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Helicobacter pylori adhesin HopQ engages in a virulence-enhancing interaction with human CEACAMs

An Erratum to this article was published on 07 November 2016

Abstract

Helicobacter pylori specifically colonizes the human gastric epithelium and is the major causative agent for ulcer disease and gastric cancer development. Here, we identify members of the carcinoembryonic antigen-related cell adhesion molecule (CEACAM) family as receptors of H. pylori and show that HopQ is the surface-exposed adhesin that specifically binds human CEACAM1, CEACAM3, CEACAM5 and CEACAM6. HopQ–CEACAM binding is glycan-independent and targeted to the N-domain. H. pylori binding induces CEACAM1-mediated signalling, and the HopQ–CEACAM1 interaction enables translocation of the virulence factor CagA into host cells and enhances the release of pro-inflammatory mediators such as interleukin-8. Based on the crystal structure of HopQ, we found that a β-hairpin insertion (HopQ-ID) in HopQ's extracellular 3+4 helix bundle domain is important for CEACAM binding. A peptide derived from this domain competitively inhibits HopQ-mediated activation of the Cag virulence pathway, as genetic or antibody-mediated abrogation of the HopQ function shows. Together, our data suggest the HopQ–CEACAM1 interaction to be a potentially promising novel therapeutic target to combat H. pylori-associated diseases.

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Figure 1: H. pylori employs the N-terminal domain of human CEACAM1 and binds CEACAM5 and CEACAM6 but not CEACAM8.
Figure 2: H. pylori binding to CEACAM1 orthologues.
Figure 3: H. pylori binds to various human CEACAMs via HopQ.
Figure 4: X-ray structure and binding properties of the HopQ adhesin domain (HopQAD).
Figure 5: Deletion of hopQ in H. pylori leads to reduced bacterial cell adhesion and abrogates CagA delivery, IL-8 release and cell elongation.
Figure 6: H. pylori colonization of rat stomach depends on HopQ.

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Acknowledgements

The authors thank J. Koch, J. Lind, B. Maranca-Hüwel and B. Gobs-Hevelke for technical support, C. Konrad and J. Fischer for support with rat experiments and M. Roskrow for discussions and revision of the manuscript. K.M. and H.R. acknowledge use of the Soleil synchrotron, Gif-sur-Yvette, France, under proposal 20,131,370 and support by VIB and the Flanders Science Foundation (FWO) through the Odysseus programme, a postdoctoral fellowship and Hercules funds UABR/09/005. This work was supported by the German Centre for Infection Research, partner site Munich, to M.G., by the BMBF GO-Bio Program to M.G., by the BMBF 01EO1002 to E.K., the Mercator Research Center Ruhr An2012-0070 to B.B.S., the German Science Foundation CRC-796 (B10) and CRC-1181 (A04) to S.B., and the Collaborative Research Center/Transregio 124, Project A5 to H.S.

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Contributions

A.J., T.K., K.M., A.D., C.I.A., N.T., B.K., N.C.B., A.S. and B.B.S. performed the experiments. S.A.S., D.J.H., R.M., B.B.S., R.H., V.K., E.K., H.S. and C.R.H. provided reagents and tools. A.J., B.B.S., H.R., D.H.B., R.M.-L., S.B. and M.G. conceived the experiments, analysed the data and wrote the manuscript. All authors read and approved the final manuscript.

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Correspondence to Markus Gerhard.

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Competing interests

B.K. and T.K. are employees and Shareholders of ImevaX GmbH. M.G., A.J., B.B.S., S.B., H.R., K.M. and T.K. are named as inventors on a patent application related to HopQ. The other authors declare no competing financial interests.

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Javaheri, A., Kruse, T., Moonens, K. et al. Helicobacter pylori adhesin HopQ engages in a virulence-enhancing interaction with human CEACAMs. Nat Microbiol 2, 16189 (2017). https://doi.org/10.1038/nmicrobiol.2016.189

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