CO 3؊ fixation activity, which was shown to be due to the isotope exchange reaction of pyruvate:flavodoxin oxidoreductase (EC 1.2.7.1), was present. The purified enzyme is composed of four subunits of 47, 36, 24, and 14 kDa. N-terminal sequence analysis showed that this enzyme is related to a recently recognized group of four-subunit pyruvate:ferredoxin oxidoreductases previously known only from hyperthermophiles. This enzyme from H. pylori was found to mediate the reduction of a number of artificial electron acceptors in addition to a flavodoxin isolated from H. pylori extracts, which is likely to be the in vivo electron acceptor. Indirect evidence that the enzyme is capable of in vitro reduction of the anti-H. pylori drug metronidazole was also obtained.Helicobacter pylori is a microaerophilic, gram-negative, motile, curved or spiral bacterium, isolated from the mucous layer overlying the human gastric epithelium (35,53). To date, eleven Helicobacter species have been isolated from a range of mammals (15,20,32). The organism is now accepted as the etiological agent for type B gastritis, and extensive evidence suggests a link with duodenal and gastric ulcer diseases (17,21,25,47,52). Individuals with long-term infections may also be at increased risk of developing gastric carcinoma (44).Enzyme activities identified in this bacterium include catalase, cytochrome oxidase, superoxide dismutase, and phospholipase, and it is a constitutive producer of a potent urease (18,23). Pathogenicity has been associated with adhesion to the gastric epithelium (7,24,43), urease production (36), a vacuolating cytotoxin (10,11,13), and the action of phospholipases (31). However, knowledge of the basic metabolism of H. pylori is meager. This organism exhibits limited glucose utilization (39, 41), but it is reported to contain pentose phosphate (38) and Entner-Douderoff pathways (8,42). Recently, utilization of glucose as a carbon and energy source in a defined medium has been shown (48). Active fumarate catabolism, generating malate and succinate from fumarate initially, followed by the formation of lactate, acetate, formate, and alanine, has been demonstrated (40). Suspensions of intact cells have been shown to generate lactate, ethanol, alanine, acetate, and CO 2 from pyruvate (8). This organism also requires elevated levels of CO 2 for growth, and it has been suggested that potent urease activity in part feeds this requirement (22). HCO 3 Ϫ is used in de novo synthesis of pyrimidines, but the demand for CO 2 considerably exceeds that of HCO 3 Ϫ . Gaseous CO 2 cannot be replaced by the addition of bicarbonate to the medium (22).Microorganisms exhibiting dependence on elevated CO 2 levels are termed capneic or capnophilic. Perhaps the best examples of pathogenic capnophiles are Neisseria spp. The enzymes known to be involved in CO 2 assimilation by Neisseria spp. are carbonic anhydrase (34) and phosphoenolpyruvate (PEP) carboxylase (12). Pyruvate carboxylase, PEP carboxykinase, and PEP carboxytransphosphorylase have not been dete...