Abstract:Helicobacter hepaticus (H.h) is a zoonosis pathogen, its infection is closely related to its multi-system diseases. Hh-induced-diseases are associated with virulence factors. Among these factors, cytolethal distending toxin (CDT) has been mostly elucidated. It could not only arrest cell growth in G2/M phase of eukaryotic cell cycle, causing apoptosis, but also activate the nuclear factor-kappa B pathway, releasing cytokines, and initiate inflammatory response. The flagellin and the adhesion, DNA binding protein from starved cells (DPS), antioxidase and urease are helpful for H.h to colonize, grow and play pathogenic roles in intestinal tract. Virulence genes include a type Ⅵ secretion system (T6SS), it can release virulence proteins into the host, initiating immune response. In this review, the virulence factors of H.h and their pathogenic roles are described for further understanding of the potential pathogenic mechanism of H.h.
曹舒扬,于宁,冯洁,钱淼,孙靖谕,谢灵志,张泉. 肝螺杆菌致病机制的研究进展[J]. 中国人兽共患病学报, 2018, 34(6): 574-578.
CAO Shu-yang, YU Ning, FENG Jie, QIAN Miao, SUN Jing-yu, XIE Ling-zhi, ZHANG Quan. Research progress on the pathogenesis of Helicobacter hepaticus. Chinese Journal of Zoonoses, 2018, 34(6): 574-578.
[1] Falsafi T, Mahboubi M.Helicobacter hepaticus, a new pathogenic species of the Helicobacter genus: Similarities and differences with H.pylori[J].Iran J Microbiol, 2013, 5(3): 185-194. [2] Taylor NS, Xu S, Nambiar P, et al.Enterohepatic Helicobacter species are prevalent in mice from commercial and academic institutions in Asia, Europe, and North America[J].J Clin Microbiol, 2007, 45(7): 2166-2172. [3] Fox JG, Li X, Yan L, et al.Chronic proliferative hepatitis in A/JCr mice associated with persistent Helicobacter hepaticus infection: a model of helicobacter-induced carcinogenesis[J].Infect Immun, 1996, 64(5): 1548-1558. [4] Erdman SE, Poutahidis T, Tomczak M, et al.CD4+ CD25+ regulatory T lymphocytes inhibit microbially induced colon cancer in Rag2-deficient mice[J].Am J Pathol, 2003, 162(2): 691-702. [5] Fox JG, Tully JG, Paster BJ, et al.Helicobacter hepaticus sp.nov.,a microaerophilic bacterium isolated from livers and intestinal mucosal scrapings from mice[J].Clin Microbiol, 1994, 32(5): 1238-1245. [6] Fox JG, Ge Z, Whary MT, et al.Helicobacter hepaticus infection in mice: models for understanding lower bowel inflammation and cancer[J].Mucosal Immunol, 2011, 4(1): 22-30. [7] Cahill RJ, Foltz CJ, Fox JG, et al.Inflammatory bowel disease: an immunity-mediated condition triggered by bacterial infection with Helicobacter hepaticus[J].Infect Immun, 1997, 65(8): 3126-3131. [8] Hamada T, Yokota K, Ayada K, et al.Detection of Helicobacter hepaticus in human bile samples of patients with biliary disease[J].Helicobacter, 2009, 14(6): 545-551. [9] Murakami K, Takahashi R, Ono M, et al.Serodiagnosis of Helicobacter hepaticus infection in patients with liver and gastrointestinal diseases: western blot analysis and ELISA using a highly specific monoclonal antibody for H.hepaticus antigen[J].J Gastroenterol, 2011, 46(9): 1120-1126. [10] Pradhan SB, Dali S.Relation between gallbladder neoplasm and Helicobacter hepaticus infection[J].Kathmandu Univ Med J, 2004, 2(4): 331-335. [11] Rao VP, Poutahidis T, Fox JG, et al.Breast cancer: should gastrointestinal bacteria be on our radar screen[J].Cancer Res, 2007, 67(3): 847-850. [12] Andersen LP.New Helicobacter species in humans[J].Dig Dis, 2001, 19(2): 112-115. [13] Guerra L, Cortes-Bratti X, Guidi R, et al.The biology of the cytolethal distending toxins[J].Toxins (Basel), 2011, 3(3): 172-190. [14] Atreya I, Atreya R, Neurath MF.NF-kappaB in inflammatory bowel disease[J].J Intern Med, 2008, 263(6): 591-596. [15] Ge Z, Schauer DB, Fox JG.In vivo virulence properties of bacterial cytolethal-distending toxin[J].Cell Microbiol, 2008, 10(8): 1599-1607. [16] Smith JL, Bayles DO.The contribution of cytolethal distending toxin to bacterial pathogenesis[J].Crit Rev Microbiol, 2006, 32(4): 227-248. [17] Von Freeden-Jeffry U, Davidson N, Wiler R, et al.IL-7 deficiency prevents development of a non-T cell non-B cell-mediated colitis[J].J Immunol, 1998, 161(10): 5673-5680. [18] Tomczak MF, Erdman SE, Davidson A, et al.Inhibition of Helicobacter hepaticus-induced colitis by IL-10 requires the p50/p105 subunit of NF-kappa B[J].J Immunol, 2006, 177(10): 7332-7339. [19] Singh R, Leuratti C, Josyula S, et al.Lobe-specific increases in malondialdehyde DNA adduct formation in the livers of mice following infection with Helicobacter hepaticus[J].Carcinogenesis, 2001, 22(8): 1281-1287. [20] Mehta NS, Benoit S, Mysore JV, et al.Helicobacter hepaticus hydrogenase mutants are deficient in hydrogen-supported amino acid uptake and in causing liver lesions in A/J mice[J].Infect Immun, 2005, 73(9): 5311-5318. [21] Benoit SL, Zbell AL, Maier RJ.Nickel enzyme maturation in Helicobacter hepaticus: roles of accessory proteins in hydrogenase and urease activities[J].Microbiology, 2007, 153(Pt 11): 3748-3756. [22] Hong Y, Wang G, Maier RJ.Helicobacter hepaticus Dps protein plays an important role in protecting DNA from oxidative damage[J].Free Radic Res, 2006, 40(6): 597-605. [23] Ceci P, Ilari A, Falvo E, et al.The Dps protein of Agrobacterium tumefaciens does not bind to DNA but protects it toward oxidative cleavage: x-ray crystal structure, iron binding, and hydroxyl-radical scavenging properties[J].J Biol Chem, 2003, 278(22): 20319-20326. [24] Ge Z, Lee A, Whary MT, et al.Helicobacter hepaticus urease is not required for intestinal colonization but promotes hepatic inflammation in male A/JCr mice[J].Microb Pathog, 2008, 45(1): 18-24. [25] Mehta N, Benoit S, Maier RJ.Roles of conserved nucleotide-binding domains in accessory proteins, HypB and UreG, in the maturation of nickel-enzymes required for efficient Helicobacter pylori colonization[J].Microb Pathog, 2003, 35(5): 229-234. [26] Beckwith CS, McGee DJ, Mobley HL, et al.Cloning, expression, and catalytic activity of Helicobacter hepaticus urease[J].Infect Immun, 2001, 69(9): 5914-5920. [27] Belzer C, Stoof J, Beckwith CS, et al.Differential regulation of urease activity in Helicobacter hepaticus and Helicobacter pylori[J].Microbiology, 2005, 151(Pt 12): 3989-3995. [28] Sterzenbach T, Bartonickova L, Behrens W, et al.Role of the Helicobacter hepaticus flagellar sigma factor FliA in gene regulation and murine colonization[J].J Bacteriol, 2008, 190(19): 6398-6408. [29] Muller I, Medina-Selby A, Palacios JL, et al.Cloning and comparison of ten gene sequences of a Chilean H.pylori strain with other H.pylori strains revealed higher variability for VacA and CagA virulence factors[J].Biol Res, 2002, 35(1): 67-84. [30] Suerbaum S, Josenhans C, Sterzenbach T, et al.The complete genome sequence of the carcinogenic bacterium Helicobacter hepaticus[J].Proc Natl Acad Sci U S A, 2003, 100(13): 7901-7906. [31] Foster TJ, Hook M.Surface protein adhesins of Staphylococcus aureus[J].Trends Microbiol, 1998, 6(12): 484-488. [32] Alm RA, Bina J, Andrews BM, et al.Comparative genomics of Helicobacter pylori: analysis of the outer membrane protein families[J].Infect Immun, 2000, 68(7): 4155-4168. [33] Zhang J, Qian J, Zhang X, et al.Outer membrane inflammatory protein A, a new virulence factor involved in the pathogenesis of Helicobacter pylori[J].Mol Biol Rep, 2014, 41(12): 7807-7814. [34] Hynes SO, Ferris JA, Szponar B, et al.Comparative chemical and biological characterization of the lipopolysaccharides of gastric and enterohepatic helicobacters[J].Helicobacter, 2004, 9(4): 313-323. [35] Beutler B.Tlr4: central component of the sole mammalian LPS sensor[J].Curr Opin Immunol, 2000, 12(1): 20-26. [36] Boutin SR, Shen Z, Rogers AB, et al.Different Helicobacter hepaticus strains with variable genomic content induce various degrees of hepatitis[J].Infect Immun, 2005, 73(12): 8449-8452. [37] Ge Z, Sterzenbach T, Whary MT, et al.Helicobacter hepaticus HHGI1 is a pathogenicity island associated with typhlocolitis in B6.129-IL10 tm1Cgn mice[J].Microbes Infect, 2008, 10(7): 726-733. [38] Chow J, Mazmanian SK.A pathobiont of the microbiota balances host colonization and intestinal inflammation[J].Cell Host Microbe, 2010, 7(4): 265-276. [39] Basler M, Pilhofer M, Henderson GP, et al.Type VI secretion requires a dynamic contractile phage tail-like structure[J].Nature, 2012, 483(7388): 182-186. [40] Jani AJ, Cotter PA.Type VI secretion: not just for pathogenesis anymore[J].Cell Host Microbe, 2010, 8(1): 2-6. [41] Pukatzki S, Ma AT, Sturtevant D, et al.Identification of a conserved bacterial protein secretion system in Vibrio cholerae using the Dictyostelium host model system[J].Proc Natl Acad Sci U S A, 2006, 103(5): 1528-1533.