4.7 Article

Helicobacter pylon-Induced TLR9 Activation and Injury Are Associated With the Virulence-Associated Adhesin HopQ

Journal

JOURNAL OF INFECTIOUS DISEASES
Volume 224, Issue 2, Pages 360-365

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/infdis/jiaa730

Keywords

Helicobacter pylori; gastric cancer; HopQ; TLR9; secretion systems

Funding

  1. National Institutes of Health [T32AI112541-02, R01CA077955, R01DK058587, P01CA116087, P30DK058404, R01AI118932]
  2. Department of Veterans Affairs [I01BX004447]

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Helicobacter pylori is the strongest risk factor for gastric adenocarcinoma. The hopQ adhesin allelic type of H. pylori is significantly associated with gastric injury, cag-T4SS function, and TLR9 activation. Genetic deletion of hopQ leads to decreased H. pylori-induced TLR9 activation, suggesting its role in H. pylori-mediated disease.
Helicobacter pylon is the strongest risk factor for gastric adenocarcinoma. The IL pylon cancer-associated cag pathogenicity island (cag-PAI) encodes a type IV secretion system (T4SS), which translocates microbial DNA and activates TLR9; however, most cag-PAI(+)-infected persons do not develop cancer and cag-PAI-independent regulators of pathogenesis, including strain-specific adhesins, remain understudied. We defined the relationships between H. pylon HopQ adhesin allelic type, gastric injury, and TLR9 activation. Type I hopQ alleles were significantly associated with magnitude of injury, cag-T4SS function, and TLR9 activation. Genetic deletion of hopQ significantly decreased H. pylon-induced TLR9 activation, implicating this adhesin in H. pylori-mediated disease.

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