Crossref journal-article
Oxford University Press (OUP)
The Journal of Immunology (286)
Abstract

Abstract The bacteria Helicobacter pylori is a major human pathogen that infects over half of the world’s population. Infection initiates a series of changes in the gastric mucosa, beginning with atrophic gastritis and leading in some patients to peptic ulcer disease, mucosa-associated lymphomas, and gastric adenocarcinoma. Although this cascade of events clearly occurs, little is known about the role of the host immune response in disease progression. We have utilized the C57BL/6 Helicobacter felis mouse model to critically analyze the role of the adaptive immune response in the development of Helicobacter-associated gastric pathology. Infection of B and T cell-deficient RAG-1−/− mice or T cell-deficient TCRβδ−/− mice with H. felis resulted in high levels of colonization, but no detectable gastric pathology. Conversely, infection of B cell-deficient μMT mice resulted in severe gastric alterations identical with those seen in immunocompetent C57BL/6-infected mice, including gastric mucosal hyperplasia and intestinal metaplasia. These results demonstrate that the host T cell response is a critical mediator of Helicobacter-associated gastric pathology, and that B cells and their secreted Abs are not the effectors of the immune-mediated gastric pathology seen after H. felis infection. These results indicate that in addition to specific Helicobacter virulence factors, the host immune response is an important determinant of Helicobacter-associated disease.

Bibliography

Roth, K. A., Kapadia, S. B., Martin, S. M., & Lorenz, R. G. (1999). Cellular Immune Responses Are Essential for the Development of Helicobacter felis-Associated Gastric Pathology. The Journal of Immunology, 163(3), 1490–1497.

Authors 4
  1. Kevin A. Roth (first)
  2. Sharookh B. Kapadia (additional)
  3. Steven M. Martin (additional)
  4. Robin G. Lorenz (additional)
References 51 Referenced 147
  1. Marshall, B. J., J. A. Armstrong, D. B. McGechie, R. J. Glancy. 1985. Attempt to fulfil Koch’s postulates for pyloric campylobacter. Med. J. Aust. 142: 436 (10.5694/j.1326-5377.1985.tb113443.x)
  2. Marshall, B. J., D. B. McGechie, P. A. Rogers, R. J. Glancy. 1985. Pyloric campylobacter infection and gastroduodenal disease. Med. J. Aust. 142: 439 (10.5694/j.1326-5377.1985.tb113444.x)
  3. Cover, T. L., M. J. Blaser. 1995. Helicobacter pylori: a bacterial cause of gastritis, peptic ulcer disease, and gastric cancer. ASM News 61: 21
  4. Veldhuyzen van Zanten, S. J. O., P. M. Sherman. 1994. Helicobacter pylori infection as a cause of gastritis, duodenal ulcer, gastric cancer and nonulcer dyspepsia: a systematic overview. Can. Med. Assoc. J. 150: 177
  5. Dixon, M. F.. 1995. Histological responses to Helicobacter pylori infection: gastritis, atrophy and preneoplasia. Bailliere’s Clin. Gastroenterol. 9: 467 (10.1016/0950-3528(95)90043-8)
  6. Covacci, A., S. Falkow, D. E. Berg, R. Rappuoli. 1997. Did the inheritance of a pathogenicity island modify the virulence of Helicobacter pylori. Trends Microbiol. 5: 205 (10.1016/S0966-842X(97)01035-4)
  7. Matsukura, N., M. Onda, S. Kato, H. Hasegawa, K.-I. Okawa, T. Shirakawa, A. Tokunaga, K. Yamashita, A. Hayashi. 1997. Cytotoxin genes of Helicobacter pylori in chronic gastritis, gastroduodenal ulcer and gastric cancer: an age and gender matched case-control study. Jpn. J. Cancer Res. 88: 532 (10.1111/j.1349-7006.1997.tb00415.x)
  8. de Jong, D., R. W. M. van der Hulst, G. Pals, W. C. van Dijk, A. van der Ende, G. N. J. Tytgat, B. G. Taal, H. Boot. 1996. Gastric non-Hodgkin lymphomas of mucosa-associated lymphoid tissue are not associated with more aggressive Helicobacter pylori strains as identified by CagA. Am. J. Clin. Pathol. 106: 670 (10.1093/ajcp/106.5.670)
  9. Fox, J. G., M. Blanco, J. C. Murphy, N. S. Taylor, A. Lee, Z. Zabok, J. Pappo. 1993. Local and systemic immune responses in murine Helicobacter felis active chronic gastritis. Infect. Immun. 61: 2309 (10.1128/iai.61.6.2309-2315.1993)
  10. Ernst, P. B., Y. Jin, V. E. Reyes, S. E. Crowe. 1994. The role of the local immune response in the pathogenesis of peptic ulcer formation. Scand. J. Gastroenterol. 29: (Suppl. 205):22 (10.3109/00365529409091405)
  11. Blanchard, T. G., S. J. Czinn, J. G. Nedrud, R. W. Redline. 1995. Helicobacter-associated gastritis in SCID mice. Infect. Immun. 63: 1113 (10.1128/iai.63.3.1113-1115.1995)
  12. Sakagami, T., M. Dixon, J. O’Rourke, R. Howlett, F. Alderuccio, J. Vella, T. Shimoyama, A. Lee. 1996. Atrophic gastric changes in both Helicobacter felis and Helicobacter pylori infected mice are host dependent and separate from antral gastritis. Gut 39: 639 (10.1136/gut.39.5.639)
  13. Mohammadi, M., R. Redline, J. Nedrud, S. Czinn. 1996. Role of the host in pathogenesis of Helicobacter-associated gastritis: H. felis infection of inbred and congenic mouse strains. Infect. Immun. 64: 238 (10.1128/iai.64.1.238-245.1996)
  14. Lee, A., J. O’Rourke, M. Corazon de Ungria, B. Robertson, G. Daskalopoulos, M. F. Dixon. 1997. A standardized mouse model of Helicobacter pylori infection: introducing the Sydney strain. Gastroenterology 112: 1386 (10.1016/S0016-5085(97)70155-0)
  15. Ferrero, R. L., J. M. Thiberge, M. Huerre, A. Labigne. 1998. Immune responses of specific-pathogen-free mice to chronic Helicobacter pylori (strain SS1) infection. Infect. Immun. 66: 1349 (10.1128/IAI.66.4.1349-1355.1998)
  16. Pappo, J., W. D. Thomas, Z. Zabok, N. S. Taylor, J. C. Murphy, J. G. Fox. 1995. Effect of oral immunization with recombinant urease on murine Helicobacter felis gastritis. Infect. Immun. 63: 1246 (10.1128/iai.63.4.1246-1252.1995)
  17. Fox, J. G., X. Li, R. J. Cahill, K. Andrutis, A. K. Rustgi, R. Odze, T. C. Wang. 1996. Hypertrophic gastropathy in Helicobacter felis-infected wild-type C57BL/6 mice and p53 hemizygous transgenic mice. Gastroenterology 110: 155 (10.1053/gast.1996.v110.pm8536852)
  18. Xiang, Z., S. Censini, P. F. Bayeli, J. L. Telford, N. Figura, R. Rappuoli, A. Covacci. 1995. Analysis of expression of CagA and VacA virulence factors in 43 strains of Helicobacter pylori reveals that clinical isolates can be divided into two major types and that CagA is not necessary for expression of the vacuolating cytotoxin. Infect. Immun. 63: 94 (10.1128/iai.63.1.94-98.1995)
  19. Chwalinski, S., C. S. Potten, G. Evans. 1988. Double labeling with bromodeoxyuridine and [3H]thymidine of proliferative cells in small intestinal epithelium in steady state and after irradiation. Cell Tissue Res. 21: 317 (10.1111/j.1365-2184.1988.tb00790.x)
  20. Ermak, T. H., R. Ding, B. Ekstein, J. Hill, G. A. Myers, C. K. Lee, J. Pappo, H. K. Kleanthous, T. P. Monath. 1997. Gastritis in urease-immunized mice after Helicobacter felis challenge may be due to residual bacteria. Gastroenterology 113: 1118 (10.1053/gast.1997.v113.pm9322506)
  21. Cohn, S. M., M. W. Lieberman. 1984. The use of antibodies to 5-bromo-2′-deoxyuridine for the isolation of DNA sequences containing excision-repair sites. J. Biol. Chem. 259: 12456 (10.1016/S0021-9258(18)90768-4)
  22. Cohn, S. M., T. C. Simon, K. A. Roth, E. H. Birkenmeier, J. I. Gordon. 1992. Use of transgenic mice to map cis-acting elements in the intestinal fatty acid binding protein gene (Fabpi) that control its cell lineage-specific and regional patterns of expression along the duodenal-colonic and crypt-villus axes of the gut epithelium. J. Cell Biol. 119: 27 (10.1083/jcb.119.1.27)
  23. Lorenz, R. G., J. I. Gordon. 1993. Use of transgenic mice to study regulation of gene expression in the parietal cell lineage of gastric units. J. Biol. Chem. 268: 26559 (10.1016/S0021-9258(19)74349-X)
  24. Falk, P., K. A. Roth, J. I. Gordon. 1994. Lectins are sensitive tools for defining the differentiation programs of mouse gut epithelial cell lineages. Am. J. Physiol. 266: G987 (10.1152/ajpgi.1994.266.6.G987)
  25. Falk, P., R. G. Lorenz, N. Sharon, J. I. Gordon. 1995. Moluccella laevis lectin, a marker for cellular differentiation programs in mouse gut epithelium. Am. J. Physiol. 268: G553 (10.1152/ajpgi.1995.268.4.G553)
  26. Hermiston, M. L., C. B. Latham, J. I. Gordon, K. A. Roth. 1992. Simultaneous localization of six antigens in a single section of transgenic mouse intestine using a combination of light and fluorescence microscopy. J. Histochem. Cytochem. 40: 1283 (10.1177/40.9.1506665)
  27. Lee, E. Y., B. Seetharam, D. H. Alpers, K. DeSchryver-Kecskemeti. 1989. Immunohistochemical survey of cobalamin-binding proteins. Gastroenterology 97: 1171 (10.1016/0016-5085(89)91687-9)
  28. Mombaerts, P., J. Iacomini, R. S. Johnson, K. Herrup, S. Tonegawa, V. E. Papaioannou. 1992. RAG-1-deficient mice have no mature B and T lymphocytes. Cell 68: 869 (10.1016/0092-8674(92)90030-G)
  29. Negrini, R., L. Lisato, I. Zanella, L. Cavazzini, S. Gullini, V. Villanacci, C. Poiesi, A. Albertini, S. Ghielmi. 1991. Helicobacter pylori infection induces antibodies cross-reacting with human gastric mucosa. Gastroenterology 101: 437 (10.1016/0016-5085(91)90023-E)
  30. Uibo, R., T. Vorobjova, K. Metskula, K. Kisand, T. Wadstrom, T. Kivik. 1995. Association of Helicobacter pylori and gastric autoimmunity: A population-based study. FEMS Immunol. Med. Microbiol. 11: 65 (10.1111/j.1574-695X.1995.tb00079.x)
  31. Faller, G., H. Steininger, M. Eck, J. Hensen, E. G. Hahn, T. Kirchner. 1996. Antigastric autoantibodies in Helicobacter pylori gastritis: prevalence, in-situ binding sites and clues for clinical relevance. Virchows Arch. 427: 483 (10.1007/BF00199508)
  32. Negrini, R., A. Savio, C. Poiesi, B. J. Appelmelk, F. Buffoli, A. Paterlini, P. Cesari, M. Graffeo, D. Vaira, G. Franzin. 1996. Antigenic mimicry between Helicobacter pylori and gastric mucosa in the pathogenesis of body atrophic gastritis. Gastroenterology 111: 655 (10.1053/gast.1996.v111.pm8780570)
  33. Appelmelk, B. J., G. Faller, D. Claeys, T. Kirchner, C. M. J. E. Vandenbroucke-Grauls. 1998. Bugs on trial: the case of Helicobacter pylori and autoimmunity. Immunol. Today 19: 296 (10.1016/S0167-5699(98)01281-X)
  34. Claeys, D., G. Faller, B. J. Appelmelk, R. Negrini, T. Kirchner. 1998. The gastric H+,K+-ATPase is a major autoantigen in chronic Helicobacter pylori gastritis with body mucosa atrophy. Gastroenterology 115: 340 (10.1016/S0016-5085(98)70200-8)
  35. Kitamura, D., J. Roes, R. Kuhn, K. Rajewsky. 1991. A B cell-deficient mouse by targeted disruption of the membrane exon of the immunoglobulin μ chain gene. Nature 350: 423 (10.1038/350423a0)
  36. Mombaerts, P., A. R. Clarke, M. A. Rudnicki, J. Iacomini, S. Itohara, J. J. Lafaille, L. Wang, Y. Ichikawa, R. Jaenisch, M. L. Hooper, S. Tonegawa. 1992. Mutations in T-cell antigen receptor genes α and β block thymocyte development at different stages. Nature 360: 225 (10.1038/360225a0)
  37. Mombaerts, P., E. Mizoguchi, M. J. Grusby, L. H. Glimcher, A. K. Bhan, S. Tonegawa. 1993. Spontaneous development of inflammatory bowel disease in T cell receptor mutant mice. Cell 75: 275 (10.1016/0092-8674(93)80069-Q)
  38. Itohara, S., P. Mombaerts, J. Lafaille, J. Iacomini, A. Nelson, A. R. Clarke, M. L. Hooper, A. Farr, S. Tonegawa. 1993. T cell receptor δ gene mutant mice: independent generation of αβ T cells and programmed rearrangements of γδ TCR genes. Cell 72: 337 (10.1016/0092-8674(93)90112-4)
  39. Correa, P.. 1992. Human gastric carcinogenesis: A multistep and multifactorial process: first American Cancer Society award lecture on cancer epidemiology and prevention. Cancer Res. 52: 6735
  40. Cahill, R. J., C. Kilgallen, S. Beattie, H. Hamilton, C. O’Morain. 1996. Gastric epithelial cell kinetics in the progression from normal mucosa to gastric carcinoma. Gut 38: 177 (10.1136/gut.38.2.177)
  41. Lynch, D. A. F., N. P. Mapstone, A. M. T. Clarke, G. M. Sobala, P. Jackson, L. Morrison, M. F. Dixon, P. Quirke, A. T. R. Axon. 1995. Cell proliferation in Helicobacter pylori associated gastritis and the effect of eradication therapy. Gut 36: 346 (10.1136/gut.36.3.346)
  42. Karam, S. M., C. P. Leblond. 1993. Dynamics of epithelial cells in the corpus of the mouse stomach. I. Identification of proliferative cell types and pinpointing of the stem cell. Anat. Rec. 236: 259 (10.1002/ar.1092360202)
  43. Watanabe, T., M. Tada, H. Nagai, S. Sasaki, M. Nakao. 1998. Helicobacter pylori infection induces gastric cancer in mongolian gerbils. Gastroenterology 115: 642 (10.1016/S0016-5085(98)70143-X)
  44. Guruge, J. L., P. G. Falk, R. G. Lorenz, M. Dans, H.-P. WIrth, M. J. Blaser, D. E. Berg, J. I. Gordon. 1998. Epithelial attachment alters the outcome of Helicobacter pylori infection. Proc. Natl. Acad. Sci. USA 95: 3925 (10.1073/pnas.95.7.3925)
  45. Edwards, P. D., J. Carrick, J. Turner, A. Lee, H. Mitchell, D. A. Cooper. 1991. Helicobacter pylori-associated gastritis is rare in AIDS: antibiotic effect or a consequence of immunodeficiency? Am. J. Gastroenterol. 86: 1761
  46. Bosma, M. J., G. C. Bosma, J. L. Owen. 1978. Prevention of immunoglobulin production by allotype-dependent T cells. Eur. J. Immunol. 8: 562 (10.1002/eji.1830080805)
  47. Gleeson, P. A., B.-H. Toh. 1991. Molecular targets in pernicious anaemia. Immunol. Today 12: 233 (10.1016/0167-5699(91)90036-S)
  48. Cover, T. L.. 1996. The vacuolating cytotoxin of Helicobacter pylori. Mol. Microbiol. 20: 241 (10.1111/j.1365-2958.1996.tb02612.x)
  49. Wagner, S., W. Beil, J. Westermann, R. P. H. Logan, C. T. Bock, C. Trautwein, J. S. Bleck, M. P. Manns. 1997. Regulation of gastric epithelial cell growth by Helicobacter pylori: evidence for a major role of apoptosis. Gastroenterology 113: 1836 (10.1016/S0016-5085(97)70003-9)
  50. Jones, N. L., P. T. Shannon, E. Cutz, H. Yeger, P. M. Sherman. 1997. Increase in proliferation and apoptosis of gastric epithelial cells early in the natural history of Helicobacter pylori infection. Am. J. Pathol. 151: 1695
  51. Yabuki, N., H. Sasano, M. Tobita, A. Imatani, T. Hoshi, K. Kato, S. Ohara, S. Asaki, T. Toyota, H. Nagura. 1997. Analysis of cell damage and proliferation in Helicobacter pylori-infected human gastric mucosa from patients with gastric adenocarcinoma. Am. J. Pathol. 151: 821
Dates
Type When
Created 2 years, 8 months ago (Dec. 31, 2022, 11:09 a.m.)
Deposited 8 months ago (Jan. 2, 2025, 11:48 a.m.)
Indexed 2 days, 3 hours ago (Sept. 3, 2025, 6:02 a.m.)
Issued 26 years, 1 month ago (Aug. 1, 1999)
Published 26 years, 1 month ago (Aug. 1, 1999)
Published Print 26 years, 1 month ago (Aug. 1, 1999)
Funders 0

None

@article{Roth_1999, title={Cellular Immune Responses Are Essential for the Development of Helicobacter felis-Associated Gastric Pathology}, volume={163}, ISSN={1550-6606}, url={http://dx.doi.org/10.4049/jimmunol.163.3.1490}, DOI={10.4049/jimmunol.163.3.1490}, number={3}, journal={The Journal of Immunology}, publisher={Oxford University Press (OUP)}, author={Roth, Kevin A. and Kapadia, Sharookh B. and Martin, Steven M. and Lorenz, Robin G.}, year={1999}, month=aug, pages={1490–1497} }