The human gastric pathogen Helicobacter pylori expresses several putative outer-membrane proteins (OMPs), but the role of individual OMPs in colonization of the stomach by H. pylori is still poorly understood. The role of four such OMPs (AlpA, AlpB, OipA and HopZ) in a guinea pig model of H. pylori infection has been investigated. Single alpA, alpB, hopZ and oipA isogenic mutants were constructed in the guinea pig-adapted, wild-type H. pylori strain GP15. Guinea pigs were inoculated intragastrically with the wild-type strain, single mutants or a mixture of the wild-type and a single mutant in a 1 : 1 ratio. Three weeks after infection, H. pylori could be isolated from stomach sections of all animals that were infected with the wild-type, the hopZ mutant or the oipA mutant, but from only five of nine (P ¼ 0 . 18) and one of seven (P ¼ 0 . 02) animals that were infected with the alpA or alpB mutants, respectively. The hopZ and oipA mutants colonized the majority of animals that were inoculated with the strain mixture, whereas alpA and alpB mutants could not be isolated from animals that were infected with the strain mixture (P , 0 . 01). Specific IgG antibody responses were observed in all animals that were infected with either the wild-type or a mutant, but IgG levels were lower in animals that were infected with either the alpA or the alpB mutants, compared to the wildtype strain (P , 0 . 05). In conclusion, absence of AlpA or AlpB is a serious disadvantage for colonization of the stomach by H. pylori.
INTRODUCTIONThe human pathogen Helicobacter pylori persistently colonizes the gastric mucosa of more than half of the world's population. Colonization by H. pylori always results in active gastritis and is associated with the development of peptic ulcer disease, gastric adenocarcinoma and mucosa-associated lymphoid tissue lymphoma (Kuipers, 1997). Several H. pylori factors are commonly believed to be required for efficient, lifelong colonization of the gastric mucosa, including urease activity (Eaton & Krakowka, 1994), motility by polar sheathed flagella (Eaton et al., 1996) and adherence to gastric epithelial cells (Hessey et al., 1990;Guruge et al., 1998;Yamaoka et al., 2002). Adherence to gastric epithelial cells protects H. pylori against peristalsis and mucosal shedding and warrants access to nutrients that are released from damaged epithelium.It appears that mucosal adhesion of H. pylori is associated directly with mucosal damage (Hessey et al., 1990;Guruge et al., 1998). Adhesion of H. pylori is mediated in part via specific adhesins, such as the sialyl Lewis x -binding protein SabA (Mahdavi et al., 2002) and the Lewis b blood group antigen-binding protein BabA (Boren et al., 1993;Ilver et al., 1998). However, the H. pylori genome also encodes several other outer-membrane proteins (OMPs) that have been associated with adhesion, including OipA, HopZ, AlpA and AlpB (Alm et al., 1999;Evans & Evans, 2000;Tomb et al., 1997). The role of these individual OMPs in adhesion of H. pylori is still relatively poorly un...