Insights into bacterium-host interactions and genome evolution can emerge from comparisons among related species. Here we studied Helicobacter acinonychis (formerly H. acinonyx), a species closely related to the human gastric pathogen Helicobacter pylori. Two groups of strains were identified by randomly amplified polymorphic DNA fingerprinting and gene sequencing: one group from six cheetahs in a U.S. zoo and two lions in a European circus, and the other group from a tiger and a lion-tiger hybrid in the same circus. PCR and DNA sequencing showed that each strain lacked the cag pathogenicity island and contained a degenerate vacuolating cytotoxin (vacA) gene. Analyses of nine other genes (glmM, recA, hp519, glr, cysS, ppa, flaB, flaA, and atpA) revealed a ϳ2% base substitution difference, on average, between the two H. acinonychis groups and a ϳ8% difference between these genes and their homologs in H. pylori reference strains such as 26695. H. acinonychis derivatives that could chronically infect mice were selected and were found to be capable of persistent mixed infection with certain H. pylori strains. Several variants, due variously to recombination or new mutation, were found after 2 months of mixed infection. H. acinonychis ' modest genetic distance from H. pylori, its ability to infect mice, and its ability to coexist and recombine with certain H. pylori strains in vivo should be useful in studies of Helicobacter infection and virulence mechanisms and studies of genome evolution.Functional and sequence comparisons among related bacterial strains and species can provide insights into evolutionary mechanisms and help identify factors that contribute to the virulence of pathogens (37, 51). Here we report studies of strains of Helicobacter acinonychis (formerly H. acinonyx), which chronically infects the gastric mucosa of cheetahs and other big cats and that, based on 16S rRNA sequence data, seems to be the most closely related of known helicobacters to the human gastric pathogen Helicobacter pylori (12,13,45). Chronic infection of cheetahs by H. acinonyx is thought to contribute to the development of severe gastritis, a frequent cause of their death in captivity (12,35).H. pylori itself is a most genetically diverse species: independent clinical isolates are usually distinguishable by DNA fingerprinting (4) and typically differ from one another by some 2% or more in sequences of essential housekeeping genes and 5% or more in gene content (1,3,5,43). This diversity probably stems from a combination of factors, including (i) mutation (50); (ii) recombination between divergent strains and species (1,5,16,46,47); (iii) selection for host-specific adaptation during chronic infection, which reflects differences between people and also within individual stomachs in traits that can be important to H. pylori (2,11,25,33); and (iv) a highly localized (preferentially intrafamilial) pattern of transmission (22, 38), which promotes genetic drift and minimizes the chance of selection for just one or a few potentially most...