Helicobacter hepaticus stellt den Prototyp der enterohepatischen Helicobacter dar und führt zu einer persistenten Infektion von Mäusen. In immundefizienten Tieren kann er eine chronische Entzündung des Darmtraktes auslösen, welche den chronisch entzündlichen Darmerkrankungen des Menschen, Morbus Crohn und Colitis Ulcerosa, ähnelt. Deshalb wird H. hepaticus bevorzugt als Modellorganismus zur Untersuchung der immunologischen Ursachen von chronisch entzündlichen Darmerkrankungen im Tiermodell eingesetzt. Ebenfalls kann eine Infektion mit H. hepaticus in suszeptiblen Mäusestämmen (z.B. Balb/c, C3H/An) zu Entzündungen der Leber und Gallengänge führen, welche sich bis zu einer Hepatitis und Leberkarzinomen ausweiten können. In den meisten Studien wurde H. hepaticus bisher aber hauptsächlich als Auslöser dieser Erkrankungen eingesetzt, während die bakterielle Seite kaum betrachtet wurde. Im Rahmen dieser Arbeit wurde in einer Kooperation mit MWG Biotech, GeneData und dem Massachusetts Institute of Technology (MIT) die Gesamtgenomsequenz des H. hepaticus Referenzstammes ATCC 51449 bestimmt und annotiert. Das Genom hat eine Größe von 1.799.146 bp und kodiert für 1.875 Proteine. Die globale Ähnlichkeit des Genoms von H. hepaticus ist etwa gleich groß zu den sequenzierten Genomen von H. pylori und C. jejuni. Es fehlen H. hepaticus aber die meisten Virulenzfaktoren von H. pylori wie Adhäsine (SabA, BabA, AlpA), VacA und die meisten Proteine der cag-Pathogenitätsinsel, während Homologe zu Pathogenitätsfaktoren von C. jejuni wie CDT und Peb1 vorhanden sind. Das Genom von H. hepaticus enthält neben vielen kleineren genomischen Inseln eine Genominsel mit einer Größe von 71 kb, welche als HHGI1 benannt wurde. Sie kodiert mutmaßlich für ein TypIV-Sekretionssystem und enthält weitere Virulenzfaktoren. In Microarray- basierten Gesamtgenomvergleichen konnte gezeigt werden, dass die Insel in sieben von 13 untersuchten Stämmen großteils oder komplett fehlt. Während Mäuse, aus denen HHGI1-positive Stämme isoliert wurden, pathologische Veränderungen der Leber aufwiesen, wies keine von den Mäusen, aus denen HHGI1-negative Stämme isoliert wurden, Auffälligkeiten in der Leber oder dem Gallentrakt auf. In einem Tiermodell wurde in Kooperation mit dem MIT gezeigt, dass zwei Insel-negative Stämme zu einer geringeren Besiedlung und einer schwächeren Entzündung der Leber als der Insel-positive Referenzstamm ATCC 51449 führen. Durch die Genomvergleiche konnte auch gezeigt werden, dass verschiedene H. hepaticus-Stämme trotz einer niedrigen Sequenzvariabilität eine hohe Variation des Genomgehalts aufweisen und dass neben der HHGI1-Insel weitere kleinere Inseln in einzelnen Stämmen fehlen. Es wurden in der vorliegenden Arbeit erstmals verschiedene isogene Mutanten von H. hepaticus in der HHGI-1-Insel hergestellt, die in vitro eine verringerte Immunstimulation in Makrophagen zeigten. Der Mechanismus dieser Immunsuppression konnte noch nicht vollständig aufgeklärt werden, sie werden jedoch derzeit in Mausmodellen weiter auf ihre krankheitsauslösenden Eigenschaften untersucht. Da bisher keine gut charakterisierten Zellkulturmodelle für die in vitro-Untersuchung von H. hepaticus vorlagen, wurden solche im Rahmen dieser Arbeit etabliert. Dazu wurden die intestinale murine epitheliale Zelllinie m-ICcl2, welche das primäre Habitat von H. hepaticus (Krypten im Dünndarm) imitiert, die murine Hepatozytenzelllinie NCTC Klon 1469, welche ein mögliches sekundäres Habitat (Lebercanaliculi) imitiert und die murine Makrophagenzelllinie J774 benutzt. Während J774 und NCTC Klon 1469 durch die meisten Liganden für Mustererkennungsrezeptoren stimuliert werden konnten, reagierten m-ICcl2- Zellen substantiell nur auf den TLR4-Liganden E. coli-LPS. Dementsprechend induzierte H. hepaticus in J774 und NCTC Klon 1469 eine starke proinflammatorische Antwort, während m-ICcl2 trotz guter Adhärenz nur schwach von H. hepaticus stimuliert wurde. Es wurde gezeigt, dass LPS und Flagelline von H. hepaticus nur eine geringe immunstimulatorische Wirkung besitzen, während Lipoproteine und vermutlich auch Peptidoglykan die wichtigsten PAMPs von H. hepaticus darstellen. Durch die Analyse der durch H. hepaticus ausgelösten globalen Genregulation in J774 und NCTC Klon 1469 wurde nachgewiesen, dass H. hepaticus nicht primär über NF-κB, sondern über MAP-Kinasen eine proinflammatorische Antwort auslöst. Außerdem wurde gezeigt, dass H. hepaticus untypisch für extrazelluläre Bakterien eher eine Wirtsantwort auslöst, welche der durch intrazelluläre Bakterien ähnelt. In diesen Modellen führten HHGI1-negative Stämme oder Mutanten der HHGI1-Insel zu einer leicht verringerten proinflammatorischen Antwort. Dies spiegelte sich auch in der transkriptionellen Regulation von Schlüsselfaktoren der angeborenen Immunantwort wie TLR2, IL-12, NOD2 oder Tollip wieder. In m-ICcl2-Zellen führte eine Koinkubation mit lebenden H. hepaticus oder Lysaten zu einer verringerten durch E. coli-LPS ausgelösten Induktion von MIP-2. Darauf basierend wurde gezeigt, dass LPS von H. hepaticus einen wesentlichen Faktor für diese Inhibierung der proinflammatorischen Antwort darstellt, nicht jedoch die HHGI-1-Insel oder andere vermutete Virulenzfaktoren. Zumindest auf mRNA-Ebene wurde durch H. hepaticus auch die Induktion anderer Cytokine wie TNF-α oder MIP-1α gehemmt. Eine primäre Koinkubation von m-ICcl2 mit E. coli-LPS führte zu einer Toleranzinduktion gegenüber einer zweiten Stimulation. Diese Toleranzinduktion wurde durch eine Inkubation mit H. hepaticus ebenfalls gehemmt. Die Hemmung der proinflammatorischen Antwort durch H. hepaticus-LPS konnte auch in NCTC Klon 1469 und unter serumfreien Bedingungen für die durch S. typhimurium- Flagellin induzierte IL-8 Sekretion in der humanen Kolonkarzinomzelllinie Caco2 nachgewiesen werden. Damit war diese Hemmung weder zellspezifisch noch spezifisch für die TLR4-abhängige Stimulation. Basierend auf dieser Arbeit wurde ein Modell für die Entstehung einer chronischen Entzündung im Intestinaltrakt entwickelt, welches Erklärungsansätze für die Entwicklung einer chronisch entzündlichen Darmerkrankung im Menschen liefern könnte. / H. hepaticus is the prototype species of the enterohepatic group of Helicobacter species and leads to a persistent infection in mice. It is able to cause a chronic inflammation of the intestinal tract in immuno-deficient mice that resembles the common human inflammatory bowel diseases Crohn’s disease und ulcerative colitis. Therefore H. hepaticus is widely used as a model organism to study the possible immunological causes underlying the development of inflammatory bowel disease in the animal model. H. hepaticus can also lead to diseases in the liver and biliary tract of susceptible mouse strains (e.g. Balb/c, C3H/An) such as hepatitis and even liver cancer. But in most studies H. hepaticus was mainly used to trigger these diseases, while only little attention was paid to the bacterial determinants of pathogenesis. In this work the complete genome sequence of the H. hepaticus reference strain ATCC 51449 was determined and annotated in cooperation with GeneData, MWG Biotech and the Massachusetts Institute of Technology (MIT). The genome has a size of 1,799,146 bp and codes for 1,875 proteins. Generally the average similarity of the genome is about equal to the sequenced genomes of H. pylori and C. jejuni. But H. hepaticus misses most of the virulence factors of H. pylori such as adhesins (e.g. SabA, BabA, or AlpA), the vacuolating cytotoxin VacA and most genes of the cag pathogenicity island. On the other hand it possesses many orthologs of C. jejuni virulence factors like the cytolethal distending toxin CDT or the adhesion factor Peb1. In addition to several smaller genomic islands, the genome of H. hepaticus contains a large 71 kb genomic island, which we called HHGI1. It presumably codes for a type IV secretion system and several additional virulence factors. By a microarray-based genome comparison study, we could show that this island was missing in seven out of 13 isolates. While only mice that harbored an island positive strain showed signs of liver disease, not a single mouse with an island negative strain showed any pathological changes of the liver or the biliary tract. In cooperation with the MIT, it was shown in an animal model that two island negative strains led to a reduced colonization and weaker inflammation of the liver compared to the island positive reference strain ATCC 51449. By the genome comparisons, it was also shown that despite low sequence variability the genome contents of different H. hepaticus isolates can differ widely and that smaller islands are either present or absent in different strains. In the framework of these investigations, several isogenic H. hepaticus mutants in the HHGI1 island were constructed. These mutants showed in comparison to the wild type a deficiency to activate macrophages, but the exact mechanism could not be identified so far. The isogenic mutants are currently further tested in animal models for their disease-eliciting potential. Because no well-characterized cell culture model was yet available for the in vitro examination of H. hepaticus-associated pathogenesis, such models were established in this dissertation. Therefore the murine intestinal epithelial cell line m-ICcl2 which resembles the primary habitat of H. hepaticus in the mouse caecum, the murine hepatocyte cell line NCTC clone 1469 which imitates one possible secondary habitat (mouse liver canaliculi) and the murine macrophage cell line J774 were used. While a wide range of ligands for pattern recognition receptors were able to stimulate NCTC clone 1469 and J774, m-ICcl2 cells only reacted substantially to the TLR4 ligand E. coli LPS. Accordingly, infection with H. hepaticus led to a strong proinflammatory response in J774 und NCTC clone 1469, while m-ICcl2 cells were only weakly stimulated by H. hepaticus despite good adherence. It was shown that H. hepaticus LPS and flagellins are only weak stimulators of the innate immune system while, as the results suggested, the proinflammatory response was mainly induced by lipoproteins and probably also by peptidoglycans of H. hepaticus. By analyzing the global gene regulation in J774 and NCTC clone 1469 after coincubation with H. hepaticus, it was established that the proinflammatory response is not mainly dependent on NF-κB but on MAP kinases. Also, the global response of the cells resembled more those induced by intracellular than extracellular pathogens. In these model systems, HHGI1-negative strains or mutants in the HHGI1 island led to a weaker proinflammatory response than HHGI1-containing strains. This was also in concordance with a different regulation pattern of different factors like TLR2, IL- 12, NOD2 or Tollip. In m-ICcl2 cells, after coincubation with live H. hepaticus or lysates, a reduced secretion of MIP-2 after stimulation with E. coli LPS was observed. It was shown that H. hepaticus LPS is one important factor for this inhibition of LPS-induced MIP-2 secretion, but not the HHGI-1 island nor other presumed H. hepaticus virulence factors. On the mRNA level, the induction of other cytokines like TNF-α or MIP-1α was also reduced by H. hepaticus. We could show, that, as described in other cells before, a primary coincubation with E. coli LPS leads to a tolerance against a second stimulation round. This tolerance development was inhibited by H. hepaticus. Inhibition of the proinflammatory response by H. hepaticus LPS was also obtained with NCTC clone 1469 cells. When using the human intestinal epithelial carcinoma cell line Caco2, S. typhimurium flagellin triggered IL-8 secretion was almost completely reduced under serum-free conditions, while no inhibition was found under serum-containing conditions. Therefore, this inhibitory effect was neither cell-specific nor specific for induction via TLR4. Based on this work, a model for the development of a chronic inflammation of the intestinal tract could be established, which may offer possible explanations for the development of inflammatory bowel diseases in humans.

Enterohepatic Helicobacter species (EHS) are emerging infectious disease agents. Infection of the enterohepatobiliary tract of several mammals by this group of bacteria results in various pathological disorders. The availability of the Helicobacter hepaticus sequenced and annotated genome, allowed molecular characterisation of the responses of H. hepaticus to host factors such as bile. The adaptation/responses of the bacterium to bovine, porcine and human bile were investigated using proteomics and transcriptomics. Ninety-one different proteins were identified in the responses of H. hepaticus response to the three types of bile. These proteins participate in several key cellular processes including DNA replication; protein transcription, translation and folding; oxidative stress response; motility; virulence; and metabolism. In particular, the bacteria deployed several strategies such as inhibition of the TCA cycle and the electron transport chain as well as iron sequestration to ensure control of the levels of hydroxyl radicals. The results of this study revealed also the modulation by bile of the expression of H. hepaticus genes involved in response to oxidative stress and virulence. The responses of human HEp-2 and Huh7-derived cell-lines to H. hepaticus and Helicobacter bilis, respectively, were investigated employing proteomics and transcriptomics. One-hundred and twenty different proteins were differentially expressed in the responses of the human cells to the presence of Helicobacter spp. in the cell cultures. These proteins are involved in regulation of cell proliferation and structure; metabolism; protein transcription, translation and modification; stress response; and tumour induction. For example, in co-cultures of Huh7-derived cells and H. bilis, the activation of several mitochondrial and endoplasmic reticulum stress-related proteins and the dysregulation of several apoptosis effectors were suggested as mechanisms that could result in the death of the liver cells. Importantly, the differential expression of several tumour-related proteins by the Huh7 cells supported a possible role for Helicobacter spp. in liver cancer.

Enterohepatic Helicobacter species (EHS) are emerging infectious disease agents. Infection of the enterohepatobiliary tract of several mammals by this group of bacteria results in various pathological disorders. The availability of the Helicobacter hepaticus sequenced and annotated genome, allowed molecular characterisation of the responses of H. hepaticus to host factors such as bile. The adaptation/responses of the bacterium to bovine, porcine and human bile were investigated using proteomics and transcriptomics. Ninety-one different proteins were identified in the responses of H. hepaticus response to the three types of bile. These proteins participate in several key cellular processes including DNA replication; protein transcription, translation and folding; oxidative stress response; motility; virulence; and metabolism. In particular, the bacteria deployed several strategies such as inhibition of the TCA cycle and the electron transport chain as well as iron sequestration to ensure control of the levels of hydroxyl radicals. The results of this study revealed also the modulation by bile of the expression of H. hepaticus genes involved in response to oxidative stress and virulence. The responses of human HEp-2 and Huh7-derived cell-lines to H. hepaticus and Helicobacter bilis, respectively, were investigated employing proteomics and transcriptomics. One-hundred and twenty different proteins were differentially expressed in the responses of the human cells to the presence of Helicobacter spp. in the cell cultures. These proteins are involved in regulation of cell proliferation and structure; metabolism; protein transcription, translation and modification; stress response; and tumour induction. For example, in co-cultures of Huh7-derived cells and H. bilis, the activation of several mitochondrial and endoplasmic reticulum stress-related proteins and the dysregulation of several apoptosis effectors were suggested as mechanisms that could result in the death of the liver cells. Importantly, the differential expression of several tumour-related proteins by the Huh7 cells supported a possible role for Helicobacter spp. in liver cancer.

Colorectal cancer (CRC) is one of the most treatable cancers, with a 5-year survival rate of similar to 64%, yet over 50,000 deaths occur yearly in the United States. In 15% of cases, deficiency in mismatch repair leads to null mutations in transforming growth factor beta (TGF-beta) type II receptor, yet genotype alone is not responsible for tumorigenesis. Previous work in mice shows that disruptions in TGF-beta signaling combined with Helicobacter hepaticus cause tumorigenesis, indicating a synergistic effect between genotype and microbial environment. Here, we examine functional shifts in the gut microbiome in CRC using integrated - omics approaches to untangle the role of host genotype, inflammation, and microbial ecology. We profile the gut microbiome of 40 mice with/without deficiency in TGF-beta signaling from a Smad3 (mothers against decapentaplegic homolog-3) knockout and with/without inoculation with H. hepaticus. Clear functional differences in the microbiome tied to specific bacterial species emerge from four pathways related to human colon cancer: lipopolysaccharide (LPS) production, polyamine synthesis, butyrate metabolism, and oxidative phosphorylation (OXPHOS). Specifically, an increase in Mucispirillum schaedleri drives LPS production, which is associated with an inflammatory response. We observe a commensurate decrease in butyrate production from Lachnospiraceae bacterium A4, which could promote tumor formation. H. hepaticus causes an increase in OXPHOS that may increase DNA-damaging free radicals. Finally, multiple bacterial species increase polyamines that are associated with colon cancer, implicating not just diet but also the microbiome in polyamine levels. These insights into cross talk between the microbiome, host genotype, and inflammation could promote the development of diagnostics and therapies for CRC. IMPORTANCE Most research on the gut microbiome in colon cancer focuses on taxonomic changes at the genus level using 16S rRNA gene sequencing. Here, we develop a new methodology to integrate DNA and RNA data sets to examine functional shifts at the species level that are important to tumor development. We uncover several metabolic pathways in the microbiome that, when perturbed by host genetics and H. hepaticus inoculation, contribute to colon cancer. The work presented here lays a foundation for improved bioinformatics methodologies to closely examine the cross talk between specific organisms and the host, important for the development of diagnostics and pre/probiotic treatment.