The Journal of Experimental Medicine
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Published online 1 May 2000.
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© The Rockefeller University Press, 0022-1007/2000/5/1467/ $5.00
The Journal of Experimental Medicine, Volume 191, Number 9, May 1, 2000 1467-1476


Original Article

The Neutrophil-Activating Protein (Hp-Nap) of Helicobacter pylori Is a Protective Antigen and a Major Virulence Factor

Barbara Satina, Giuseppe Del Giudiceb, Vittorina Della Biancac, Stefano Dusic, Carlo Laudannac, Fiorella Tonelloa, Dermot Kelleherd, Rino Rappuolib, Cesare Montecuccoa, and Filippo Rossic

a Centro Consiglio Nazionale Ricerche Biomembrane and Dipartimento di Scienze Biomediche, Università di Padova, 35121 Padova, Italy
b Centro di Ricerche IRIS, Chiron Vaccines Sp.A., 53100 Siena, Italy
c Dipartimento di Patologia Generale, Università di Verona, 37134 Verona, Italy
d Department of Clinical Medicine, Trinity College, Dublin 8, Ireland
Dipartimento di Scienze Biomediche, via G. Colombo n. 3, 35121 Padova, Italy.39-049-827604939-049-8276058

cesare{at}civ.bio.unipd.it

Helicobacter pylori infection induces the appearance of inflammatory infiltrates, consisting mainly of neutrophils and monocytes, in the human gastric mucosa. A bacterial protein with neutrophil activating activity (HP-NAP) has been previously identified, but its role in infection and immune response is still largely unknown. Here, we show that vaccination of mice with HP-NAP induces protection against H. pylori challenge, and that the majority of infected patients produce antibodies specific for HP-NAP, suggesting an important role of this factor in immunity. We also show that HP-NAP is chemotactic for human leukocytes and that it activates their NADPH oxidase to produce reactive oxygen intermediates, as demonstrated by the translocation of its cytosolic subunits to the plasma membrane, and by the lack of activity on chronic granulomatous disease leukocytes. This stimulating effect is strongly potentiated by tumor necrosis factor {alpha} and interferon {gamma} and is mediated by a rapid increase of the cytosolic calcium concentration. The activation of leukocytes induced by HP-NAP is completely inhibited by pertussis toxin, wortmannin, and PP1. On the basis of these results, we conclude that HP-NAP is a virulence factor important for the H. pylori pathogenic effects at the site of infection and a candidate antigen for vaccine development.

Key Words: neutrophils • monocytes • NADPH oxidase • chemotaxis • Helicobacter


Abbreviations used in this paper: [Ca2+]i, intracellular Ca2+ concentration; CGD, chronic granulomatous disease; DPI, diphenyleneiodonium chloride; HP-NAP, Helicobacter pylori neutrophil-activating protein; HRP, horseradish peroxidase; NBT, nitroblue tetrazolium; PI3-K, phosphatidylinositol 3-kinase; PLC, phospholipase C; ROI, reactive oxygen intermediates.

© 2000 The Rockefeller University Press


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