and nucleotide sequences of Helicobacter pylori genes responsible for urease activity. J Bacteriol. 1991;173:1920–1931.

    PubMed  CAS  Google Scholar 

  21. Pérez-Pérez GI, Olivares AZ, Cover TL et al. Characteristics of Helicobacter pylori variants selected for urease deficiency. Infect Immun. 1992;60:3658–3663.

    PubMed  Google Scholar 

  22. Dunn BE, Campbell GP, Pérez-Pérez GI et al. Purification and characterization of Helicobacter pylori urease. J Biol Chem. 1990;265:9464–9469.

    PubMed  CAS  Google Scholar 

  23. Kawano S, Tsujii M, Fusamoto H et al. Chronic effect of intragastric ammonia on gastric mucosal structures in rats. Dig Dis Sci. 1991;36:33–38.

    Article  PubMed  CAS  Google Scholar 

  24. Cover TL, Puryear W, Pérez-Pérez GI et al. Effect of urease on HeLa cell vacuolation induced by Helicobacter pylori cytotoxin. Infect Immun. 1991;59:1264–1270.

    PubMed  CAS  Google Scholar 

  25. Cover TL, Blaser MJ. Purification and characterization of the vacuolating toxin from Helicobacter pylori. J Biol Chem. 1992;267:10570–10575.

    PubMed  CAS  Google Scholar 

  26. Tummuru MKR, Cover TL, Blaser MJ. Cloning and expression of a high molecular weight major antigen of Helicobacter pylori: evidence of linkage to cytotoxin production. Infect Immun. 1993;61:1799–1809.

    PubMed  CAS  Google Scholar 

  27. Howson CP, Hiyama T, Wynder EL. The decline in gastric cancer: epidemiology of an unplanned triumph. Epidemiol Rev. 1986;8:1–27.

    PubMed  CAS  Google Scholar 

  28. Smibert RM. Genus Campylobacter. In: Bergey’s Manual of Systematic Bacteriology. Baltimore: Williams & Wilkins, 1984:111–118.

    Google Scholar 

  29. Pérez-Pérez GI, Blaser MJ. Lipopolysaccharide characteristics of pathogenic campylobacters. Infect Immun. 1985;47:353–359.

    PubMed  Google Scholar 

  30. Pérez-Pérez GI, Blaser MJ, Bryner J. Lipopolysaccharide structures of Campylobacter fetus related to heat-stable serogroups. Infect Immun. 1986;51:209–212.

    PubMed  Google Scholar 

  31. McCoy EC, Doyle D, Burda K et al. Superficial antigens of Campylobacter (Vibrio) fetus: characterization of antiphagocytic component. Infect Immun. 1975;11:517–525.

    PubMed  CAS  Google Scholar 

  32. Pei Z, Ellison RT, Lewis RV. Purification and characterization of a family of high molecular weight surface-array proteins from Campylobacter fetus. J Biol Chem. 1988;263:6416–6420.

    PubMed  CAS  Google Scholar 

  33. Dubreuil JD, Logan SM, Cubbage S et al. Structural and biochemical analyses of a surface array protein of Campylobacter fetus. J Bacteriol. 1988;170:4165–4173.

    PubMed  CAS  Google Scholar 

  34. Blaser MJ, Smith PF, Hopkins JA et al. Pathogenesis of Campylobacter fetus infections. Serum-resistance associated with high molecular weight surface proteins. J Infect Dis. 1987;155:696–706.

    Article  PubMed  CAS  Google Scholar 

  35. Fujimoto S, Takade A, Amako K et al. Correlation between molecular size of surface array proteins and both morphology and antigenicity in the Campylobacter fetus S-layer. Infect Immun. 1991;59:2017–2022.

    PubMed  CAS  Google Scholar 

  36. Blaser MJ, Smith PF, Kohler PA. Susceptibility of Campylobacter isolates to the bactericidal activity in human serum. J Infect Dis. 1985;151:227–235.

    Article  PubMed  CAS  Google Scholar 

  37. Blaser MJ, Smith PA, Repine JE. Pathogenesis of Campylobacter fetus infections: failure to bind C3b explains serum and phagocytosis resistance. J Clin Invest. 1988;81:1434–1444.

    Article  PubMed  CAS  Google Scholar 

  38. Corbeil LB, Schurig GD, Duncan JR et al. Immunoglobulin classes and biological functions of Campylobacter ( Vibrio) fetus antibodies in serum and cervicovaginal mucus. Infect Immun. 1974;10:422–429.

    PubMed  CAS  Google Scholar 

  39. Dubreuil JD, Kostrzynska M, Austin JW et al. Antigenic differences among Campylobacter fetus S-layer proteins. J Bacteriol. 1990;172:5035–5043.

    PubMed  CAS  Google Scholar 

  40. Wang E, Garcia MM, Blake MS, Pei Z, Blaser MJ. Shift in S-layer protein expression responsible for antigen variation in Campylobacter fetus. J Bacteriol. 1993;175:4979–4984.

    PubMed  CAS  Google Scholar 

  41. Corbeil LB, Schurig GD, Pier PJ et al. Bovine venereal vibriosis: antigenic variation of the bacterium during infection. Infect Immun. 1975;11:240–244.

    PubMed  CAS  Google Scholar 

  42. Pei Z, Blaser MJ. Pathogenesis of Campylobacter fetus infections. Role of surface array proteins in virulence in a mouse model. J Clin Invest. 1990;85:1036–1043.

    Article  PubMed  CAS  Google Scholar 

  43. Blaser MJ, Pei Z. Pathogenesis of Campylobacter fetus infections. Critical role of high molecular weight S-layer proteins in virulence. J Infect Dis. 1993;167:372–377.

    Article  PubMed  CAS  Google Scholar 

  44. Perez-Perez GI, Dworkin BM, Chodos JE. Campylobacter pylori antibodies in humans. Ann Intern Med. 1988;109:11–17.

    PubMed  CAS  Google Scholar 

  45. Crabtree JE, Shallcross TM, Wyatt JI et al. Mucosal humoral immune response to Helicobacter pylori in patients with duodenitis. Dig Dis Sci. 1991;36:1266–1273.

    Article  PubMed  CAS  Google Scholar 

  46. Tosi MF, Czinn SJ. Opsonic activity of specific human IgG against Helicobacter pylori. J Infect Dis. 1990;48:743–748.

    Google Scholar 

  47. Samuelson JD, Winter AJ. Bovine vibriosis: the nature of the carrier state in the bull. J Infect Dis. 1966;116:581–592.

    Article  PubMed  CAS  Google Scholar 

  48. Bier PJ, Hall CE, Duncan JR et al. Experimental infections with Campylobacter fetus in bulls of different ages. Vet Microbiol. 1977;2:13–27.

    Article  CAS  Google Scholar 

  49. Clark BL, Dufty JH, Monsbourgh MJ et al. Immunization against bovine vibriosis. Vaccination of bulls against infection with Campylobacter fetus subsp. venerealis. Austr Vet J. 1974;50:407–409.

    Article  CAS  Google Scholar 

  50. Bouters R, Dekeyser J, Vandeplassche M et al. Vibrio fetus infection in bulls: curative and preventive vaccination. Br Vet J. 1973;129:52–57.

    PubMed  CAS  Google Scholar 

  51. Schurig GGD, Hall CE, Corbeil LB et al. Bovine venereal vibrosis: cure of genital infection in females by systemic immunization. Infect Immun. 1975;11:245–251.

    PubMed  CAS  Google Scholar 

  52. Tummuru MKR, Blaser MJ. Characterization of the Campylobacter fetus sap A promoter: evidence that the sapA promoter is deleted in spontaneous mutant strains. J Bacteriol. 1992;174:5916–5922.

    PubMed  CAS  Google Scholar 

  53. Tummuru MKR, Blaser MJ. Rearrangement of sap A homologs with conserved and variable regions in Campylobacter fetus. Proc Natl Acad Sci USA. 1993;90:7265–7269.

    Article  PubMed  CAS  Google Scholar 

  54. Eaton KA, Krakowka S. Chronic active gastritis due to Helicobacter pylori in immunized gnotobiotic piglets. Gastroenterology. 1992;103:1580–1586.

    PubMed  CAS  Google Scholar 

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© 1993 Springer Science+Business Media Dordrecht

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Blaser, M. (1993). Pathogenesis of infections due to persistent bacteria at mucosal surfaces. In: Northfield, T., Mendall, M., Goggin, P.M. (eds) Helicobacter pylori Infection. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-2216-0_4

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  • DOI: https://doi.org/10.1007/978-94-011-2216-0_4

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4982-5

  • Online ISBN: 978-94-011-2216-0

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