DNA repair processes are crucial for mutation avoidance and the maintenance of genetic integrity in all organisms. Organisms rely on repair processes to combat genotoxic stress imposed by hostile host environment, and sometimes by therapeutic agents. Most pathogens rapidly generate genetic variability to acquire increased virulence and evade host immune response. Therefore, there needs to exist a fine balance between mutation avoidance and fixation, which is perhaps regulated by repair processes. Haemophilus influenzae and Helicobacter pylori contribute significantly to morbidity and mortality caused by bacteria worldwide. H. influenzae is an obligate commensal of upper respiratory tract with the potential to cause a variety of diseases in humans like meningitis and respiratory infections. H. pylori, which inhabits the human stomach, is associated with gastric and duodenal ulcers and cancerous gastric lesions. One of the striking differences between these two genetically diverse bacterial species is the absence of recognized DNA mismatch repair (MMR) pathway homologs in H. pylori. MMR is a highly conserved post-replicative process, which corrects base pairing mismatches and small loops arising during DNA replication and recombination due to misincorporated nucleotides, insertions, and deletions. Defective MMR results in increased mutation frequency that can alter the pathogenic potential and antibiotic resistance of pathogens. MMR has been extensively studied in Escherichia coli, and requires an orchestrated function of different proteins like MutS, MutL, MutH, UvrD, SSB, RecJ, ExoVII, ExoI, ExoX, beta-clamp, DNA polymerase III and DNA ligase. A growing body of evidence suggests that bacteria other than the well-characterized E. coli paradigm differ in basic DNA repair machinery. MMR proteins involved in mismatch recognition and strand discrimination like MutS, MutL and MutH from H. influenzae have been characterized, but other downstream repair genes like UvrD helicase and exonucleases like RecJ have not been studied functionally in detail. H. pylori harbors a UvrD homolog, which shares limited homology with other UvrD proteins (29% identity with E. coli UvrD and 31 % with H. influenzae UvrD) and its cellular functions are not clear. Moreover, it is not well-understood how the activities of UvrD and RecJ proteins are regulated within these pathogens. It was, therefore, envisaged that biochemical characterization of UvrD and RecJ would lead to a better understanding of the mechanistic aspects of repair processes within these pathogens. The following sections summarize the results presented in this investigation. Functional characterization of UvrD from H. influenzae UvrD or DNA helicase II is a member of superfamily I of DNA helicases with well-documented roles in nucleotide excision repair (NER) and MMR, in addition to roles in replication and recombination. The 727-amino acid H. influenzae Rd KW20 UvrD (HiUvrD) protein was purified as an N-terminal (His)6-tagged protein to near homogeneity, and its authenticity was confirmed by peptide mass fingerprint analysis. HiUvrD displayed robust binding with single-stranded (ss) DNA as compared to double-stranded (ds) DNA. HiUvrD was found exhibit ~ 1000-fold higher affinity for ssDNA as compared to dsDNA as determined by surface plasmon resonance (SPR). In addition, to gain insights into the role of HiUvrD in replication, repair, recombination and transcription, the ability of HiUvrD to bind different DNA structures resembling intermediates of these processes was investigated using electrophoretic mobility shift assays. HiUvrD exhibited relatively high affinities for a number of branched DNA substrates and the order of affinity observed was; splayed-duplex ≥3’-flap ≥ ssDNA > 3’-overhang > four-way junction > three-way junction > nicked duplex > looped duplex ≥ duplex. Concurrent with its high affinity for ssDNA, HiUvrD exhibited a robust ssDNA-specific and Mg2+ - dependent ATPase activity. HiUvrD was able to unwind different DNA structures with varying efficiencies (3’ flap ≥ 3’-overhang > three-way junction > splayed-duplex > four-way junction > nicked > loop = duplex >>> 5’-overhang) and with a 3’-5’ polarity, which underpins its role in replication fork reversal, recombination and different DNA repair pathways. Multiple sequence alignment of HiUvrD with other helicases showed the presence highly conserved helicase motifs of which motif I and II are essential for ATP binding and hydrolysis. Mutation of an invariant glutamate residue (E226Q) in motif II of HiUvrD resulted in a dominant negative growth phenotype since, it was not possible to recover transformants when wild-type E. coli expression strains BL21(DE3)plysS or BL21(DE3)plysE were transformed with expression vector carrying hiuvrDE226Q. Mutation of a conserved arginine residue to alanine (R288A) in motif IV resulted in approximately 80 % reduction in ATP hydrolysis, and abrogation of helicase activity as compared to the wild-type protein. This can be attributed to ~ 70 % reduced ATP binding by HiUvrDR288A as determined by UV-crosslinking of radioactive ATP without change in affinity for ssDNA. HiUvrD was found to exist predominantly as a monomer with small amounts (~ 2-3 %) of higher oligomers like dimers and tetramers in solution. Deletion of 48 amino acid residues from distal C-terminus of HiUvrD resulted in abrogation of the oligomeric species implicating C-terminus to be involved in protein oligomerization. Interplay of UvrD with MutL and MutS in H. influenzae, and its modulation by ATP To investigate the effects of H. influenzae MutS (HiMutS) and MutL (HiMutL) on the helicase activity of HiUvrD, two different nicked DNA substrates were generated- a homoduplex and a heteroduplex DNA with a GT mismatch. HiMutL and HiMutS did not exhibit any helicase activity on either homoduplex or heteroduplex DNA, and unwinding of these substrates was observed only in presence of HiUvrD. In the presence of HiMutL the helicase activity of HiUvrD was stimulated on both homoduplex and heteroduplex nicked substrates whereas no significant modulation of HiUvrD ATPase activity in presence of HiMutL was observed. A much higher stimulation of unwinding of heteroduplex DNA was obtained, in presence of increasing concentrations of HiMutS. With increasing concentrations of HiMutL a progressive increase in HiUvrD mediated unwinding of the radiolabeled DNA strand was observed, which was ~ 15-fold higher than unwinding by HiUvrD alone. To investigate the effect of ATP in the stimulation of HiUvrD by HiMutL, two mutants of HiMutL–E29A (E29 is involved in ATP hydrolysis in E. coli UvrD), and D58A (D58 is essential for ATP binding in E. coli UvrD) were generated. HiMutLE29A retained only ~ 30 % of the wild-type ATPase activity, which was completely abolished in HiMutLD58A. Similar to wild-type protein, HiMutLE29A was able to stimulate HiUvrD helicase activity whereas HiMutLD58A failed to stimulate this activity. This indicated that ATP-bound form of MutL was essential for stimulation and perhaps interaction with UvrD. SPR analysis was carried out to validate and quantitate the direct protein-protein interaction between HiUvrD and HiMutL in absence or in presence of ATP, AMPPNP, and ADP. In the presence of ATP as well as AMPPNP, almost ~ 10,000-fold increase in the affinity between HiMutL and HiUvrD was observed but the same was not the case in presence of ADP. This clearly suggested that ATP binding rather than its hydrolysis promotes the interaction of MutL with UvrD. The effect of HiMutS on MutL-stimulated DNA unwinding by HiUvrD was determined using a heteroduplex nicked DNA with a GT mismatch. Interestingly, in the presence of HiMutS ~ 20-fold activation of DNA unwinding was observed, which is higher than the stimulation by HiMutL alone. The role of ATP-hydrolysis by MutS in regulation of UvrD helicase was studied by replacing wild-type protein with HiMutSE696A in the helicase assays. HiMutSE696A failed to hydrolyze ATP but was able to bind ATP with the same affinity as the wild-type protein and interacted with heteroduplex DNA with ~ 8-fold reduced affinity as compared to wild-type MutS. Intriguingly, increasing concentrations of HiMutSE696A failed to stimulate HiUvrD helicase activity in presence of HiMutL indicating that ATP hydrolysis by HiMutS is essential for stimulation of HiUvrD helicase activity post MutH-nicking during MMR. SSB, an essential component of all DNA metabolism pathways, possibly functions to stabilize the ssDNA tract generated by UvrD and exonucleases during MMR. ATPase and helicase activities of HiUvrD were inhibited by the cognate SSB protein. This inhibition could be overcome by increasing the concentration of HiUvrD helicases thus, pointing out the fact that SSB and UvrD perhaps compete with each other for ssDNA substrate. Noticeably, MutL and MutS proteins could alleviate the inhibition of HiUvrD by HiSSB. Functional characterization of UvrD from H. pylori In H. pylori, UvrD has been reported to limit homologous recombination and DNA-damage induced genomic recombinations but the protein has not been functionally studied. UvrD from H. pylori strain 26695 (HpUvrD) was over-expressed and purified as an N-terminal (His)6-tagged protein, and its authenticity was confirmed by peptide mass fingerprint analysis. HpUvrD exhibited high affinity for ssDNA as compared to dsDNA as determined by electrophoretic mobility shift assays and SPR. In addition, HpUvrD was able to bind a number of branched DNA structures (splayed duplex > ssDNA > 3’-flap > 3’overhang > three-way junction = four-way junction > loop >>> nicked ≥ duplex) suggesting its role in different DNA processing pathways. HpUvrD exhibited a Mg2+ - dependent ssDNA-specific ATPase activity, and a 3’-5’ helicase activity. HpUvrD was able to unwind different branched DNA structures with 3’-ssDNA regions like splayed duplex, 3’-overhang and 3’-flap. Blunt-ended duplex, duplexes with nick and loop as well as three-way and four-way junctions were unwound with less efficiency. Interestingly, the helicase activity of HpUvrD was supported by GTP and dGTP to almost the same level as ATP and dATP, which is in stark contrast to other characterized UvrD proteins. Moreover, HpUvrD was able to hydrolyze GTP albeit with ~ 1.5-fold reduced rate as compared to ATP. However, motifs associated with GTP binding and hydrolysis were not found in HpUvrD and it is possible that GTP binds in the same site as ATP. To investigate this possibility, helicase assay was done in the presence of ATP together with different concentrations of GMP-PNP, which is a non-hydrolysable analog of GTP, and did not support HpUvrD helicase activity. With increasing concentrations of GMP-PNP, a progressive inhibition of DNA unwinding by HpUvrD was observed suggesting that GMP-PNP could compete with ATP for a common binding site within HpUvrD. Replacement of a highly conserved glutamate residue with gluatamine (E206Q) in Walker B motif of HpUvrD resulted in ~17-fold reduced ATPase activity, and abrogation of helicase activity as compared to the wild-type protein. HpUvrDE206Q was able to bind ssDNA and ATP with comparable affinities as the wild-type protein suggesting the role of E206 in ATP hydrolysis. Like HiUvrD, HpUvrD was found to exist predominantly as a monomer in solution together with the presence of small amounts of higher oligomeric species. However, unlike HiUvrD, deletion of distal C-terminal 63 amino acids in HpUvD did not abrogate the oligomeric species suggesting that additional regions of the protein may be involved in protein oligomerization. The ATPase and helicase activities of HpUvrD were inhibited by the cognate SSB protein, and this inhibition could be overcome by increasing HpUvrD concentrations again suggesting that both UvrD and SSB proteins compete for ssDNA substrate. To investigate the role of UvrD in the physiology of H. pylori, a knock-out of hpuvrD was constructed in H. pylori strain 26695 by insertion of chloramphenicol cassette in its open reading frame. The mutant H. pylori strain 26695 obtained after disruption of hpuvrD was extremely slow growing under the normal microaerophilic conditions compared to the wild-type strain. Growth defect of H. pylori strain 26695ΔhpuvrD highlights the importance of UvrD in H. pylori cellular processes and in vitro fitness. Characterization of H. influenzae RecJ and its interaction with SSB Among the four exonucleases involved in MMR pathway, RecJ is the only known nuclease that degrades single-stranded DNA with 5’ to 3’ polarity. RecJ exonuclease plays additional important roles in base-excision repair, repair of stalled replication forks, and recombination. RecJ exonuclease from H. influenzae (HiRecJ) is a 575 amino acid protein, which harbors the characteristic motifs conserved among RecJ homologs. Due to limited solubility of HiRecJ, the protein was purified as a fusion protein with maltose binding protein (MBP). The purified protein exhibited a Mg2+ or Mn2+- dependent, and a highly processive 5’ to 3’ exonuclease activity, which is specific for ssDNA. MBP did not affect the exonuclease activity of HiRecJ. The processivity of HiRecJ was determined as ~ 700 nucleotides per binding event, using a ssDNA substrate labelled internally with 3H and at its 5’-terminus with 32P. Cd2+ inhibited the Mg2+ - dependent exonuclease activity of RecJ, which could not be overcome by increasing Mg2+ concentration. Site-directed mutagenesis of highly conserved residues in HiRecJ- D77A, D156A and H157A abolished the enzymatic activity. Interestingly, HiRecJD77A was found to interact with ssDNA with a 10-fold higher affinity than wild-type protein suggesting that this conserved aspartate residue may function to coordinate the binding of metal ion or DNA to hydrolysis of DNA. E. coli HU protein inhibited the HiRecJ exonuclease activity in a concentration-dependent manner possibly due to sequestration of ssDNA, thus making it unavailable for HiRecJ. During MMR, ssDNA tracts generated by UvrD helicase activity are most probably stabilized by SSB and hence, the in vivo substrate for RecJ would be SSB-ssDNA complex. The exonuclease activity of HiRecJ was stimulated approximately 3-fold by H. influenzae SSB (HiSSB) protein. HiSSB was able to stimulate HiRecJ exonuclease activity on a ssDNA substrate, which formed either a very strong secondary structure or on a homopolymeric ssDNA substrate, which did not form any secondary structure, suggesting that HiRecJ exonuclease was stimulated independent of the ability to HiSSB to melt secondary structures and stabilize ssDNA. Significantly, steady-state-kinetic analysis clearly showed that HiSSB increases the affinity of HiRecJ for ssDNA. H. influenzae SSBΔC and T4 gene 32 protein, a SSB homolog from bacteriophage T4, failed to enhance the HiRecJ exonuclease activity suggesting a specific functional interaction between HiSSB and HiRecJ mediated by C-terminus tail of HiSSB. More importantly, HiRecJ was found to directly associate with its cognate SSB. The C-terminus of HiSSB protein was found to be essential for this interaction. To delineate the regions of HiRecJ that interact with HiSSB, different truncated forms of HiRecJ were generated in which regions external to conserved motifs required for exonuclease activity were deleted. Different deletion mutants of HiRecJ- RecJ∆N34, RecJ∆C76 and the core catalytic domain (which contains amino acid residues 35-498) were purified as fusion proteins with MBP. HiSSB was found to interact with all the truncated forms of HiRecJ suggesting that its core-catalytic domain harbors a site for interaction with SSB. Taken together, the results presented in this study lead to a better understanding of the structure-function relationships of the UvrD helicase and RecJ exonuclease. Importantly, they provide insights into the interplay between various proteins in DNA MMR pathway. Characterization of repair proteins that are involved in multiple genome fidelity pathways is of fundamental importance to understand repair processes, more so in pathogenic bacteria wherein they regulate mutation rates, which can alter the fitness and virulence of the pathogens. Publication Sharma R., and Rao, D.N. (2009). Orchestration of Haemophilus influenzae RecJ exonuclease by interaction with single-stranded DNA-binding protein. J. Mol. Biol., 385, 1375-1396.

Enzyme DNA methylation is an important biochemical process that imprints DNA with additional information. DNA methylation is catalyzed by S-adenosyl-L-methionine (AdoMet)-dependent methyltraferases (MTases). Prokaryotic DNA MTases are usually components of restriction-modification(R-M) systems that enable cells to resist propagation of foreign genomes that would otherwise kill them. Based on the position methyl group transfer on the bases in DNA, MTases are classified into two groups-exocyclic or amino MTases and endocyclic or ring MTases. The amino MTases methylate exocyclic amino nitrogen to form either N6-methyladenine or n4-methycytosine. N6-methyaladenine is mostly found in the genomes of bacteria, archaea protists and fungi. Helicobacter pylori is a gram-negative, flagellated, fastidious bacterium that colonizes the highly acidic environment of the gastric mucosa. Frequently and persistence of H.paylori infection in humans make it attractive model for studying the host- pathogen interaction mechanisms. Analysis of the genome sequence of H.pylori strains 26695, J99.HPAGI, and G27 revealed an abundance of restriction-modification (R-M) systems. Most of the R-M system genes are either conserved among the strains or specific to each strain. Strain specific genes are responsible for different phenotypes in several host adapted pathogens such as H.pylori. Many of the R-M gene homologues exhibit different usages of condon bias and lower G+C content from the average genes suggesting horizontal transfer of the R-M system genes in H. Pylori. Genome analysis of strain 26695 showed the presence of three putative type III R-M systems and hp0592-hp0593 constitutes one such type III R-M system. Based on the conserved motif arrangements, HP0593 MTases belongs to the subgroups of MTases. The amino acid sequence of HP0593 MTases has 38% sequence identity to Ecop11 MTases and EcoP151 MTase, both of which belongs to type IIIR-M systems therefore, it was important to study in detail previously unexplored role of this putative type III DNA MTase (HP0593) in H. Pylori. Investigation of methyltransferease activity and sequence specifically of putative DNA adenine MTase (HP0593) HP0593 (N6-adenine) - DNA MTase is a member of a type III R-M system in H. pylori strain 26695. HP0593 MTase has been cloned, over expressed and purified heterologously in Escherichia coli. Matrix-assisted laser desorption ionization mass spectrometry (MALDI-MS) was carried out with purified HP0593 and profile showed a single peak with expected molecular mass of 70.6kDa. The protein was determined as-5.8. HP0593 MTase exits predominantly as monomer and a small fraction as dimer in solution as determined by size exclusion chromatography and glutaraldehyde cross-linking studies. The recognition sequence of the purified MTase was determined as 5’GCAG-3’ and the target base of methylation is adenine. Dot-blot assay using antibodies that reacted specifically with DNA containing m6A modification confirmed that HP0593 MTase is an adenine specific MTase. Exocyclic MTase have a conserved catalytic motif (D/N/S/SPPY/F/W). Most interestingly, the amino acid sequence analysis of HP0593 MTase revealed the presence of a PCQ-like motif, which is the catalytic motif for C5-cytosine MTase in addition to DPPY motif. In order to check the role of both these MTase by glycine. HP0593 –Y107G and C54G mutant proteins were purified to near homogeneity. It was found that the Y107G mutant protein was catalytically inactive as compared to wild-type HP0593 MTase. On the other hand the C54G mutant protein was found to be as active as the wild-type HP0593 MTase indicating that HP0593 MTase is an adenine MTase and not a C5- cytosine MTase. Kinetic and catalytic properties of HP0593 DNA adenine methyltransferase DNA binding studies were carried out by electrophoretic mobility shift assay using DNA having cognate site and either in absence or presence of AdoHcy or sinefungin. In all the three cases two different DNA-protein complexes were observed-a fast running complex I and a slow running complex 2. It can be surmised that the fast running complex could be HP0593 monomer-DNA and the slow running complex could be a HP0593 dimer-DNA complex. With non specific DNA (lacking 5’-GCAG-3’ sequences) no complexes were formed even in the presence of cofactors. Based on the above observations it is suggested that a specific interactions of HP0593 MTase with DNA occurs on cognate recognition site. The activity of HP0593 MTase is optional at pH 5.5. This is a unique property in context of natural adaptation of H. pylori in its acidic niche. When initial velocities were plotted against varying concentrations of duplex DNA having a single 5’GCAG-3’ site a rectangular hyperbola was obtained confirming that HP0593 MTase obeys michaelis menten kinetics. From non-linear regression analysis of the plot of initial velocity versus DNA concentration Km (DNA) and kcat were calculated. Analysis of initial velocity with AdoMet as a substrate showed that two molecules of AdoMet bind to HP0593 MTase. The nonlinear dependence of methylation activity on enzyme concentration indicated that more than one molecule of methylation activity on enzyme concentration indicated that more than one molecule of enzyme is required for its activity. Metal ion cofactors such as CO 2, Mn2+ and Mg2+ stimulated the HP09593 MTase activity. As Mn2+ showed maximum stimulation of methyaltion activity compared to other metal ions, surface plasmon resonance spectroscopy was used to determine the kinetics of DNA binding by HP0593 MTase in the absence and presence of Mn2+. In the presence of Mn2+, HP0593 MTase showed~1000-fold increase in affinity to duplex DNA. DNA MTase bind substrates in random or sequential order. Preincubation study demonstrated that the preformed enzyme-DNA complex is competent than the preformed enzyme-AdoMet complex. This suggests that MTase binds to DNA first followed by AdoMet. Isotope partitioning analysis indicated that HP0593 MTase shows a distributive mechanism of methylation DNA having more than one recognition site. Effects of inactivation of HP0593 DNA MTase in Helicobacter pylori 26695 strain and its functional role. DNA dot-blot assay using hp0593 gene specific primer showed that this gene is present in 25.15% of the clinical strains checked suggesting that hp0593 is strain-specific gene. Strain-specific genes in many host-adapted pathogene impart strain specific phenotype. Wild-type 26695 strain grew slightly faster at the initial phase of growth in PH 4.5 compared to pH 7.4. A~5-fold enhanced level of hp0593 mRNA expression was growth under acidic condition HP0593 MTase could play an important role in H. pylori physiology through methylation. To elucidate the possible role(s) played by the MTase in H.pylori physiology, an hp0593 knock-out in 26695 strain was generated by chloramphenecol cassette mediated insertional gene inactivation. Growth kinetic study was carried out with both wild-type and hp0593 knock-out strain at pH7.4, the growth of the hp0593 strain. At pH 4.5 no major differences were observed in the growth compared to the wild-type hp0593 knock-out strain. To further investigate the effect of the knock-out, cell-morphology study was carried out after growing the strains at pH 7.4 till mid-exponential phase. Transmission electron microscopy studies reveled changes in cell shape, presence of sheathed structure and production of outer membrane vesicles (OMVs) in the hp0593 knock out strain. OMVs contain effectors molecules during infection helps in pathogenicity caused by H.pylori.This is the first report where inactivation of DNA MTase causes shedding of vesicles. OMVs are also known to modulate the production of IL-8 by gastic epitheial cells. To check weather H.pylori strains could produce IL-8, both wild-type and hp0593 knock-out strains were co-cultured with AGS cell infected with the hp0593 knock out strain. This was further confirmed by semi-quantitative RT-PCR analysis. To analyze the different phenotypes observed in the hp0593 knock-out strain, transcriptome profile were compared by microarray and RT-PCR analysis. In thehp0593 knock-out strain peptidologlycan and murein synthesis genes like pbp2, murC and neu4 showed upregulation which could be responsible for the changes in cell shape presence of sheathed structure and OMVs production. The RT-PCR data showed ~9-fold down-regulation of dank chaperone which might play a key role in slow growth phenotype in the hp0593 knock-out strain. Considering the occurrence of GCAG sequence in the potential promoter regions of physiologically important genes such as dank, neuA, murC, fliH, filP and cag5, the results presented in this study provide impetus for exploring the role of HP0593 DNA MTase in the cellular processes of H.pylori. However, R-M systems are not absolutely essential, but different methylation patterns may contribute to strain-specific epigenetic gene regulation and may contribute to variability among the strains.

No description available.

L'opinion générale est que les ulcères sont rares pendant l'enfance, les lésions provoquées par Helicobacter pylori (H. pylori) ne se produisant que des décennies après l'acquisition de l'infection. L’infection par cette bactérie est en outre moins fréquente chez les enfants dans les pays développés par rapport aux adultes. Par ailleurs, l’usage chronique de médicaments gastro-toxiques est peu fréquent dans cette tranche d’âge. Cependant, plusieurs études ont montré qu’environ 1/10 des enfants référés pour des symptômes de dyspepsie en Europe et infectés par H. pylori présentent un ulcère gastrique ou duodénal, mais aussi que la fréquence de ces lésions chez les enfants non infectés n’est pas nulle.<p>Afin de déterminer la fréquence des ulcères gastriques et duodénaux et des érosions, nous avons commencé par réaliser une étude prospective avec la participation de 19 centres répartis dans 14 pays d'Europe. Tous les enfants référés pour une endoscopie haute ont été recrutés durant une brève période de 1 mois. Parmi les 694 enfants inclus, 56 (8,1%) avaient soit des ulcères (ulcère gastrique 17/56, 30% - ulcère duodénal 7/56, 13%) soit des érosions (érosions gastriques 21/56, 37% - érosions duodénales 9/56, 16% - érosions gastriques et duodénales 2/56, 4%). Cette étude a permis de confirmer que la fréquence des lésions augmente avec l’âge, les enfants atteints de lésions étant significativement plus âgés que les témoins. En effet, les lésions ont surtout été observées chez les enfants dans la deuxième décade de vie. Une infection par H. pylori était présente seulement chez 15 des 56 enfants (27%), un médicament gastro-toxique avait été utilisé chez 13/56 (23%), une maladie inflammatoire chronique de l’intestin était présente chez 7/56 (13%) et une polyarthrite juvénile chez 2/56 (4%, plus d'un facteur de risque présent dans la plupart des cas). Aucun facteur de risque n’a pu être démontré chez 24/56 enfants (43%), une proportion beaucoup plus élevée que celle initialement attendue.<p>Nous avons ensuite réalisé une étude cas-témoins prospective et multicentrique (12 centres participants). Tous les patients avec une lésion érosive ou ulcérée de la muqueuse gastroduodénale ont été inclus avec deux témoins appariés pour l’âge, le centre et la période. Sept cent trente-deux patients (244 cas dont 153 avec seulement des érosions et 91 avec un ou des ulcères, 488 témoins) ont été inclus. Les enfants qui avaient reçu un antibiotique, un inhibiteur de la pompe à proton ou un anti-H2 durant les 4 semaines précédant l’endoscopie ont été exclus de l’analyse statistique parce que ces médicaments influencent la détermination<p>7<p>du statut H. pylori et la gravité des lésions (42 cas et 98 témoins). Nos résultats montrent que, chez les enfants, l'infection à H. pylori est un facteur de risque pour les ulcères duodénaux et les érosions duodénales, mais pas pour les lésions gastriques. Le sexe masculin, la consommation d'AINS, les maladies rénales chroniques et le tabagisme sont d'autres facteurs de risque indépendants de lésions érosives ou d’ulcères gastroduodénaux. Cependant, aucun facteur de risque identifiable n’a été retrouvé dans une grande proportion d'enfants (97/202, 48.0%) ce qui confirme les résultats de notre première étude.<p>Chez les adultes également la proportion d’ulcères sans infection à H. pylori et sans prise d’AINS est en augmentation ces dernières années tout en restant plus faible que chez l’enfant. La fréquence des ulcères gastriques et duodénaux avec un diamètre d’au moins 5 mm a été comparée, dans notre centre et dans un centre d’endoscopie adulte situé dans la même région de Bruxelles, sur une période de deux ans. Ces données montrent que les ulcères sont moins fréquents chez les enfants que chez les adultes (20/1279 enfants avec endoscopie haute - 1,6% vs adultes 58/1010 - 5,7%, OR 0,30, 95%CI 0,10-0.86, p = 0,02) et surtout moins fréquemment associés à une infection par H. pylori (8/20 vs 40/58, OR 0,26, 95%CI 0,16- 0.78, p <0,0001).<p>Comme l’activation de la réponse immunitaire locale est inefficace pour éliminer l’infection par H. pylori et serait plutôt impliquée dans la pathogenèse des lésions de la muqueuse, nous avons comparé la réponse immunitaire muqueuse des lymphocytes T et les réponses naïves chez les enfants et chez les adultes infectés par H. pylori ainsi que chez des témoins non infectés appariés pour l’âge.<p>Dans une première étude, nous avons obtenu des biopsies de la muqueuse antrale chez 43 patients dyspeptiques (12 enfants, 31 adultes). Les concentrations de cytokines libérées dans le milieu de culture et la densité de cellules CD3+, CD25+ et CD69+ ont été évaluées par cytométrie en flux. Le nombre de cellules sécrétant de l’interféron-γ (IFN-γ), de l’interleukine-4 (IL-4) et de l’IL-10 a été mesuré par ELISPOT. Les données obtenues montrent que l’augmentation de la sécrétion d'IFN-γ et l’élévation du nombre de cellules secrétant de l’IFN-γ au niveau de la muqueuse antrale lors d’une infection par H. pylori sont plus faibles chez les enfants que chez les adultes.<p>8<p>Dans une seconde étude, nous avons comparé l’infiltrat inflammatoire de la muqueuse antrale dans différents groupes d’âge (moins de 8 ans, 8 à 17 ans, 18 à 55 ans) de patients successifs infectés par H. pylori et des témoins appariés pour l’âge. Nous avons montré une corrélation entre l'âge et la densité de neutrophiles, de cellules CD3+ et de CD8+, mais pas de cellules CD20+. Le recrutement des neutrophiles dans la muqueuse antrale est plus faible chez les enfants et apparaît corrélé avec une plus faible activation du facteur de transcription NF-kB (déterminé par immunohistochimie et par EMSA) dans cette même muqueuse. L’infiltrat inflammatoire et l’activation du NF-kB sont légèrement (mais non significativement) plus intenses en cas d’infection par une souche plus virulente (facteur de virulence cagA). Ces souches cagA+ sont retrouvées en proportion équivalente dans les différents groupes d’âge. Par contre, la charge bactérienne, mesurée par un score semi-quantitatif en histologie, n’influence pas l’intensité de l’infiltrat inflammatoire.<p>En conclusion :H. pylori reste un facteur étiologique majeur pour les ulcères et les érosions duodénales chez l’enfant, mais pas pour les lésions gastriques dans les pays à faible prévalence de l'infection et la proportion de lésions associées à une infection est plus faible que chez les adultes. Aucun facteur d’exposition connu ne peut être associé aux lésions endoscopiques dans la moitié des cas, ce qui justifiera des études ultérieures pour identifier d’autres causes exogènes ou endogènes à ces lésions.<p>La réponse immunitaire de l’hôte est impliquée dans la pathogenèse des lésions gastroduodénales associées à une infection par H. pylori. Or il a été démontré dans les travaux faisant l’objet de cette thèse que cette réponse immunitaire est plus faible chez l’enfant que chez l’adulte pour certains facteurs (cytokines Th1, immunité humorale, recrutement des polynucléaires et des lymphocytes au niveau muqueux, activation du facteur de transcription NF-κB). D’autres études confirment la plus faible réponse humorale et Th1, mais également Th17 ainsi qu’une activation plus intense des Treg. Les cytokines ou les voies de signalisation responsables de cette réponse immunitaire plus faible restent inconnues, ce qui ouvre la voie à d’autres investigations. / Doctorat en Sciences médicales / info:eu-repo/semantics/nonPublished

A novel probe was developed from genomic DNA of Helicobacter pylori ATCC type strain 43629. It hybridized with all 73 H. pylori clinical isolates tested but not with any of 183 non-H. pylori DNAs in dot blot hybridization. Typing tests revealed 41 different HaeIII-digestion patterns from 57 H. pylori strains tested. Based on the sequence of the probe, a nested PCR was developed that detected as little as 2 fg of H. pylori DNA or approximately equivalent to one cell. No PCR products were amplified from any of 21 non-H. pylori strains tested. Using this nested PCR, H. pylori DNA was detected in 33 of 45 (73%) saliva samples collected from patients with gastric H. pylori infection. These data suggest that the probe is useful for typing H. pylori and that the nested PCR is a valuable tool for detecting H. pylori DNA in saliva.

No description available.

Helicobacter pylori est une bactérie à Gram négatif qui colonise plus de 50% de la population humaine. Cette bactérie est l'un des pathogènes les plus présents dans la population et la colonisation se fait dans l'enfance et l'adolescence. H. pylori est responsable de l'apparition de maladies gastriques chez l'humain comme des ulcères gastriques, mais aussi des cancers gastriques. Plusieurs mécanismes contribuent aux maladies gastriques dont une infection chronique à long terme ainsi que des facteurs de virulence comme le système de sécrétion de type 4 (SST4). Le SST4 forme une seringue protéique utilisée par la bactérie pour injecter la protéine CagA dans les cellules humaines. Cette protéine a été la première protéine bactérienne classifiée comme une oncoprotéine par sa capacite à interférer et modifier de nombreuses fonctions et signaux métaboliques des cellules épithéliales gastriques. Afin d'éradiquer Helicobacter, une antibiothérapie est utilisée, cependant depuis les 10 dernières années plus de 50% des bactéries isolées de patients ont été identifiés comme étant porteuses de résistances contre aux moins un antibiotique de première ligne. L’utilisation de petites molécules organiques capables d'interférer avec les facteurs de virulence est une alternative intéressante à la thérapie aux antibiotiques. L'utilisation de ces molécules possède des avantages dont la faible pression de sélection de résistance parce qu’elles n’impactent pas des fonctions vitales des bactéries. Le SST4 de H. pylori est composé de nombreuses protéines essentielles qui pourraient être de potentielles cibles pour des molécules inhibitrices. Nous avons choisi la cible Cagα, une ATPase homologue à VirB11 de Agrobacterium tumefaciens. Cette protéine est essentielle pour l’injection de CagA. Précédemment, notre laboratoire a identifié une petite molécule nommée 1G2 qui était capable d’interagir avec Cagα et de diminuer l’induction de l’interleukine 8 produit par les cellules gastriques lors de l’infection par des souches de H. pylori possédant un SST4 fonctionnel. A partir d’une structure cristallographique de Cagα liée à 1G2 et nous avons créé des protéines Cagα avec des mutations aux site de liaison de 1G2. En utilisant la fluorimétrie différentielle à balayage (DSF) nous avons pu identifier les acides aminés qui contribuent à la liaison de 1G2 (K41, R73 et F39). Basé sur cette information nous avons utilisé la chimie médicinale pour créer une librairie de molécules dérivées de 1G2 dans le but d’identifier des inhibiteurs plus puissants. Après avoir éliminé les molécules ayant un effet toxique sur les cellules gastriques et H. pylori, nous avons sélectionné cinq molécules (1313, 1338, 2886, 2889 et 2902) qui inhibent la production d’IL-8 plus que 1G2 dans notre modèle d’infection cellulaire. Nous avons montré par DSF que les molécules interagissent toujours avec Cagα et 1338, 2889 et 2902 sont des inhibiteurs plus puissants de son activité d’ATPase. Avec le modèle d’infection, nous avons déterminé que les cinq molécules n’affectent par la présence de CagA dans le lysat de l’infection. Cependant, nous avons observé par microscopie électronique à balayage que le SST4 pilus n’était pas présent en présence des inhibiteurs. En plus, nous avons testé les effets de 1G2 sur des souches de H. pylori résistantes, à un ou plusieurs antibiotiques de première ligne, isolées de biopsie gastriques de patients. Comme dans le cas de la bactérie modèle de laboratoire, nous avons observé une diminution de l’induction des IL-8 lors de l’infection ainsi qu’une inhibition de la formation du SST4 pilus. Nous avons aussi identifié que le gène de la protéine Cagα d’une des bactéries résistantes à 1G2 (souche #3822) porte un remplacement de R73 à K ce qui pourrait expliquer la résistance à 1G2. Pour conclure, nous avons dans cette étude caractérisé le site de liaison de 1G2 à Cagα et nous avons identifié des molécules qui sont plus puissantes comme inhibiteurs que 1G2. / Helicobacter pylori is a Gram-negative bacterium that colonizes more than 50% of the human population. This bacterium is one of the most common pathogens in the population and colonization occurs in childhood and adolescence. H. pylori is implicated in the manifestation of gastric diseases in humans such as gastric ulcers and also gastric cancer. Several mechanisms are involved in the formation of gastric diseases including long-term chronic infection as well as virulence factors such as the type 4 secretion system (T4SS). The T4SS forms a protein syringe used by the bacteria to inject the protein CagA into mammalian cells. This protein is the first bacterial protein classified as an oncoprotein by its ability to interact with numerous metabolic functions of gastric epithelial cells. To eradicate Helicobacter, antibiotic therapy is used, but for the last 10 years more than 50% of the bacteria isolated from patients have been identified as carrying resistance against at least one first-line antibiotic. The use of small molecules capable of interfering with virulence factors is being studied as an alternative to antibiotic therapy. The use of these molecules has many advantages, and they may cause lower selection pressure for resistance than antibiotics. The H. pylori T4SS is composed of many essential proteins that could be potential targets for inhibitory molecules. We chose the target Cagα, an ATPase homologous to the model VirB11 from Agrobacterium tumefaciens. This protein is essential for the injection of CagA. Previously, our laboratory identified a small molecule coined 1G2 that interacts with Cagα and decreases the induction of interleukin-8 produced by gastric cells upon infection with H. pylori strains with functional T4SS. Based on a crystallographic study of Cagα bound to 1G2, we created Cagα proteins with mutations at the 1G2 binding site. Using differential scanning fluorimetry, we identified amino acids that contribute to 1G2 binding (K41, R73 and F39). Based on these observations, we used medicinal chemistry to create a library of molecules derived from 1G2 to create more potent inhibitors. After eliminating the molecules with a toxic effect on gastric cells and H. pylori growth, we selected five molecules with stronger effects than 1G2 on IL8 induction in our cell infection model (1313, 1338, 2886, 2889 and 2902). We observed by DSF that the molecules interact with Cagα and 1338, 2889 and 2902 are stronger inhibitors of the ATPase 8 activity than 1G2. With our infection model, we determined that the five molecules do not affect the presence of CagA. However, by scanning electron microscopy we observed that the T4SS pilus was not present. In addition to the tests on a laboratory model bacterium, we evaluated 1G2 on resistant strains of H. pylori isolated from gastric biopsy from patients. Similar to the laboratory model bacterium, 1G2 decreased IL-8 induction and inhibited T4SS pilus formation. We have also identified that strain #3822 that is resistant to 1G2 carries a R73 to K mutation in the Cagα gene, which could explain the 1G2 resistance. To conclude, we have here characterized the 1G2 binding site on Cagα and we created inhibitors that are more potent than 1G2.

[ES] De entre los patógenos emergentes presentes en agua, las bacterias del género Helicobacter son de las más alarmantes, ya que se encuentran directamente relacionadas con el cáncer gástrico y hepatobiliar y su epidemiología aún no está clara. Se ha planteado que H. pylori puede ser adquirida por diferentes vías de transmisión, entre las que se destaca el agua. Se ha demostrado su capacidad de supervivencia frente a los tratamientos comunes de desinfección de aguas. Por todo ello, en esta tesis se ha investigado la presencia de células viables, y por tanto infectivas, de H. pylori en aguas potables y de riego, mediante la mejora y la optimización de técnicas de cultivo y moleculares. Este trabajo se inició con la búsqueda de un medio de cultivo óptimo. Se obtuvieron resultados muy positivos con el medio de cultivo Agar Dent con sulfato de polimixina B, independientemente del origen de la muestra. Seguidamente, se desarrolló un método de pre-tratamiento con Propidium Monoazide y PEMAXTM para la detección y cuantificación de células de H. pylori viables, por PCR. Se confirmó que el PMA a una concentración de 50 µM y un periodo de incubación de 5 minutos sería la metodología óptima de tratamiento antes del análisis mediante qPCR. A continuación, se analizaron 20 muestras de agua residual. Mediante la técnica de cultivo, fue posible la detección de 4 colonias sospechosas de Helicobacter spp. y H. pylori, cuya identificación fue confirmada mediante amplificación y posterior secuenciación. La técnica DVC-FISH indico la presencia de células viables de Helicobacter spp. en 15 (75%) de las muestras. Respecto a la detección de células de H. pylori, mediante DVC-FISH y FISH, estos microorganismos se observaron en 10 (50%) y 11 (55%) de las 20 muestras analizadas, respectivamente. La técnica qPCR determino la presencia de H. pylori en las muestras, con un porcentaje de detección del 60%. Finalmente, mediante metagenómica de secuenciación dirigida, se analizó el microbioma de 16 muestras de aguas residuales. Los filos dominantes de las muestras analizadas fueron Proteobacteria, seguido de Bacteroidetes y Firmicutes. H. pylori se detectó en 6 muestras de aguas residuales. Además, se detectaron otras especies de Helicobacter spp., como H. hepaticus, H. pullorum y H. suis. Igualmente, mediante PCR se identificó el gen cagA en 5 muestras de agua residual y una de agua potable. Respecto el genotipo vacAs1, se observó en 4 muestras de agua residual; el genotipo vacAm1, se identificó en una muestra de agua potable y 2 de agua de riego. En las biopelículas analizadas, 2 fueron positivas para el tipo vacAm1, y otros dos para el gen de resistencia pbp1A. Del mismo modo se analizaron 45 muestras de heces. No se observaron colonias sospechosas en Agar Dent selectivo. Mediante qPCR se evidenció H. pylori en 41 muestras (45,56%). Fue posible cuantificar 10 muestras directas y 18 enriquecidas, con concentraciones entre 3,39*103 y 2,61*103 UG/mL, las restantes presentaban niveles superiores al umbral de fiabilidad (>35 ciclos). Por DVC-FISH se observaron células viables de H. pylori en 26 (57,78%) de las 45 muestras directas. La identificación de mutaciones en el 23S rDNA, de la resistencia a la claritromicina, mostro que el 37,79% de las muestras de heces presentaban células de H. pylori potencialmente resistentes. Mediante secuenciación dirigida y posterior análisis bioinformático se identificó H. pylori en 13 muestras directas y 13 muestras enriquecidas, y otras especies como H. hepaticus y H. pullorum. Por último, se evaluó la capacidad de H. pylori para formar biopelículas y su resistencia frente a los tratamientos comunes de desinfección. Se analizaron 27 biopelículas procedentes del sistema de distribución de agua potable para detectar la presencia de H. pylori mediante qPCR. El porcentaje de detección fue del 23%, siendo posible la cuantificación en 5 muestras, con concentraciones entre 7,32*101 y 1,16*101 unidades genómicas/mL. Los resultados obtenidos en esta Tesis confirman la existencia de células viables de H. pylori y otros Helicobacter spp. en aguas residuales tras su tratamiento, lo que significa un riesgo potencial para la Salud Pública. De igual forma se demuesta su presencia en muestras de heces, proporcionando un punto de partida para el estudio del riesgo que puede suponer para el ser humano la trasmisión fecal-oral de estas especies. Este trabajo también demuestra la capacidad de H. pylori de formar biopelículas y su resistencia frente a tratamientos comunes de desinfección y confirma su existencia en sistemas de distribución de agua potable. / [CAT] D'entre tots els patògens emergents presents en aigua, els bacteris del gènere Helicobacter són dels més alarmants, ja que es troben directament relacionats amb el càncer gàstric i hepatobiliar i la seua epidemiologia encara no és clara. S'ha plantejat que H. pylori es pot transmetre per diferents vies de transmissió, entre les quals destaca l¿aigua. S'ha demostrat la seua capacitat de supervivència enfront dels tractaments comuns de desinfecció d'aigües. Per tant, en aquesta tesi s'ha investigat la presència de cèl·lules viables, i per tant infectives, d' H. pylori en aigües potables i de reg, mitjançant la millora i l'optimització de tècniques de cultiu i moleculars. Aquest treball es va iniciar amb la cerca d'un cultiu òptim. Es van obtenir resultats molt positius amb el mitjà de cultiu Agar Dent amb sulfat de polimixina B, independentment de l'origen de la mostra. Seguidament, es va desenvolupar un mètode de pretractament amb Propidium Monoazide i PEMAXTM per a la detecció i quantificació exclusiva de cèl·lules d' H. pylori viables per PCR. Es va confirmar que el PMA a una concentració de 50 µM i un període d'incubació de 5 minuts seria la metodologia òptima de tractament abans de l'anàlisi mitjançant qPCR. A continuació, es van analitzar 20 mostres d'aigua residual. Mitjançant la tècnica de cultiu, va ser possible la detecció de 4 colònies sospitoses d' Helicobacter spp. i H. pylori, la identificació de la qual va ser confirmada mitjançant amplificació i posterior seqüenciació. La tècnica DVC-FISH va demostrar la presència de cèl·lules viables d' Helicobacter spp. en 15 (75%) de les mostres, sense necessitat d'un pas previ d'enriquiment. Respecte a la detecció de cèl·lules d' H. pylori, mitjançant DVC-FISH i FISH, aquests microorganismes es van observar en 10 (50%) i 11 (55%) de les 20 mostres analitzades, respectivament. La tècnica qPCR determinà la presència d' H. pylori a les mostres amb un percentatge de detecció del 60%. Finalment, mitjançant metagenòmica de seqüenciació dirigida, es va analitzar el microbioma de 16 mostres d'aigües residuals. Els talls dominants de les mostres analitzades van ser Proteobacteria, seguit de Bacteroidetes i Firmicutes. H. pylori es va detectar mitjançant aquesta tècnica en 6 mostres d'aigües residuals. A més, es van detectar altres espècies d' Helicobacter spp., com H. hepaticus, H. pullorum i H. suis. Igualment mediant PCR es va identificar el gen cagA en 5 mostres d'aigua residual i una d'aigua potable. Respecte al genotip vacAs1, es va observar en 4 mostres d'aigua residual; el genotip vacAm1, es va identificar en una mostra d'aigua potable i 2 d'aigua de reg. En les biopel·lícules analitzades, 2 van ser positives per al tipus vacAm1, i altres dos per al gen de resistència pbp1A. De la mateixa manera es van analitzar 45 mostres de femta. No es van observar colònies sospitoses en Agar Dent selectiu. Mitjançant la tècnica qPCR es va demostrar la presència d'H. pylori en 41 mostres (45,56%). Va ser possible quantificar 10 mostres directes i 18 enriquides, amb concentracions d'entre 3,39*103 i 2,61*103 UG/ml, les restants presentaven nivells per damunt del llindar de fiabilitat (>35 cicles). Mitjançant DVC-FISH es van observar cèl·lules viables d' H. pylori en 26 (57,78%) de les 45 mostres directes. La detecció de mutacions en el 23S rDNA, específiques de la resistència a la claritromicina, va indicar que el 37,79% de les mostres de femta presentaven cèl·lules d' H. pylori potencialment resistents. Mitjançant seqüenciació dirigida i posterior anàlisi bioinformàtica es va identificar H. pylori en 13 mostres directes i 13 mostres enriquides, i altres espècies com H. hepaticus i H. pullorum. Finalment, es va avaluar la capacitat d' H. pylori per a formar biopel·lícules i la seua resistència enfront dels tractaments comuns de desinfecció. Es van analitzar 27 biopel·lícules procedents del sistema de distribució d'aigua potable per a detectar la presència d' H. pylori mitjançant qPCR. El percentatge de detecció va ser del 23%, sent possible la quantificació en 5 mostres corresponents a concentracions d’entre 7,32*101 i 1,16*101 unitats genòmiques/ml. Els resultats obtinguts en aquesta Tesi confirmen la presència de cèl·lules viables d' H. pylori i altres Helicobacter spp. en aigües residuals després del seu tractament, la qual cosa suposa un risc potencial per a la Salut Pública. D'igual forma, s'evidencia la seua presència en mostres de femta, proporcionant un punt de partida per a l'estudi del risc que la transmissió fecal-oral d'aquestes espècies pugui suposar per als humans. Aquest treball també demostra la capacitat d' H. pylori de formar biopel·lícules i la seua resistència enfront als tractaments comuns de desinfecció, i confirma la seua presència en sistemes de distribució d'aigua potable. / [EN] Among all the emergent pathogens in water, bacteria of the Helicobacter genus are among the most disturbing, as they are directly related to gastric and hepatobiliary cancer and their epidemiology is still unclear. It has been suggested that H. pylori can be acquired through different transmission routes, among which water stands out. Its ability to survive against common water disinfection treatments has been demonstrated. In addition, H. pylori can form insoluble biofilms, which favors its resistance to the different disinfection and potabilization treatments. Therefore, in this thesis has investigated the presence of viable cells, and therefore potentially infective, of H. pylori in drinking and irrigation waters, through the improvement and optimization of culture and molecular techniques. This work began with the development of an optimal culture medium. Positive results were obtained with the culture medium Agar Dent with polymyxin B sulfate. Subsequently, a pretreatment method with Propidium Monoazide and PEMAXTM was developed for the exclusive detection and quantification of viable H. pylori cells by PCR. It was confirmed that PMA at a concentration of 50 µM and an incubation period of 5 minutes, would be the optimal treatment methodology before analysis by qPCR. A total of 20 wastewater samples, aseptically collected at the outlet of the biological reactor and after disinfection treatment, were then analyzed. Using the culture technique, it was possible to detect 4 suspicious colonies of Helicobacter spp. and H. pylori, whose identification was confirmed by amplification and subsequent sequencing. DVC-FISH technique demonstrated the presence of viable Helicobacter spp. cells in 15 (75%) of the samples. Regarding the detection of H. pylori cells, by DVC-FISH and FISH, these microorganisms were observed in 10 (50%) and 11 (55%) of the 20 samples analyzed, respectively. The qPCR technique determined the presence of H. pylori in the samples with a detection rate of 60%. Finally, using deep-amplicon sequencing, the microbiome of 16 wastewater samples was analyzed. The dominant phylum in the samples analyzed were Proteobacteria, followed by Bacteroidetes and Firmicutes. H. pylori was detected by this technique in 6 wastewater samples. In addition, others Helicobacter spp., such as H. hepaticus, H. pullorum and H. suis were detected. PCR technique was used to identify the cagA gene in 5 wastewater samples and one drinking water sample. Regarding the vacAs1 genotype, it was observed in 4 samples of wastewater; the vacAm1 genotype, was identified in one drinking water sample and 2 irrigation water samples. In the biofilms analyzed, 2 were positive for the vacAm1 type, and two for the resistance gene pbp1A. Likewise, 45 stool samples were analyzed. No suspicious colonies were observed on selective Dent Agar. The qPCR technique demonstrated the presence of H. pylori in 41 samples (45.56%). It was possible to quantify 10 direct samples and 18 enriched samples, with concentrations between 3.39*103 and 2.61*103 GU/mL, the remaining samples had levels above the reliability threshold (>35 cycles). DVC-FISH showed viable H. pylori cells in 26 (57.78%) of the 45 direct samples. Detection of 23S rDNA mutations specific for clarithromycin resistance indicated that 37.79% of stool samples had potentially resistant H. pylori cells. Through Deep-amplicon sequencing and subsequent bioinformatics analysis, H. pylori was identified in 13 direct samples and 13 enriched samples, as well as other species such as H. hepaticus and H. pullorum. Finally, the ability of H. pylori to form biofilms and their resistance to common disinfection treatments was evaluated. Twenty-seven biofilms from the drinking water distribution system were also tested for the presence of H. pylori by qPCR. The detection rate was 23%, being possible the quantification in 5 samples corresponding to concentrations between 7.32*101 and 1.16*101 GU/mL. / Esta Tesis Doctoral ha sido posible gracias a las ayudas de carácter predoctoral: “Ayuda de conselleria para la contratación de personal investigador en formación -Irene Hortelano Martin (determinación del riesgo para el consumidor de la presencia de H. pylori y otros helicobacters patógenos en aguas de consumo mediante técnicas moleculares y metagenómica) (ACIF/2016/150) Generalitat Valenciana (2016-2019). Y a la financiación de los proyectos: “Helicobacter pylori y otros helicobacters patógenos en aguas y alimento: Desarrollo y aplicación de herramientas moleculares dirigidas a la evaluación del riesgo para el consumidor (REF. AGL2014-53875-R)”. Ministerio de Economía y Competitividad, España. “Determinación del riesgo para la salud pública debido a la presencia de H. pylori en agua y alimentos: Detección (AICO/2018/273)”. Generalitat Valenciana (2018-2020). / Hortelano Martín, I. (2021). Determinación del riesgo para el consumidor de la presencia de H. pylori y otros Helicobacter spp. patógenos en aguas de consumo mediante técnicas moleculares y metagenómica [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/178942

Das magenbesiedelnde Bakterium Helicobacter pylori gehört zu den am weitesten verbreiteten Infektionserregern. Obwohl die Infektion meist lebenslang symptomlos verläuft, kann H. pylori bei einigen Menschen schwere Erkrankungen bis hin zum Magenkarzinom verursachen. Ziele dieser Arbeit waren Magenkarzinom-assoziierte Antigene für einen diagnostischen Test zu finden und Methoden zur Untersuchung von Spotkompositionen mittels MALDI-TOF/TOF Massenspektrometrie zu entwickeln. Im ersten Teil der Promotion wurden die Antigenerkennungsmuster von 30 Magenadenokarzinom- mit 30 Ulkus duodeni-Patienten mithilfe hochauflösender zweidimensionaler Immunoblots von H. pylori Lysat verglichen. Diese fokussierte Gegenüberstellung eignet sich gut für diese Fragestellung, da beide Erkrankungen von diesem Bakterium verursacht werden, aber nur sehr selten gemeinsam auftreten. Durch univariate statistische Analysen wurden 14 Magenkarzinom korrelierte Spots gefunden (p / The stomach-colonizing bacterium Helicobacter pylori is one of the most widespread infectious agents. Although infection mostly persists unnoticed, it may cause serious diseases like gastric carcinoma. Aims of this project were to find gastric carcinoma-associated antigens for a diagnostic test and to develop methods to analyze spot compositions using MALDI-TOF/TOF mass spectrometry. In the first part of this project antigen recognition patterns of 30 gastric carcinoma- and 30 duodenal ulcer- patients were compared using high-resolution two-dimensional immunoblots of H. pylori lysate. This focused comparison lent itself to this question because both diseases are caused by the bacterium but rarely occur conjointly. Utilizing univariate statistical tests 14 gastric carcinoma-associated spots were found (p

Endocytosis is a fundamental cellular process by which cells transport material from the outside to the inside of the cell through the formation of membrane invaginations that bud off from the plasma membrane. This process is important for nutrient uptake, regulating cell surface receptors and the overall plasma membrane composition. Cells have several different types of endocytic pathways where clathrin- mediated endocytosis is the most studied. Importantly, pathogens and secreted virulence factors bind to cell surface receptors and hijack the endocytic pathways in order to enter host cells. Depending on their size and molecular composition, pathogens and virulence factors are thought to make use of distinct endocytic pathways into the cell. This thesis focuses on early host cell interactions with virus, bacterial membrane vesicles and a pore-forming toxin, with a particular emphasis on endocytic mechanisms and plasma membrane repair. During entry of pathogens, it is thought that interactions with specific cell surface molecules drive the recruitment of endocytic proteins to the plasma membrane. Viruses possess a very defined molecular composition and architecture, which facilitate specificity to these interactions. We found that Adenovirus 37, a human ocular pathogen, binds to αVβ1 and α3β1 integrins on human corneal epithelial cells and that this interaction is important for infection. In contrast to viruses, membrane vesicles shed from Helicobacter pylori are heterogeneous in size and molecular composition. These vesicles harbour various adhesins and toxins that may facilitate binding to the cell surface and recruitment of different endocytic pathways. We developed a quantitative internalization assay and showed that the H. pylori vesicles were internalized mainly via clathrin-mediated endocytosis but were also capable of exploiting other endocytic pathways. Damage to the plasma membrane disrupts cellular homeostasis and can lead to cell death if not repaired immediately. Although endocytic mechanisms have been shown to be important for plasma membrane repair, little is known about their specific role. Listeriolysin O (LLO) is a bacterial toxin that can form pores in the plasma membrane and disrupt cellular homeostasis. We developed a reporter system for real-time imaging of the endocytic response to LLO pore formation. We found that two clathrin-independent endocytic pathways were important for plasma membrane repair. However, they were not directly involved in removing LLO pores from the plasma membrane. Our data suggests that these endocytic systems might rather influence membrane repair by their ability to regulate the plasma membrane composition, shape and tension. In conclusion, this thesis describes how pathogens and their virulence factors make use of specific mechanisms to enter host cells as well as revealing new insights on the role of the endocytic pathways in plasma membrane repair.