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.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 digital issues and online access to articles
$119.00 per year
only $9.92 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Salama, N. R., Hartung, M. L. & Müller, A. Life in the human stomach: persistence strategies of the bacterial pathogen Helicobacter pylori. Microbiology 11, 385–399 (2013).
Atherton, J. C. & Blaser, M. J. Coadaptation of Helicobacter pylori and humans: ancient history, modern implications. J. Clin. Invest. 119, 2475–2487 (2009).
Montecucco, C. & Rappuoli, R. Living dangerously: how Helicobacter pylori survives in the human stomach. Mol. Cell. Biol. 2, 457–466 (2001).
Lindén, S., Mahdavi, J., Hedenbro, J., Borén, T. & Carlstedt, I. Effects of pH on Helicobacter pylori binding to human gastric mucins: identification of binding to non-MUC5AC mucins. Biochem. J. 384, 263–270 (2004).
Ilver, D. et al. Helicobacter pylori adhesin binding fucosylated histo-blood group antigens revealed by retagging. Science 279, 373–377 (1998).
Mahdavi, J. et al. Helicobacter pylori SabA adhesin in persistent infection and chronic inflammation. Science 297, 573–578 (2002).
Solnick, J. V., Hansen, L. M., Salama, N. R., Boonjakuakul, J. K. & Syvanen, M. Modification of Helicobacter pylori outer membrane protein expression during experimental infection of rhesus macaques. Proc. Natl Acad. Sci. USA 101, 2106–2111 (2004).
Hammarström, S. The carcinoembryonic antigen (CEA) family: structures, suggested functions and expression in normal and malignant tissues. Semin. Cancer Biol. 9, 67–81 (1999).
Öbrink, B. On the role of CEACAM1 in cancer. Lung Cancer 60, 309–312 (2008).
Gray-Owen, S. D. & Blumberg, R. S. CEACAM1: contact-dependent control of immunity. Nat. Rev. Immunol. 6, 433–446 (2006).
Voges, M., Bachmann, V., Kammerer, R., Gophna, U. & Hauck, C. R. CEACAM1 recognition by bacterial pathogens is species-specific. BMC Microbiol. 10, 117 (2010).
Heneghan, M. A. et al. Effect of host Lewis and ABO blood group antigen expression on Helicobacter pylori colonisation density and the consequent inflammatory response. FEMS Immunol. Med. Microbiol. 20, 257–266 (1998).
Virji, M., Watt, S. M., Barker, S., Makepeace, K. & Doyonnas, R. The N-domain of the human CD66a adhesion molecule is a target for Opa proteins of Neisseria meningitidis and Neisseria gonorrhoeae. Mol. Microbiol. 22, 929–939 (1996).
Hill, D. J. & Virji, M. A novel cell-binding mechanism of Moraxella catarrhalis ubiquitous surface protein UspA: specific targeting of the N-domain of carcinoembryonic antigen-related cell adhesion molecules by UspA1. Mol. Microbiol. 48, 117–129 (2003).
Kuespert, K., Roth, A. & Hauck, C. R. Neisseria meningitidis has two independent modes of recognizing its human receptor CEACAM1. PLoS ONE 6, e14609 (2011).
Peek, R. M. Helicobacter pylori infection and disease: from humans to animal models. Dis. Model. Mech. 1, 50–55 (2008).
Icatlo, F. C., Goshima, H., Kimura, N. & Kodama, Y. Acid-dependent adherence of Helicobacter pylori urease to diverse polysaccharides. Gastroenterology 119, 358–367 (2000).
Cao, P. & Cover, T. L. Two different families of hopQ alleles in Helicobacter pylori. J. Clin. Microbiol. 40, 4504–4511 (2002).
Ohno, T. et al. Relationship between Helicobacter pylori hopQ genotype and clinical outcome in Asian and Western populations. J. Gastroenterol. Hepatol. 24, 462–468 (2009).
Alm, R. A. et al. Comparative genomics of Helicobacter pylori: analysis of the outer membrane protein families. Infect. Immun. 68, 4155–4168 (2000).
Moonens, K. et al. Structural insights into polymorphic ABO glycan binding by Helicobacter pylori. Cell Host Microbe 19, 55–66 (2016).
Rossez, Y. et al. The lacdiNAc-specific adhesin LabA mediates adhesion of Helicobacter pylori to human gastric mucosa. J. Infect. Dis. 210, 1286–1295 (2014).
Singer, B. B. et al. Deregulation of the CEACAM expression pattern causes undifferentiated cell growth in human lung adenocarcinoma cells. PLoS ONE 5, e8747 (2010).
Muenzner, P., Bachmann, V., Zimmermann, W., Hentschel, J. & Hauck, C. R. Human-restricted bacterial pathogens block shedding of epithelial cells by stimulating integrin activation. Science 329, 1197–1201 (2010).
Slevogt, H. et al. CEACAM1 inhibits Toll-like receptor 2-triggered antibacterial responses of human pulmonary epithelial cells. Nat. Immunol. 9, 1270–1278 (2008).
Belogolova, E. et al. Helicobacter pylori outer membrane protein HopQ identified as a novel T4SS-associated virulence factor. Cell Microbiol. 15, 1896–1912 (2013).
Mahler, M. et al. Experimental Helicobacter pylori infection induces antral-predominant, chronic active gastritis in hispid cotton rats (Sigmodon hispidus). Helicobacter 10, 332–344 (2005).
Chang, Y. J. et al. Mechanisms for Helicobacter pylori CagA-induced cyclin D1 expression that affect cell cycle. Cell Microbiol. 8, 1740–1752 (2006).
Muenzner, P., Naumann, M., Meyer, T. F. & Gray-Owen, S. D. Pathogenic Neisseria trigger expression of their carcinoembryonic antigen-related cellular adhesion molecule 1 (CEACAM1; previously CD66a) receptor on primary endothelial cells by activating the immediate early response transcription factor, nuclear factor-κB. J. Biol. Chem. 276, 24331–24340 (2001).
Olbermann, P. et al. A global overview of the genetic and functional diversity in the Helicobacter pylori cag pathogenicity island. PLoS Genet. 6, e1001069 (2010).
Suerbaum, S. & Josenhans, C. Helicobacter pylori evolution and phenotypic diversification in a changing host. Nat. Rev. Microbiol. 5, 441–452 (2007).
Baltrus, D. A. et al. The complete genome sequence of Helicobacter pylori strain G27. J. Bacteriol. 191, 447–448 (2009).
Arnold, I. C. et al. Tolerance rather than immunity protects from Helicobacter pylori-induced gastric preneoplasia. Gastroenterology 140, 199–209 (2011).
Lee, A. et al. A standardized mouse model of Helicobacter pylori infection: introducing the Sydney strain. Gastroenterology 112, 1386–1397 (1997).
Lundin, A. et al. The NudA protein in the gastric pathogen Helicobacter pylori is an ubiquitous and constitutively expressed dinucleoside polyphosphate hydrolase. J. Biol. Chem. 278, 12574–12578 (2003).
Atherton, J. C. et al. Mosaicism in vacuolating cytotoxin alleles of Helicobacter pylori. Association of specific vacA types with cytotoxin production and peptic ulceration. J. Biol. Chem. 270, 17771–17777 (1995).
Cover, T. L., Dooley, C. P. & Blaser, M. J. Characterization of and human serologic response to proteins in Helicobacter pylori broth culture supernatants with vacuolizing cytotoxin activity. Infect. Immun. 58, 603–610 (1990).
Backert, S., Muller, E. C., Jungblut, P. R. & Meyer, T. F. Tyrosine phosphorylation patterns and size modification of the Helicobacter pylori CagA protein after translocation into gastric epithelial cells. Proteomics 1, 608–617 (2001).
Vermoote, M. et al. Genome sequence of Helicobacter suis supports its role in gastric pathology. Vet. Res. 42, 51 (2011).
Haesebrouck, F. et al. Non-Helicobacter pylori Helicobacter species in the human gastric mucosa: a proposal to introduce the terms H. heilmannii sensu lato and sensu stricto. Helicobacter 16, 339–340 (2011).
Schott, T., Kondadi, P. K., Hanninen, M. L. & Rossi, M. Comparative genomics of Helicobacter pylori and the human-derived Helicobacter bizzozeronii CIII-1 strain reveal the molecular basis of the zoonotic nature of non-pylori gastric Helicobacter infections in humans. BMC Genomics 12, 534 (2011).
Tegtmeyer, N. et al. Characterisation of worldwide Helicobacter pylori strains reveals genetic conservation and essentiality of serine protease HtrA. Mol. Microbiol. 99, 925–944 (2016).
Singer, B. B. et al. Soluble CEACAM8 interacts with CEACAM1 inhibiting TLR2-triggered immune responses. PLoS ONE 9, e94106 (2014).
Studier, F. W. Protein production by auto-induction in high density shaking cultures. Protein Expr. Purif. 41, 207–234 (2005).
Hojo, H . & Onishi, Y. [Case suspected to be atypical diffuse myeloma]. Nihon Rinsho 35, 2659–2662 (1977).
Romano, M., Razandi, M., Sekhon, S., Krause, W. J. & Ivey, K. J. Human cell line for study of damage to gastric epithelial cells in vitro. J. Lab. Clin. Med. 111, 430–440 (1988).
Mueller, D. et al. c-Src and c-Abl kinases control hierarchic phosphorylation and function of the CagA effector protein in Western and East Asian Helicobacter pylori strains. J. Clin. Invest. 122, 1553–1566 (2012).
Hytönen, J., Haataja, S. & Finne, J. Use of flow cytometry for the adhesion analysis of Streptococcus pyogenes mutant strains to epithelial cells: investigation of the possible role of surface pullulanase and cysteine protease, and the transcriptional regulator Rgg. BMC Microbiol. 6, 18 (2006).
Krauth-Siegel, R. L. et al. Crystallization and preliminary crystallographic analysis of trypanothione reductase from Trypanosoma cruzi, the causative agent of Chagas’ disease. FEBS Lett. 317, 105–108 (1993).
Winn, M. D. et al. Overview of the CCP4 suite and current developments. Acta Crystallogr. D 67, 235–242 (2011).
McCoy, A. J. et al. Phaser crystallographic software. J. Appl. Crystallogr. 40, 658–674 (2007).
Emsley, P., Lohkamp, B., Scott, W. G. & Cowtan, K. Features and development of Coot. Acta Crystallogr. D 66, 486–501 (2010).
Murshudov, G. N. et al. REFMAC5 for the refinement of macromolecular crystal structures. Acta Crystallogr. D 67, 355–367 (2011).
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.
Author information
Authors and Affiliations
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.
Corresponding author
Ethics declarations
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.
Supplementary information
Supplementary information
Supplementary Figures 1–6, Supplementary Tables 1–3, Original gel images (PDF 14099 kb)
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/nmicrobiol.2016.189