Abstract
It is an unavoidable, but intriguing, fact that chronic colonization of the stomach by Helicobacter pylori has no obvious deleterious consequences in most people. Approximately 10% of all infected individuals will develop a peptic ulcer, and half of those will commence a slow progression of pre-neoplastic changes that will ultimately lead to frank cancer in only a few.1 Why are certain individuals or populations predisposed to particular clinical outcomes after infection with H. pylori? The genetic background of the individual, the timing of first infection, environmental factors, and variations in the degree of bacterial pathogenicity all may contribute to the outcome of infection. One physiologic process that can be influenced by these variables is apoptosis, which when deregulated causes abnormal cell turnover, alterations in epithelial cell subpopulations, and changes in mucosal mass.
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References
Blaser M. J., and Parsonnet J. et al., 1994, Parasitism by the “slow” bacterium Helicobacter pylori leads to altered gastric homeostasis and neoplasia. J. Clin. Invest. 94:4–8
Zychlinsky A., and Sansonetti P. J. et al., 1997, Apoptosis as a proinflammatory event: What can we learn from bacteria-induced cell death? Trends in Microbiology 5:201–204
Anti M., Armuzzi A., Gasbarrini A., and Gasbarrini G. et al., 1998, Importance of changes in epithelial cell turnover during Helicobacter pylori infection in gastric carcinogenesis. Gut. 43 (suppl 1):S27–32
Shirin H., and Moss S. F. et al., 1998, Leading article: Helicobacter pylori-induced apoptosis. Gut. 43:592–594
Abdalla A. M., Krivosheyev V., Hanzely Z., Holt P. R., Perez-Perez G. I., Blaser M. J., and Moss S. F. et al., 1998, Increased epithelial cell turnover in antrum and corpus of H. pylori-infected stomach, irrespective of GagA status. Gastroenterology 114:A50
Peek R. M., Moss S. F., Tham K. T., Perez-Perez G. I., Miller G. G., Atherton J. C., Holt P. R., and Blaser M.J. et al., 1997, Helicobacter pylori cagA+ strains and dissociation of gastric epithelial proliferation from apoptosis. J. Natl. Cancer Inst. 89:863–868
Rokkas T., Ladas S., Liatsos G., Petridou E., Papatheodorou G., Theocharis S., Karameris A., and Raptis S. et al., 1999, Relationship of Helicobacter pylori CagA status to gastric cell proliferation and apoptosis. Dig. Dis. Sci. 44: 487–493
Rudi J., Kuck D., Strand S., von Herbay A., Mariani S. M., Krammer P. H., Galle P. R., and Stremmel W. et al., 1998, Involvement of the GD95 (APO-1/Fas) receptor and ligand system in Helicobacter pylori-induced gastric epithelial apoptosis. J. Clin. Invest. 102:1506–1514
Houghton J., Korah R. M., Condon M. R., and Kim K. H. et al., 1999, Apoptosis in Helicobacter pylori-associated gastric and duodenal ulcer disease is mediated via the Fas antigen pathway Dig. Dis. Sci. 44:465–478
Steininger H., Faller G., Dewald E., Brabletz T., Jung A., and Kirchner T. et al., 1998, Apoptosis in chronic gastritis and its correlation with antigastric autoantibodies, only Virchows. Arch. 433:13–18
Wang T. C., Goldenring J. R., Dangler C., Ito S., Mueller A., Jeon W. K., Koh T. J., and Fox J. G. et al, 1998, Mice lacking secretory phospholipase A2 show altered apoptosis and differentiation with Helicobacterfelis infection. Gastroenterology 114:675—689
Syder A. J., Guruge J. L., Li Q., Hu Y., Oleksiewicz C. M., Lorenz R. G., Karam S. M., Falk P. G., and Gordon J. I. et al., 1999, Helicobacter pylori attaches to NeuAc alpha 2,3Gal beta 1,4 glycoconjugates produced in the stomach of transgenic mice lacking parietal cells. Mol. Cell 3:263–274
Li H., Andersson E.-M., and Helander H. F. et al., 1999, Reactions from rat gastric mucosa during one year of Helicobacter pylori infection. Dig. Dis. Sci. 44:116–124
Peek R. M., Wirth H. P., Moss S. F., Yang M., Abdalla A. M., Tham K. T., Zhang T., Tang L. H., Modlin I. M., and Blaser M. J. et al., Helicobacter pylori alters gastric epithelial cell cycle events and gastrin secretion in Mongolian gerbils. Gastroenterology (in press).
Li M., Mellgard B., and Helander H. F. et al., 1997, Inoculation of VacA- and CagA-Helicobacter pylori delays gastric ulcer healing in the rat. Scand. J. Gastroenterol. 32:439–444
Piotrowski J., Piotrowski E., Skrodzka D., Slomiany A., and Slomiany B. L. et al., 1997, Induction of acute gastritis and epithelial cell apoptosis by Helicobacter pylori lipopolysaccharide. Scand. J. Gastroenterol. 32:203–211
Aliprantis A. O., Yang R.-B., Mark M. R., Suggett S., Devaux B., Radolf J. D., Klimpel G. R., Godowski P., and Zychlinsky A. et al., 1999, Cell activation and apoptosis by bacterial lipoproteins through Toll-like receptor-2. Science 285:736–739
Luo X.-L., Ramanujam K. S., Zhao H.-M., Moss S. F., Russell R. G., Drachenberg C. B., and Wilson K. T. et al., 1999, Protective role of GOX-2 in H. pylori gastritis. Gastroenterology 116:A767
Fox J. G., Li X., Cahill R. J., Andrutis K., Rustgi A. K., Odze R., and Wang T. G. et al., 1996, Hypertrophic gastropathy in Helicobacter felis-infected wild-type C57BL/6 mice and p53 hemizy-gous transgenic mice. Gastroenterology 110:155–166
Lozniewski A., Muhale F., Hatier R., Marais A., Conroy M. C., Edert D., le Faou A., Weber M., and Duprez A. et al., 1999, Human embryonic gastric xenografts in nude mice: a new model of Helicobacter pylori infection. Infect. Immun. 67:1798–1805
Crabtree J. E., Farmery S. M., Lindley I. J., Peichl P., and Tompkins D. S. et al., 1994, CagA/cytotoxic strains of Helicobacter pylori and interleukin-8 in gastric epithelial cell lines. J. Clin. Pathol. 47:945–950
Sharma S. A., Tummuru M. K. R., Miller G. G., and Blaser M. J. et al., 1995, Interleukin-8 response of gastric epithelial cell lines to Helicobacter pylori stimulation in vitro. Infect. Immun. 63:1681–1687
Ogura K., Takahashi M., Maeda S., Ikenoue T., Kanai F., Yoshida H., Shiratori Y., Mori K., Mafune K. I., and Ogata M. et al., 1998, Interleukin-8 production in primary cultures of human gastric epithelial cells induced by Helicobacter pylori. Dig. Dis. Sci. 43:2738–2743
Beales I. L., and Calam J. et al., 1997, Stimulation of IL-8 production in human gastric epithelial cells by Helicobacter pylori, IL-1 beta and TNF-alpha requires tyrosine kinase activity, but not protein kinase G. Cytokine 9:514–520
Aihara M., Tsuchimoto D., Takizawa H., Azuma A., Wakebe H., Ohmoto Y., Imagawa K., Kikuchi M., Mukaida N., and Matsushima K. et al., 1997, Mechanisms involved in Helicobacter pylori-induced interleukin-8 production by a gastric cancer cell line, MKN45. Infect. Immun. 65:3218–3224
Segal E. D., Lange G., Govacci A., Tompkins L. S., and Falkow S. et al., 1997, Induction of host signal transduction pathways by Helicobacter pylori. Proc. Natl. Acad. Sci. USA 94:7595–7599
Sharma S. A., Tummuru M. K., Blaser M. J., and Kerr L. D. et al., 1998, Activation of IL-8 gene expression by Helicobacter pylori is regulated by transcription factor nuclear kappa B in gastric epithelial cells. J. Immunol. 160:2401–2407
Terui Y., Tomizuka H., Mishima Y., Ikeda M., Kasahara T., Uwai M., Mori M., Itoh T., Tanaka M., Yamada M., Shimamura S., Ishizaka Y., Ozawa K., and Hatake K. et al., 1999, Cancer Res. 59:5651–5655
Chen G., Sordillo E. M., Ramey W. G., Reidy J., Holt P., Krajewski S., Reed J. C., Blaser M. J., and Moss S. F. et al., 1997, Apoptosis in gastric epithelial cells is induced by Helicobacter pylori and accompanied by increased expression of BAK. Biochem. Biophys. Res. Commun. 239:626–632
Tummuru M. K., Sharma S. A., and Blaser M. J. et al., 1995, Helicobacter pylori picB, a homologue of the Bordetella pertussis toxin secretion protein, is required for the induction of IL-8 in gastric epithelial cells. Mol. Microbiol. 18:867–876
Censini S., Lange C., Xiang Z., Crabtree J. E., Ghiara P., Borodovsky M., Rappuoli R., and Covacci A. et al., 1996, cag, a pathogenicity island of Helicobacter pylori, encodes type I-specific and disease-associated virulence factors. Proc. Natl. Acad. Sci. USA 93:14648–14653
Munzenmaier A., Lange G., Glocker E., Govacci A., Moran A., Bereswill S., Baeuerle P. A., Kist M., and Pahl H. L. et al., 1997, A secreted/shed product of Helicobacter pylori activates transcription factor nuclear factor kappa B. J. Immunol. 159:6140–6147
Keates S., Keates A. C., Warney M., Peek R. M., Murray P. G., and Kelly C. P. et al., 1999, Differential activation of mitogen-activated protein-kinases in AGS epithelial cells by cag+ and cag- Helicobacter pylori. J. Immunol. 163:5552–5559
Peek R. M., Blaser M. J., Mays D. J., Forsyth M. H., Cover T. L., Song S. Y., Krishnan U., and Pietenpol J. A. et al.,Helicobacter pylori strain-specific genotypes and modulation of the gastric epithelial cell cycle. Cancer Res. (in press)
Wagner S., Beil W., Westermann J., Logan R. P., Bock C. T., Trautwein C., Bleck J. S., and Manns M. P. et al., 1997, Regulation of gastric epithelial cell growth by Helicobacter pylori: evidence for a major role of apoptosis. Gastroenterology 113:1836–1847
Kimura M., Gotot S., Wada A., Yahiro K., Niidome T., Hatakeyama T., Aoyagi H., Hirayama T., and Kondo T et al., 1999, Vacuolating cytotoxin purified from Helicobacter pylori causes mitochondrial damage in human gastric cells. Microb. Pathog. 26:45–52
Pai R., Cover T. L., and Tarnawski A. S. et al., 1999, Helicobacter pylori vacuolating cytotoxin (VacA) disorganizes the cytoskeletal architecture of gastric epithelial cells. Biochem. Biophys. Res. Commun. 19:245–250
Papini E., Satin B., Norais N., deBernard M., Telford J. L., Rappuoli R., and Montecucco C. et al., 1998, Selective increase of the permeability of polarized epithelial cell monolayers by Helicobacter pylori vacuolating toxin. J. Clin. Invest. 102:813–820
Pellici V., Reyrat J. M., Sartori L., Pagliaccia C., Rappuoli R., Telford J. L., Montecucco C., and Papini E. et al., 1999, Helicobacter pylori VacA cytotoxin associated with the bacteria increases epithelial permeability independently of its vacuolating activity. Microbiology 145:2043–2050
Manetti R., Massari P., Marchetti M., Magagnoli C., Nuti S., Lupetti P., Ghiara P., Rappuoli R., and Telford J. L. et al, 1997, Detoxification of the Helicobacter pylori cytotoxin. Infect. Immun. 65:4615–4619
Shibata J., Goto H., Arisawa T., Niwa Y, Hayakawa T., Nakayama A., and Mori N. et al., 1999, Regulation of tumour necrosis factor (TNF) induced apoptosis by soluble TNF receptors in Helicobacter pylori infection. Gut. 45:24—31
Jones N. L., Day A. S., Jennings H. A., and Shernman P. M. et al.,1999, Helicobacter pylori induces gastric epithelial cell apoptosis in association with increased Fas receptor expression. Infect. Immun. 67:4237–4242
Fan X., Crowe S. F., Behar S., Gunasena H., Ye G., Haeberle H., Van Houten N., Gourley W. K., Ernst P. B., and Reyes V. E. et al., 1998, The effect of class II major histocompatibility complex expression on adherence of Helicobacter pylori and induction of apoptosis in gastric epithelial cells: A mechanism for T helper cell type-I mediated damage. J. Exp. Med. 187: 1659–1669
Konturek P. C., Pierzchalski P., Konturek S. J., Meixner H., Faller G., Kirchner T., and Hahn E. G. et al, 1999, Helicobacter pylori induces apoptosis in gastric mucosa through an upregulation of Bax expression in humans. Scand. J. Gastroenterol. 34:375–383
Wagner S., Mix H., Sobek-Koocked I., Obst B., Schmidt H., Bleck J., Kirchner G., Gokeb M., Manns M. P., and Beil W. et al., 1999, Activation of caspase-8 and -3 mediates apoptosis in gastric epithelial cells induced by Helicobacter pylori. Gastroenterology 116:347
Naumann M. Wessler S., Bartsch C., Wielans B., Covacci A., Haas R., and Meyer T F. et al., 1999, Activation of activator protein-1 and stress response kinases in epithelial cells colonized by Helicobacter pylori encoding the pathogenicity island. J. Biol. Chem. 274:31655–31662
Wisdom R., Johnson R. S., and Moore C. et al.,1999, c-Jun regulates cell cycle progression and apoptosis by distinct mechanisms. EMBO J. 18:188–197
Holtmann H., Winzen R., Holland P., Eickemeier S., Hoffman E., Wallack D., Malinin N. L., Cooper J. A., Resch K., and Kracht M. et al., 1999, Induction of Interleukin-8 synthesis integrates effects on transcription and mRNA degradation from at least three different cytokine- or stress-activated signal transduction pathways. Mol. Cell Biol. 19:6742–6753
Shirin H., Sordillo E. M., Oh S. H., Yamamoto H., Delohery T., Weinstein I. B., and Moss S. F. et al, 1999, Helicobacter pylori inhibits the G1 to S transition in AGS gastric epithelial cells. Cancer Res. 59:2277–2281
Knipp U., Birkholz S., Kaup W., and Opferkuch W. et al., 1996, Partial characterization of a cell proliferation inhibiting protein produced by Helicobacter pylori. Infect. Immun. 64:3491–3496
Shenker B. J., and Datar S. et al., 1995, Fusobacterium nucleatum inihibits T cell activation by arresting cells in the mid Gl phase of the cell cycle. Infect. Immun. 63:4830–4836
Shirin H., Sordillo E. M., Delohery T., Weinstein I. B., and Moss S. F et al., 1999, Reduced expression of the cyclin-dependent kinase inhibitor, p27kipl in subclones of AGS gastric epithelial cells resistant to H. jfry/on-induced apoptosis. Gastroenterology 116:A503
Lloyd R. V., Erikson L. A., Jin L., Kulig E., Qian X., Cheville J. C., and Scheithauer B. W. et al.,1999, p27kipl: A multifunctional cyclin-dependent kinase inhibitor with prognostic significance in human cancer. Am. J. Pathology 154:313–323
Fero M. L., Randel E., Gurley K. E., Roberts J. M., and Kemp C. J. et al., 1998, The murine gene p27kipl is haplo-insufficient for tumour suppression. Nature 396:177–180
Doig P., and Trust T. J. et al., 1997, The molecular basis for H. pylori adherence and colonization, in: The Immunobiology of H. pylori: From Pathogenesis to Prevention, PB Ernst, P Michetti, PD Smith, eds., Lippincott-Raven, Philadelphia
Ilver D., Arnqvist A., Ogren J., Frick I.-M., Kersulyte D., Incecik E. T, Berg D. E., Covacci A., Engstrand L., and Borens T. et al., 1998, Helicobacter pylori adhesin binding fucosylated histo-blood group antigens revealed by re tagging. Science 279:373–377
Ishida M., Gomyo Y., Ttaebe S., Ohfuji S., and Ito H. et al., 1996, Apoptosis in human gastric mucosa, chronic gastritis, dysplasia and carcinoma: analysis by terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling. Virchows. Arch. 428:229–235
Moss S. F., Valle J., Abdalla A. M., Wang S., Siurala M., and Sipponen P. et al., 1999, Gastric cellular turnover and the development of atrophy after 31 years of follow up: a case-control study. Am. J. Gastroenterology 94:2109–2114
Yabuki N., Sasano H., Tobita M., Imatani A., Hoshi T., Kato K., Ohara S., Asaki S., Toyota T., and Nagura H. et al., 1997, Analysis of cell damage and proliferation in Helicobacterpylori-mkcted human gastric mucosa from patients with gastric adenocarcinoma. Am. J. Pathol. 151:821–829
Lauwers G. Y., Scott G. V., and Karpeh M. S. et al., 1995, Immunohistochemical evaluation of bcl-2 protein expression in gastric adenocarcinomas. Cancer 75:2209–2213
Kondo Shinomura Y., Kanayama S., Higashimoto Y., Miyagawa J. L., Minami T., Kiyohara T., Zushi S., Kitamura S., Isozaki K., and Matsuzawa Y. et al., 1996, Over-expression of Bcl-XL gene in human gastric adenomas and carcinomas. Int. J. Cancer 68:727–730
Krajewska M., Fenoglio-Preiser C. M., Song K., Macdonald J. S., Stemmerman G., and Reed J. C. et al., 1996, Immunohistochemical analysis of the Bcl-2 family proteins in adenocarcinoma of the stomach. Am. J. Pathol. 149:1449–1457
Lu G.-D., Altieri D. C., and Tanigawa N. et al., 1998, Expression of a novel antiapoptosis gene, survivin, correlated with tumor cell apoptosis and p53 accumulation in gastric carcinomas. Cancer Res. 58:1808–1812
Bennett M. W., O’Connell J., O’SuUivan G. C., Roche D., Brady C., Kelly J., Collins J. K., and Shanahan F. et al., 1999, Expression of Fas ligand by human gastric adenocarcinomas: a potential mechanism of immune escape in stomach cancer. Gut. 44:156–162
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Sordillo, E.M., Moss, S.F. (2002). Apoptosis and the Pathogenesis of Helicobacter pylori—Related Disease. In: Yamamoto, Y., Friedman, H., Hoffman, P.S. (eds) Helicobacter pylori Infection and Immunity. Infectious Agents and Pathogenesis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0681-2_10
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