Skip to main content

The inflammatory activity in Helicobacter pylori infection is predominantly host-related

  • Chapter
  • 221 Accesses

Abstract

There are several examples that illustrate the principle that the host immune/inflammatory response is necessary for the manifestation of disease caused by infection (Table 1). For example, it is well recognized that some infections trigger autoimmune disease. While the microbe is the trigger, the host response is the bullet that leads to the actual disease. Others have shown that infection with Clostridium difficile causes enteritis but administration of antibodies that impair the homing of immune/inflammatory cells to the gut prevents the manifestation of diarrhoea1. Even the prototype for a microbial virulence factor, cholera toxin, cannot exert its pathogenic effect without an intact host response. Infection of mice deficient in stem cell factor or its receptor does not induce fluid accumulation in the intestinal lumen after administration of the cholera toxin2. Thus, the host response must often be considered an essential element of microbial pathogenicity.

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

Buying options

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

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Kelly CP, Becker S, Linevsky JK et al. Neutrophil recruitment in Clostridium difficile toxin A enteritis in the rabbit. J Clin Invest. 1994;93:1257–1265.

    Article  PubMed  CAS  Google Scholar 

  2. Klimpel GR, Chopra AK, Langley KE et al. A role for stem cell factor and c-kit in the murine intestinal tract secretory response to cholera toxin. J Exp Med. 1995;182:1931–1942.

    Article  PubMed  CAS  Google Scholar 

  3. Powrie F, Leach MW. Genetic and spontaneous models of inflammatory bowel disease in rodents: evidence for abnormalities in mucosal immune regulation. Ther Immunol. 1995;2:115–123.

    PubMed  CAS  Google Scholar 

  4. Kuhn R, Lohler J, Rennick D, Rajewsky K, Muller W. Interleukin-10-deficient mice develop chronic enterocolitis. Cell. 1993;75:263–274.

    Article  PubMed  CAS  Google Scholar 

  5. Mombaerts P, Mizoguchi E, Grusby MJ, Glimcher LH, Bhan AK, Tonegawa S. Spontaneous development of inflammatory bowel disease in T cell receptor mutant mice. Cell. 1993;75:275–282.

    Article  CAS  Google Scholar 

  6. Strober W, Ehrhardt RO. Chronic intestinal inflammation: an unexpected outcome in cytokine or T cell receptor mutant mice. Cell. 1993;75:203–205.

    Article  PubMed  CAS  Google Scholar 

  7. Spencer SD, Di Marco F, Hooley J et al. The orphan receptor CRF2-4 is an essential subunit of the interleukin 10 receptor. J Exp Med. 1998;187:571–578.

    Article  PubMed  CAS  Google Scholar 

  8. Wirtz S, Finotto S, Kanzler S et al. Chronic intestinal inflammation in STAT-4 transgenic mice: characterization of disease and adoptive transfer by TNF-plus IFN-gamma-producing CD4+ T cells that respond to bacterial antigens. J Immunol. 1999;162:1884–1888.

    PubMed  CAS  Google Scholar 

  9. Falkow S. What is a pathogen? ASM News. 1997:359–365.

    Google Scholar 

  10. Leunk RD, Johnson PT, David BC, Kraft WG, Morgan DR. Cytotoxic activity in broth-culture filtrates of Campylobacter pylori. J Med Microbiol. 1988;36:93–99.

    Article  Google Scholar 

  11. Atherton JC, Peek RM, Jr, Tham KT, Cover TL, Blaser MJ. Clinical and pathological importance of heterogeneity in vacA, the vacuolating cytotoxin gene of Helicobacter pylori. Gastroenterology. 1997;112:92–99.

    Article  PubMed  CAS  Google Scholar 

  12. Cover TL, Blaser MJ. Purification and characterization of the vacuolating toxin from Helicobacter pylori. J Biol Chem. 1992;267:10570–10575.

    PubMed  CAS  Google Scholar 

  13. Telford JL, Ghiara P, Dellorco M et al. Gene structure of the Helicobacter pylori cytotoxin and evidence of its key role in gastric disease. J Exp Med. 1994;179:1653–1658.

    Article  PubMed  CAS  Google Scholar 

  14. Xiang Z, Censini S, Bayeli PF et al. Analysis of expression of CagA and VacA virulence factors in 43 strains of Helicobacter pylori reveals that clinical isolates can be divided into two major types and that CagA is not necessary for expression of the vacuolating toxin. Infect Immun. 1995;63:9463–9498.

    Google Scholar 

  15. Blaser MJ, Perez-Perez GI, Kleanthous H et al. Infection with Helicobacter pylori strains possessing cagA is associated with an increased risk of developing adenocarcinoma of the stomach. Cancer Res. 1995;55:2111–2115.

    PubMed  CAS  Google Scholar 

  16. Hamlet A, Thoreson AC, Nilsson O, Svennerholm AM, Olbe L. Duodenal Helicobacter pylori infection differs in cagA genotype between asymptomatic subjects and patients with duodenal ulcers. Gastroenterology. 1999;116:259–268.

    Article  PubMed  CAS  Google Scholar 

  17. Yamaoka Y, Kodama T, Gutierrez O, Kim JG, Kashima K, Graham DY. Relationship between Helicobacter pylori iceA, cagA, and vacA status and clinical outcome: studies in four different countries. J Clin Microbiol. 1999;37:2274–2279.

    PubMed  CAS  Google Scholar 

  18. Van Doom L-J, Figueiredo C, Sanna R et al. Clinical relevance of the cagA, vacA and iceA status of Helicobacter pylori. Gastroenterology. 1998;115:58–66.

    Article  Google Scholar 

  19. Covacci A, Telford JL, Del Giudice G, Parsonnet J, Rappuoli R. Helicobacter pylori virulence and genetic geography. Science. 1999;284:1328–1333.

    Article  PubMed  CAS  Google Scholar 

  20. Graham DY. Helicobacter pylori infection in the pathogenesis of duodenal ulcer and gastric cancer: a model. Gastroenterology. 1997;113:1983–1991.

    Article  PubMed  CAS  Google Scholar 

  21. Ernst PB Michetti P, Smith PD. The Immunobiology of Helicobacter pylori. From Pathogenesis to Prevention. Philadelphia: Lippencott-Raven; 1997.

    Google Scholar 

  22. Wirth HP, Yang M, Peek RM, Jr, Tham KT, Blaser MJ. Helicobacter pylori Lewis expression is related to the host Lewis phenotype. Gastroenterology. 1997;113:1091–1098.

    Article  PubMed  CAS  Google Scholar 

  23. Ridgway WM, Weiner HL, Fathman CG. Regulation of autoimmune response. Curr Opin Immunol. 1994;6:946–955.

    Article  PubMed  CAS  Google Scholar 

  24. Peek RM, Jr, Miller GS, Tham KT et al. Heightened inflammatory response and cytokine expression in vivo to cagA 4-Helicobacter pylori strains. Lab Invest. 1995;73:760–770.

    PubMed  CAS  Google Scholar 

  25. Yamaoka Y, Kita M, Sawai N, Imanishi J. Helicobacter pylori cagA gene and expression of cytokine messenger RNA in gastric mucosa. Gastroenterology. 1996;110:1744–1752.

    Article  PubMed  CAS  Google Scholar 

  26. Yamaoka Y, Kita M, Kodama T, Sawai N, Kashima K, Imanishi J. Induction of various cytokines and development of severe mucosal inflammation by cagA gene positive Helicobacter pylori strains. Gut. 1997;41:442–451.

    Article  PubMed  CAS  Google Scholar 

  27. Xu-Amano BJ, Kiyono H, Jackson RJ et al. Helper T cell subsets for immunoglobulin A responses: oral immunization with tetanus toxoid and cholera toxin as adjuvant selectively induces Th2 cells in mucosa associated tissues. J Exp Med. 1993;178:1309–1320.

    Article  PubMed  CAS  Google Scholar 

  28. Kelso A. Thl and Th2 subsets: paradigms lost? Immunol Today. 1995;16:374–379.

    Article  PubMed  CAS  Google Scholar 

  29. Inobe J, Slavin AJ, Komagata Y, Chen Y, Liu L, Weiner HL. IL-4 is a differentiation factor for transforming growth factor-beta secreting Th3 cells and oral administration of IL-4 enhances oral tolerance in experimental allergic encephalomyelitis. Eur J Immunol. 1998;28:2780–2790.

    Article  PubMed  CAS  Google Scholar 

  30. Fukaura H, Kent SC, Pietrusewicz MJ, Khoury SJ, Weiner HL, Hafler DA. Induction of circulating myelin basic protein and proteolipid protein-specific transforming growth factor-beta 1-secreting Th3 T cells by oral administration of myelin in multiple sclerosis patients. J Clin Invest. 1996;98:70–77.

    Article  PubMed  CAS  Google Scholar 

  31. Groux H, O’Garra A, Bigler M et al. A CD4 + T-cell subset inhibits antigen-specific T-cell responses and prevents colitis. Nature. 1997;389:737–742.

    Article  PubMed  CAS  Google Scholar 

  32. Rath HC, Herfarth HH, Ikeda JS et al. Normal luminal bacteria, especially Bacteroides species, mediate chronic colitis, gastritis and arthritis in HLS-B27/human beta2 microglobulin transgenic rats. J Clin Invest. 1996;98:945–953.

    Article  PubMed  CAS  Google Scholar 

  33. Strober W. Animal models of inflammatory bowel disease — an overview. Dig Dis Sci. 1985;30:3–10S.

    Article  Google Scholar 

  34. Ernst PB, Gold B. The disease spectrum of H. pylori: the immunopathogenesis of gastroduo-denal ulcer and gastric cancer. Annu Rev Microbiol. 2000. (In press).

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Ernst, P.B. (2000). The inflammatory activity in Helicobacter pylori infection is predominantly host-related. In: Hunt, R.H., Tytgat, G.N.J. (eds) Helicobacter pylori. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3927-4_22

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-3927-4_22

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5753-0

  • Online ISBN: 978-94-011-3927-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics