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Kaneko, Kazuyo; Zaitoun, Abed M; Letley, Darren P; Rhead, Joanne L; Torres, Javier; Spendlove, Ian; Atherton, John C; Robinson, Karen
The active form of Helicobacter pylori vacuolating cytotoxin induces decay-accelerating factor CD55 in association with intestinal metaplasia in the human gastric mucosa Journal Article
In: J. Pathol., vol. 258, no. 2, pp. 199–209, 2022.
Abstract | Tags: CD55, decay-accelerating factor, gastric cancer, Helicobacter pylori, intestinal metaplasia, vacuolating cytotoxin, virulence factor
@article{Kaneko2022-jg,
title = {The active form of Helicobacter pylori vacuolating cytotoxin
induces decay-accelerating factor CD55 in association with
intestinal metaplasia in the human gastric mucosa},
author = {Kazuyo Kaneko and Abed M Zaitoun and Darren P Letley and Joanne L Rhead and Javier Torres and Ian Spendlove and John C Atherton and Karen Robinson},
year = {2022},
date = {2022-10-01},
journal = {J. Pathol.},
volume = {258},
number = {2},
pages = {199\textendash209},
publisher = {Wiley},
abstract = {High-level expression of decay-accelerating factor, CD55, has
previously been found in human gastric cancer (GC) and
intestinal metaplasia (IM) tissues. Therapeutic effects of CD55
inhibition in cancer have been reported. However, the role of
Helicobacter pylori infection and virulence factors in the
induction of CD55 and its association with histological changes
of the human gastric mucosa remain incompletely understood. We
hypothesised that CD55 would be increased during infection with
more virulent strains of H. pylori, and with more marked gastric
mucosal pathology. RT-qPCR and immunohistochemical analyses of
gastric biopsy samples from 42 H. pylori-infected and 42
uninfected patients revealed that CD55 mRNA and protein were
significantly higher in the gastric antrum of H. pylori-infected
patients, and this was associated with the presence of IM, but
not atrophy, or inflammation. Increased gastric CD55 and IM were
both linked with colonisation by vacA i1-type strains
independently of cagA status, and in vitro studies using
isogenic mutants of vacA confirmed the ability of VacA to induce
CD55 and sCD55 in gastric epithelial cell lines. siRNA
experiments to investigate the function of H. pylori-induced
CD55 showed that CD55 knockdown in gastric epithelial cells
partially reduced IL-8 secretion in response to H. pylori, but
this was not due to modulation of bacterial adhesion or
cytotoxicity. Finally, plasma samples taken from the same
patients were analysed for the soluble form of CD55 (sCD55) by
ELISA. sCD55 levels were not influenced by IM and did not
correlate with gastric CD55 mRNA levels. These results suggest a
new link between active vacA i1-type H. pylori, IM, and CD55,
and identify CD55 as a molecule of potential interest in the
management of IM as well as GC treatment. © 2022 The
Authors. The Journal of Pathology published by John Wiley \&
Sons Ltd on behalf of The Pathological Society of Great Britain
and Ireland.},
keywords = {CD55, decay-accelerating factor, gastric cancer, Helicobacter pylori, intestinal metaplasia, vacuolating cytotoxin, virulence factor},
pubstate = {published},
tppubtype = {article}
}
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