BackgroundMajor human gastrointestinal pathogen Helicobacter pylori (H. pylori) colonizes the gastric mucosa causing inflammation and severe complications including cancer, but the involvement of fibroblasts in the pathogenesis of these disorders in H. pyloriâinfected stomach has been little studied. Normal stroma contains few fibroblasts, especially myofibroblasts. Their number rapidly increases in the reactive stroma surrounding inflammatory region and neoplastic tissue; however, the interaction between H. pylori and fibroblasts remains unknown. We determined the effect of coincubation of normal rat gastric fibroblasts with alive H. pylori (cagA+vacA+) and H. pylori (cagAâvacAâ) strains on the differentiation of these fibroblasts into cells possessing characteristics of cancerâassociated fibroblasts (CAFs) able to induce epithelialâmesenchymal transition (EMT) of normal rat gastric epithelial cells (RGMâ1).Materials and MethodsThe panel of CAFs markers mRNA was analyzed in H. pylori (cagA+vacA+)âinfected fibroblasts by RTâPCR. After insert coculture of differentiated fibroblasts with RGMâ1 cells from 24 up to 48, 72, and 96 hours, the mRNA expression for EMTâassociated genes was analyzed by RTâPCR.ResultsThe mRNA expression for CAFs markers was significantly increased after 72 hours of infection with H. pylori (cagA+vacA+) but not H. pylori (cagAâvacAâ) strain. Following coculture with CAFs, RGMâ1 cells showed significant decrease in Eâcadherin mRNA, and the parallel increase in the expression of Twist and Snail transcription factors mRNA was observed along with the overexpression of mRNAs for TGFÎČR, HGFR, FGFR, Nâcadherin, vimentin, αâSMA, VEGF, and integrinâÎČ1.Conclusion
Helicobacter pylori (cagA+vacA+) strain induces differentiation of normal fibroblasts into CAFs, likely to initiate the EMT process in RGMâ1 epithelial cell line.