Skip to main content

Vaccines for the treatment and prevention of Helicobacter pylori infection

  • Chapter
Helicobacter pylori

Abstract

An immunological approach or a vaccine approach to clear chronic Helicobacter pylori infection was initially rejected by many investigators and clinicians, based on the observation that natural immunity was unable to cure or prevent Helicobacter infection and chronic atrophic gastritis. Recent animal studies, however, have established that immunization with Helicobacter whole cell extracts or purified components is efficient for the prevention of infection, and more importantly for the treatment of pre-existing infections. Therefore there is now considerable interest in the design of Helicobacter vaccines, which represent a promising alternative to conventional therapies, in which bad compliance and antibiotic resistance represent serious drawbacks1.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Megraud F. Rationale for the choice of antibiotics for the eradication of Helicobacter pylori. Eur J Gastroenterol Hepatol. 1995;7(Suppl. 1):S49.

    PubMed  Google Scholar 

  2. Engstrand L. Potential animal models for Helicobacter pylori infection in immunological and vaccine research. FEMS Immunol Med Microbiol. 1995; 10:265.

    Article  PubMed  CAS  Google Scholar 

  3. Lee A, Fox JG, Otto G, Murphy J. A small animal model of human Helicobacter pylori active chronic gastritis. Gastroenterology. 1990;99:1315.

    PubMed  CAS  Google Scholar 

  4. Fox JG, Otto G, Murphy HC, Taylor NS, Lee A. Gastric colonization of the ferret with Helicobacter species: natural and experimental infections. Rev Infect Dis. 1991;13(Suppl. 8P):S67.

    Article  Google Scholar 

  5. Fox JG, Lee A, Otto G, Taylor NS, Murphy JC. Helicobacter felis gastritis in gnotobiotic rats: an animal model of Helicobacter pylori gastritis. Infect Immun. 1991;59:785.

    PubMed  CAS  Google Scholar 

  6. Handt LK, Fox JG, Stalis IH et al. Characterization of feline Helicobacter pylori strains and associated gastritis in a colony of domestic cats. J Clin Microbiol. 1995;33:2280.

    Google Scholar 

  7. Dubois A, Fiala N, Heman-Ackah LM et al. Natural gastric infection with Helicobacter pylori in monkeys: a model for spiral bacteria infection in humans. Gastroenterology. 1994; 106:1405.

    PubMed  CAS  Google Scholar 

  8. Czinn SJ, Cai A, Nedrud JG. Protection of germ-free mice from infection by Helicobacter felis after active oral or passive IgA immunization. Vaccine. 1993; 11:637–42.

    Article  PubMed  CAS  Google Scholar 

  9. Chen M, Lee A, Hazell S. Immunization against gastric Helicobacter infection in a mouse/Helicobacter felis model [letter]. Lancet. 1992;339:1120.

    Article  PubMed  CAS  Google Scholar 

  10. Michetti P, Corthésy-Theulaz I, Davin C et al. Immunization of BALB/c mice against Helicobacter felis infection with Helicobacter pylori urease. Gastroenterology. 1994; 107:1002.

    PubMed  CAS  Google Scholar 

  11. Corthésy-Theulaz I, Porta N, Glauser M et al. Oral immunization with Helicobacter pylori urease as a treatment against Helicobacter infection. Gastroenterology. 1995; 109:115.

    Article  PubMed  Google Scholar 

  12. Ferrero RL, Thiberge JM, Kansau I, Wuscher N, Huerre M, Labigne A. The GroES homolog of Helicobacter pylori confers protective immunity against mucosal infection in mice. Proc Natl Acad Sci USA. 1995;92:6499.

    Article  PubMed  CAS  Google Scholar 

  13. Marchetti M, Arico B, Buyrroni D, Figura N, Rappuoli R, Ghiara P. Development of a mouse model of Helicobacter pylori infection that mimics human disease. Science. 1995;267:1655.

    Article  PubMed  CAS  Google Scholar 

  14. Lee A, Chen M. Successful immunization against gastric infection with Helicobacter species: use of a cholera toxin b-subunit-whole-cell vaccine. Infect Immun. 1994;62:3594.

    PubMed  CAS  Google Scholar 

  15. Doidge C, Crust I, Lee A, Buck F, Hazell S, Manne U. Therapeutic immunization against Helicobacter infection. Lancet. 1994;343:914.

    Article  PubMed  CAS  Google Scholar 

  16. Song W, Vaerman JP, Mostov KE. Dimeric and tetrameric IgA are transcytosed equally by the polymeric Ig receptor. Immunology. 1995; 155:715.

    CAS  Google Scholar 

  17. Appelmelk BJ, Simoons-Smit I, Negrini R et al. Potential role of molecular mimicry between Helicobacter pylori liposaccharide and host Lewis blood group antigens in autoimmunity. Infect Immun. 1996;64:2031–40.

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  19. Ferrero RL, Thiberge JM, Huerre M, Labigne A. Recombinant antigens prepared from the urease subunits of Helicobacter spp: evidence of protection in a mouse model of gastric infection. Infect Immun. 1994,62:4981.

    PubMed  CAS  Google Scholar 

  20. Lee CK, Weltzin R, Thomas WD et al. Oral immunization with recombinant Helicobacter pylori urease induces secretory IgA antibodies and protects mice from challenge with Helicobacter felis. J Infect Dis. 1995; 172:161.

    Article  PubMed  CAS  Google Scholar 

  21. Doré-Davin C, Michetti P, Saraga E, Blum AL, Corthésy-Theulaz I. 37kDa fragment of UreB is sufficient to confer protection against Helicobacter felis infection in mice. Gastroenterology. 1996;110:A97 (abstract).

    Google Scholar 

  22. Kreiss C, Buclin T, Cosma M, Corthésy-Theulaz I, Michetti P. Safety of oral immunization with recombinant urease in patients with Helicobacter pylori infection. Lancet. 1996;347:1630–1.

    Article  PubMed  CAS  Google Scholar 

  23. Telford JL, Ghiara P, Dell’Orco M et al. Gene structure of the Helicobacter pylori cytotoxin and evidence of its key role in gastric disease. J Exp Med. 1994; 179:1653.

    Article  PubMed  CAS  Google Scholar 

  24. Figura N, Guglielmetti P, Rossolini A et al. Cytotoxin production by Campylobacter pylori strains isolated from patients with peptic ulcers and from patients with chronic gastritis only. J Clin Microbiol. 1987;27:225.

    Google Scholar 

  25. Dunn BE, Roop RM, Sung CC, Sharma SA, Perez-Perez GI, Blaser MJ. Identification and purification of a cpn60 heat shock protein homolog from Helicobacter pylori. Infect Immun. 1992; 60:1946.

    PubMed  CAS  Google Scholar 

  26. Engstrand L, Scheynius A, Pahlson C. An increased number of gamma/delta T-cells and gastric epithelial cell expression of the GroEL stress-protein homologue in Helicobacter pylori-associated chronic gastritis of the antrum. Am J Gastroenterol. 1991;86:976.

    PubMed  CAS  Google Scholar 

  27. Keenan J, Allardyce AR, Bagshaw P. Helicobacter felis surface antigens serve as protective targets in orally immunized mice. Gut. 1995;37:A93 (abstract).

    Google Scholar 

  28. Odenbreit S, Till M, Haas R. Identification of a Helicobacter pylori specific protein involved in adherence to gastric epithelial cells. Gut. 1995;37:A1 (abstract).

    Google Scholar 

  29. Hopkins S, Kraehenbuhl JP, Schödel F et al. A recombinant Salmonella typhimurium vaccine induces local immunity by four different routes of immunization. Infect Immun. 1995;63:3279.

    PubMed  CAS  Google Scholar 

  30. Neutra MR, Pringault E, Kraehenbuhl JP. Antigen sampling across epithelial barriers and induction of mucosal immune responses. Annu Rev Immunol. 1996; 14:275.

    Article  PubMed  CAS  Google Scholar 

  31. Maric I, Holt PG, Perdue MH, Bienenstock J. Class II MHC antigen (la)-bearing dendritic cells in the epithelium of the rat intestine. Immunology. 1996; 1546:1408.

    Google Scholar 

  32. McWilliam AS, Nelson D, Thomas JA, Holt PG. Rapid dendritic cell recruitment is a hallmark of the acute inflammatory response at mucosal surfaces. J Exp Med. 1994; 179:1331.

    Article  PubMed  CAS  Google Scholar 

  33. Stolte M, Eidt S. Lymphoid follicles in antral mucosa: immune response to Campylobacter pylori. J Clin Pathol. 1989;42:1269.

    Article  PubMed  CAS  Google Scholar 

  34. Kernéis S, Bogdanova A, Kraehenbuhl JP, Pringault E. Peyer’s patch lymphocytes trigger the conversion of human enterocytes into M cells that transcytose inert particles. (Submitted).

    Google Scholar 

  35. Pappo J, Thomas WD, Kabok Z, Taylor NS, Murphy NS, Fox JG. Effect of oral immunization with recombinant urease on murine Helicobacter felis gastritis. Infect Immun. 1995;63:1246.

    PubMed  CAS  Google Scholar 

  36. Claeys D, Corthésy-Theulaz I, Gaudin M et al. Absence of H,K-ATPase serum autoantibodies in mice immunized against Helicobacter infection. Gastroenterology. 1995; 108:A797 (abstract).

    Article  Google Scholar 

  37. Batchelder M, Fox JG, Monath TP et al. Oral vaccination with recombinant urease reduces gastric Helicobacter pylori colonization in the cat. Gastroenterology. 1996;110:A58 (abstract).

    Article  Google Scholar 

  38. Cuenca R, Blanchard T, Lee CK et al. Therapeutic immunization against Helicobacter mustelae in naturally infected ferrets. Gastroenterology. 1995;108:A78 (abstract).

    Google Scholar 

  39. Holmgren J, Lycke N, Czerkinsky C. Cholera toxin and cholera B subunit as oral-mucosal adjuvant and antigen vector systems. Vaccine. 1993;11:1179.

    Article  PubMed  CAS  Google Scholar 

  40. Pizza M, Fontana MR, Giuliani MM et al. A genetically detoxified derivative of heat labile Escherichia coli enterotoxin induces neutralizing antibodies against the A subunit. J Exp Med. 1994; 180:2147.

    Google Scholar 

  41. di Tommaso A, Saletti G, Pizza M et al. Induction of antigen-specific antibodies in vaginal secretions by using a nontoxic mutant of heat-labile enterotoxin as a mucosal adjuvant. Infect Immun. 1996;64:974–9.

    PubMed  Google Scholar 

  42. Sun JB, Holmgarten J, Czerinsky C. Cholera toxin B subunit: an efficient transmucosal carrier-delivery system for induction of peripheral immunological tolerance. Proc Natl Acad Sci USA. 1994;91:10795.

    Article  PubMed  CAS  Google Scholar 

  43. Thomas JE, Austin S, Dale A et al. Protection by human milk IgA against Helicobacter pylori infection in infancy. Lancet. 1993;342:121 (letter).

    Google Scholar 

  44. Corthésy-Theulaz IB, Corthésy B, Bachmann D et al. Naked DNA immunization against Helicobacter infection. Gastroenterology. 1996;110:A889 (abstract).

    Google Scholar 

  45. Ramsay AJ, Husband AJ, Ramshaw IA et al. The role of interleukin-6 in mucosal IgA antibody responses in vivo. Science. 1994;264:561.

    Article  PubMed  CAS  Google Scholar 

  46. Locksley RM, Louis JA. Immunology of leishmaniasis. Curr Opin Immunol. 1992;4:413.

    Article  PubMed  CAS  Google Scholar 

  47. Nobentrauth N, Kropf P, Muller I. Susceptibility to leishmania major infection in interleukin-4-deficient mice. Science. 1996;271:987.

    Article  CAS  Google Scholar 

  48. Mohammadi M, Czinn S, Redline R, Nedrud J. Helicobacter-specific cell-mediated immune responses display a predominant Th1 phenotype and promote a delayed-type hypersensitivity in the stomachs of mice. J Immunol. 1996; 156:4729.

    PubMed  CAS  Google Scholar 

  49. Yan ZX, Reuss F, Meyer TF. Construction of an invertible DNA segment for improved antigen expression by a hybrid Salmonella vaccine strain. Res Microbiol. 1990; 141:1003.

    Article  PubMed  CAS  Google Scholar 

  50. Radcliffe FJ, Ramsay AJ, Lee A. Failure of immunization against Helicobacter infection in IL-4-deficient mice: evidence for a Th2 immune response as the basis for protective immunity. Gastroenterology. 1996; 110: (abstract).

    Google Scholar 

  51. Fan XJ, Chua A, Shahi CN, McDevitt J, Keeling PW, Kelleher D. Gastric T lymphocyte responses to Helicobacter pylori in patients with H. pylori colonization. Gut. 1994;35:1379.

    Article  PubMed  CAS  Google Scholar 

  52. Kleanthous H, Tibbits T, Bakios T et al. In vivo selection of a highly adapted Helicobacter pylori mouse model for studying vaccine efficacy and attenuating lesion. Gut. 1995;37:A94 (abstract).

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Kluwer Academic Publishers and Axcan Pharma

About this chapter

Cite this chapter

Corthésy-Theulaz, I., Blum, A.L., Kraehenbuhl, JP. (1996). Vaccines for the treatment and prevention of Helicobacter pylori infection. In: Hunt, R.H., Tytgat, G.N.J. (eds) Helicobacter pylori. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1792-7_18

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-1792-7_18

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-7299-1

  • Online ISBN: 978-94-009-1792-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics