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53 Cards in this Set

  • Front
  • Back
What is required for H. pylori colonization of the gastric mucosa?
Flagella
Urease: neutralize acidic pH of stomach
Adhesins: stick to epithelial cells
What does the chronic and limited inflammatory response cause?
Disrupts epitehlium
Induces tissue damage
What is VacA?
What does it do?
Vacuolating cytotoxin
-Encodes a secreted ptn that induces vacuole formation inf host epithelial cells
-Promotes apoptosis
How many different forms of vac A are there?
4 (m1/2, S1,2)
What do these 4 types result in?
Homologous recombination among vacA alleles from diffferent strains
What does type s1/m1 do?
Extensive vacuolation of many different cell types (not just epithelial cells)
-Most pathogenic form of vacA
What does type s1/m2 do?
Causes detectable vacuolation in a limited range of cells (mainly epithelial cells)
Why are vacA molec of s2 type inactive in asays for vacuolating cytotoxicity?
Have a 12 aa insertion in signal peptide
-> but can still contribute to the bacteria's virulence in vivo through additional activities
What is VacA synthesized as?
140 kDa protoxin
How is VacA transported in the periplasm?
Sec-dependent process
Cleavage of the signal peptide
Describe the autotransport activity (Type V secretion) of vacA
C-terminal autotransporter domain (B-barrel) inserts into the OM and exports the toxin outside of the bacterial cell (passenger domain passes through the B-barrel)
Proteolytic cleavage and release of mature toxin (not all autotransporters can self cleave, but this one can)
Where is the mid region located?
in the p55
What is the structure of p55 vacA?
B-helix structure
How many toxins is the VacA toxin made up of?
12 subunits (dodecamer)
-> 2 layers of 6 arms
p33 on the inner part of the arm, p55 on the outer part
What is the proposed mechanism of action of VacA?
VacA binds to sphingomyelin at the cell surface and is internalized
VacA forms ANION-selective channels in the mb of the late endosomes
-Get increased intraluminal [Cl-] (Cl- goes into the vacuole)
-vacuolar ATPase acitvity increases to compensate for influx of Cl- and there is an influx of H+
->Get reduction in intraluminal pH (more acidic)
-Mb permeant weak bases like Ammonia diffuse into the late endosomes and become proteated and trapped in these compartments
-Osmotic swelling of the compartments lears to cell vacuolation
What are other putative actions of vacA? (3)
1) vacA involved in adhesion (not secreted)
Interacts with receptors on host cells and causes proinflam signals
-> Causes cytokine secretion
2) Vac A gets to mitochondrial mb and alters it, releasing Cyt C
->causes cell apoptosis
3) Acts on T-cells, inhibits their proliferation
To do this, vacA has to go through 2 epithelial cell .: it must diss't
CagA disrupts the tight jcts , allowing vacA to pass through and act on T cells in the mucosa, where it inhibits their activation
Describe the cag pathogenicity island?
40 Kbp
30 genes
->12 genes encode a T4SS
What does the CagA gene encode?
146-kDa CagA ptn
How many effector ptns does H. pylori inject into the host through its T4SS?
only 1
CagA
(compared to in T3SS where 10-15 effector ptns are usuallt secreted)
What does the T4SS look like?
Pilus like structure
Crosses inner and outer mbs of bacteria
Inserts into host cell mb
Injects CagA into cytosol
What is a T3SS structurally similar to?
Flagellar apparatus
What is a T4SS structurally similar to?
Conjugative apparatus
Which species has both type 3 and 4 SS?
Bordetella bronch..
What secretion systems does H. pylori have?
Only T4SS
What SS does Salmonella have? Why?
2 T3SS's
1st: go through eppithelium, trigger invasion
2nd: once in macrophage, inject into cytoplasm from host vacuole , some ptns
What are the fcts of T4SS in:
E. coli?
Conjugative transfer of DNA
What is the fct of T4SS in Bordetella persussis?
Export of pertussis toxin (PT) in the extracellular env't
What is the fct of T4SS in H. pylori?
Inject virulence factor (CagA)
What is the fct of T4SS in Agrobacterium tumefaciens?
Transfer of Ti PLASMID DNa from the bacteria to the plant cell nucleus
What is the fct of T4SS in Rickettsia, Legionella and Brucella?
Delivery of effector moleculees to the cell cytoplasm or to the vacuolar mb
Describe the interaction btw CagA and Gastric epithelial cells
Translocated CagA ptn localizes to the inner surface of the plasma mb
CagA is then P on tyrosine residues by Src family tyrosine kinases
Where does the Src family P CagA?
EPIYA motif
What are the 4 EPIYA sites?
EPIYA-A/B/C/D
What form does CagA take in western H. pylori strains?
EPIYA -A and EPIYA-B, followed by 1-3 EPIYA Cs
What form does CagA take in eastern H. pylori strains?
Similar to western, except has only 1 EPIYA-D (not C's)
Which strain is more likely to cause disease?
Eastern strain
Causes greater activation of CagA
Higher incidence of gastric cancer
How does CagA activate SHP2?
P of CagA promotes its interaction with SH2 domains of the ptn tyrosine phosphatase SHP2
This causes conformation change in SHP2 that stimulates its phosphatase activity
What can activated SHP2 induce?
Activated SHP2 induces extracellular signal regulated kinase (ERK) through Ras-dependent and independent mechs
(works on kinase paths)
Which EPIYA has stronger SHP2 binding? C or D?
EPIYA-D
this is why it has a higher incidence of gastric cancer
What does SHP2 cause, as a result of CagA induced activation?
Abnormal mitogenic signalling
Hummingbird phenotype
Cell scattering
What is the hummingbird phenotype?
Cell elongation
Followed by cytoskeletal rearrangements
-> the more P, themore binding of SHP2, the more the hummingbird effect
What happens once CagA deregulates SHP2?
Induction of abnormal proliferation of gastric epithelial cells
->leads to gastric ulcers and eventually gastric carcinomas
How can H. pylori inhibit epithelial cell apoptosis?
CagA dependent manner
(VacA and CagA have opposing effects on host cell apoptosis)
What is required to transfer CagA into host cell?
CagL (ptn on the surface of the secretion apparatus)
Where does CagL bind?
Host cell integrins (a5B1)
What mediates this interaction?
RGD sequence on CagL
(this sequence specifically binds integrins)
What else can CagL do?
Stimulate integrin mediated signalling (ex: activation of FAK (focal adhesion kinase) and Src family)
Why is CagL important?
Ensure P of CagA and .: its activation
How is CagA transfered into host cells?
H. pylori synthesizes all the ptns needed to form T4SS
CagL secreted and interacts with the a5B1 ptn
CagA can then go in
-Whole process take ~90 min
What else can the T4SS inject into the host, other than CagA?
small pieces of p/g
(including the GM-meso-DAP rec'z by NOD1, the dipeptide in the p/g in G- bacteria)
What is the purpose of this?
Engagement of Nod1 leads to NF-kB activation and inflammation
Injecting p/g into the host cell keeps level of inflammation low
Can T3SS deliver PAMPs like this into the cytosol of the host?
Yes
Why does the bac want to keep only low levels of host inflam?
Low levels over many years leads to chronic inflammation