INTRODUÇÃO: A prevalência da úlcera péptica e outras afecções esofagogastroduodenais associadas à infecção pelo H. pylori foram alteradas em decorrência da erradicação desta infecção e uso de inibidores de secreção gástrica ácida. OBJETIVO: Determinar a prevalência da infecção pelo Helicobacter pylori associada às afecções diagnosticadas pela endoscopia digestiva alta e analisar fatores de risco. MÉTODOS: Foram analisados dados de 1478 pacientes, e as informações dos achados endoscópicos foram correlacionadas com resultado de teste de urease, faixa etária e gênero. Os pacientes com exame endoscópico normal foram considerados como grupo controle para análise estatística dos fatores de risco, perfazendo um total de 272 indivíduos. RESULTADOS: A prevalência da infecção por H. pylori foi de 53% (n=786), e maior na faixa etária entre 31 e 40 anos. Os achados endoscópicos mais frequentes foram gastrites (n=810; 54,8%), úlceras pépticas duodenais e gástricas (n=494; 33,4%), duodenites (n=287; 19,4%) e esofagites (n=217; 14,7%). Apenas a gastrite nodular e úlcera péptica foram associadas com infecção por H. pylori (p<0,05). Gastrite erosiva no antro (n=644, 78,5%) predominou em relação à pangastrite (n=166; 20,2%) e aquelas no corpo (n=19; 2,3%). Entre os casos de úlcera péptica, 103 (7%) foram gástricas, 343 (23,2%) foram duodenais e 48 (3,2%) foram gástrica e duodenal. A esofagite geralmente foi leve (grau A; 63,1%), 23,5% foram moderada (grau B) e 13,3% foram intensa (graus C e D). Infecção por H. pylori aumentou o risco de úlceras gástrica e duodenal em 1,9 e 1,6 vezes, respectivamente. Gênero masculino e maior idade foram riscos de todas as outras afecções. CONCLUSÃO: Infecção pelo H. pylori associada com maior idade e gênero masculino foram determinantes importantes para evolução de afecções gastrintestinais / Introduction: Peptic ulcer prevalence and other esophageal and gastroduodenal disorders associated with H. pylori infection changed as a consequence of its eradication and the use of gastric acid secretor inhibitors. Purpose: To establish H. pylori infection prevalence associated with clinical disorders diagnosed by upper gastrointestinal endoscopy, and determine the risk factors. Methods: Data from 1478 patients were analyzed, and the endoscopic findings were correlated with the urease test results, age and gender. Patients with normal endoscopy were considered control group for statistical analysis of the risk factors, comprising a total of 272 individuals. Results: The overall prevalence of H. pylori infection was 53% (n=786), being higher between 31 and 40 years old. The most frequent endoscopic findings were gastritis (n=810, 54.8%), peptic ulcer (n=494, 33.4%), duodenitis (n=287, 19.4%) and esophagitis (n=217, 14.7%). Only nodular gastritis and peptic ulcer were associated with H. pylori infection (p<0.05). Erosive gastritis (70%) in the antrum (n=644; 78.5%) predominated in relation to pangastritis (n=166, 20.2%) and the ones in the corpus (n=19, 2.3%). Among peptic ulcer cases, 103 (7%) were gastric, 343 (23.2%) were duodenal and 48 (3.2%) were gastric and duodenal. Esophagitis usually was mild (grade A in 63.1%), 23.5% were moderate (grade B) and 13.3% were intense (grades C and D). H. pylori infection increased the risk of gastric and duodenal ulcers by 1.9 and 1.6-fold, respectively. Male gender and being older were risks of all the other conditions. Conclusion: H. pylori infection associated with older age and male gender were important determinants to gastrointestinal diseases outcome

Durant la réplication du chromosome bactérien, le désappariement du double brin d'ADN est réalisé par l'hélicase hexamérique DnaB. Chez Escherichia coli, le positionnement de l'hexamère de DnaB sur l'ADN simple brin dans le sens 5'-3'est permis par le facteur de chargement. La primase DnaG interagit ensuite avec l'hélicase pour former le primosome. Chez Helicobacter pylori, aucun facteur de chargement n'a été identifié, ce qui est également le cas pour la majorité des espèces bactériennes. De plus, DnaB d'H. pylori (HpDnaB) peut complémenter des souches mutantes d'E.coli DnaBts et DnaCts suggérant que HpDnaB peut jouer le rôle des deux protéines. Pour mieux comprendre le mode d'action de HpDnaB, nous avons résolu sa structure cristallographique à une résolution de 6.7 Å. Celle-ci révèle que la protéine s'assemble en dodécamère, formé par deux hexamères interagissant par leurs domaines N-terminaux (NTD). Nos expériences en diffusion des rayons X aux petits angles (SAXS) montrent que le dodécamère de HpDnaB adopte une conformation modifiée et dynamique en solution. Nous avons ensuite étudié la structure de HpDnaB après interaction avec HpDnaGHBD et/ou l'ADN simple brin par chromatographie d'exclusion stérique couplée à la diffusion de la lumière multi-angles (SEC-MALS) et par SAXS. Ces expériences suggèrent qu'après interaction avec HpDnaGHBD, le double hexamère est dissocié en simples hexamères formant un complexe avec HpDnaGHBD. De plus, HpDnaB forme des hexamères avec l'ADN simple brin en présence d'AMP-PNP. L'ensemble de nos résultats suggère que la formation du primosome d'H. pylori conduit à la dissociation du dodécamère en deux complexes HpDnaB6•HpDnaG3 / During bacterial chromosomal replication, unwinding of double stranded DNA is performed by the hexameric helicase DnaB. In Escherichia coli, the positioning of DnaB hexamers onto replication forks in the 5’to 3’ direction is dedicated by helicase loader. DnaB then interacts with the DnaG primase helicase binding domain (DnaGHBD) to form the primosome. Helicobacter pylori does not encode for a DnaC homologue, which is also the case of most bacterial species. Moreover, H. pylori DnaB (HpDnaB) could complement two temperature–sensitive mutants of E. coli dnaBts and dnaCts, suggesting that the HpDnaB was able to bypass DnaC in these cells. To gain insights into HpDnaB mode of activation, we have solved the crystal structure of HpDnaB at 6.7Å resolution. The structure reveals a novel dodecameric organisation where HpDnaB assembles as planar stack-twisted double hexamers via N-terminal domain (NTD)-rings interactions. Small angle X-ray scattering analysis (SAXS) demonstrates that HpDnaB adopts a modified and dynamic structure in solution but maintains dodecameric architecture. We have then investigated the structure of HpDnaB upon interaction with HpDnaGHBD and/or ssDNA using size exclusion chromatography coupled to multiangle light scattering and SAXS. These experiments show that upon interaction with HpDnaGHBD, HpDnaB double hexamer dissociates into single hexamers to form a complex with HpDnaGHBD. Moreover, we found that HpDnaB also forms hexamers in complex with ssDNA in the presence of AMP-PNP. Collectively, these data suggest that primosome assembly in H. pylori results in the dissociation of the double hexamer into two HpDnaB6•HpDnaG3 sister primosomes

H. pylori est une bactérie à Gram négatif qui infecte l'estomac de près de 50% de la population mondiale. L'infection, en général asymptomatique, peut évoluer vers l'ulcère gastrique (15% des cas) ou le cancer de l'estomac (1% des cas). L'infection à H. pylori est traitée par antibiothérapie mais ces dernières années ont vu une augmentation du nombre de souches résistantes. Cette augmentation et la forte prévalence d'H. pylori sont probablement dues à son importante variabilité génétique qui a pour origine un fort taux de mutagénèse spontanée, associée à une recombinaison efficace et un important transfert horizontal de gènes. H. pylori est en effet naturellement compétente pour la transformation qui est le processus biologique permettant la capture, l'internalisation et l'intégration d'ADN exogène dans le génome de la bactérie. Ce processus favorise la diversité génétique au sein d'une population et peut permettre son adaptation rapide aux changements environnementaux. Durant ma thèse, j'ai participé au développement d'une méthode permettant de visualiser la transformation d'ADN fluorescent dans des cellules de H. pylori vivante. Cette méthode nous a permis, pour la première fois, de visualiser directement l'entrée d'un ADN transformant dans le cytoplasme d'une bactérie compétente. Elle nous a également permis de confirmer le rôle de la protéine ComEC dans l'internalisation de l'ADN dans le cytoplasme. Le travail que j'ai réalisé a également permis de mettre en évidence que le niveau de transformation de H. pylori est déterminé par le niveau d'expression du complexe membranaire d'internalisation. La quantité d'ADN capturée serait alors un facteur limitant pour la transformation. / H. pylori is a Gram negative flagellar bacterium that colonizes nearly 50% of the world population. Infection is generally asymptotic but can evolve to ulcerous gastritis (15% of the cases) or stomach cancer (1% of the cases). H. pylori infection is usually treated with antibiotic but the last years saw a dramatic increase in the number of resistant strains. This increase, and the high prevalence of H. pylori, are probably caused by its huge genetic variability likely due to a strong mutagenesis rate associated with efficient recombination and horizontal gene transfer. H. pylori is indeed naturally competent for transformation which is the biological process allowing capture, internalization and integration of exogenous DNA in the genome of a bacterium. This process promotes genetic diversity in a population and could permit rapid adaptation to environmental changes. During my thesis, I participated to the development of a method to visualize transformation in H. pylori living cells. Using fluorescently labelled DNA, this method allowed us for the first time to follow directly the entry of a transforming DNA into the cytoplasm of competent bacteria. It also allowed us to confirm the role of the ComEC protein in the internalization of the DNA in the cytoplasm. The work I performed also allowed to show that the level of expression of the uptake complex determines the transformation efficiency of H. pylori. The amount of captured DNA would then be a limiting factor for the transformation in this bacterium. Finally, I initiated the biochemical and genetic characterization of the NucT protein, a nuclease associated to the membrane and implicated in the transformation.

Medicinal plants have been used as traditional medicine in the treatment of numerous human diseases for thousands of years in many parts of the world. In the developing world, especially in rural areas, herbal remedies continue to be a primary source of medicine. Scientifically, medicinal plants have proven to be an abundant source of biologically active compounds, many of which have already been formulated into useful therapeutic substances or have provided a basis for the development of new lead molecules for pharmaceuticals. Antibiotic resistance, undesireable side effects and expences associated with the use of combination therapy in the treatment of Helicobacter pylori infections have generated a considerable interest in the study of medicinal plants as potential sources of new drugs against this organism. The high complexicity of bioactive compounds accumulated in plants coupled with their broad antimicrobial activity may make it difficult for pathogenic organisms, including H. pylori to acquire resistance during treatment. This study therefore evaluates the antimicrobial potential of selected South African medicinal plants employed in the treatment of H. pylori-related infections, and the subsequent isolation of the plant active principles. An ethnobotanical survey of plants used in the treatment of H. pylori-related infections was conducted in the study area. Crude extracts of Combretum molle, Sclerocarya birrea, Garcinia kola, Alepidea amatymbica and 2 Strychnos species were screened against 30 clinical strains of H. pylori and 2 standard control strains (NCTC 11638 and ATCC 43526). In the preliminary stages of this study, ethyl acetate, acetone, ethanol, methanol and water extracts of the plants were tested against H. pylori by agar well diffusion and micro broth dilution methods. The plant crude extracts that exhibited anti-H. pylori activity with a iv percentage susceptibility of 50 percent and above were considered for the rate of kill assays and the most active crude extracts selected for bio-assay guided isolation of the active ingredient. Preliminary fractionation of the crude extract was achieved by thin layer chromatography (TLC) using different solvent combinations; hexane/diethylether (HDE), ethyl acetate/methanol/water (EMW) and chloroform/ethyl acetate/formic acid (CEF) in order to determine the most suitable combination for column chromatography (CC) and subsequent testing by indirect bioautography. The extract was then fractionated in a silica gel column using previously determined solvent combinations as eluent. Active fractions obtained from column chromatography separations were further fractionated and the compounds identified by gas chromatography/mass spectrometry (GC/MS) analysis. All the plants exhibited antimicrobial activity against H. pylori with zone of inhibition diameters ranging from 0 - 38 mm and minimum inhibitory concentration (MIC) values ranging from 0.06 - 5.0 mg/mL. The most active plant extracts were the acetone extract of C. molle with a percentage susceptibility of 87.1 percent, acetone and aqueous extracts of S. birrea (71 percent each) and the ethanolic extracts of G. kola (53.3 percent). Except for the aqueous extract, these extracts also exhibited a strong bactericidal activity against H. pylori at different concentrations. TLC analysis revealed the presence of 9 components in the acetone extract of S. birrea with the EMW solvent system as opposed to 5 and 8 with HDE and CEF respectively. Bioassay-guided isolation led to the identification of 52 compounds from the acetone extract of S. birrea with n-octacosane being the most abundant (41.68 percent). This was followed by pyrrolidine (38.91 percent), terpinen-4-ol (38.3 percent), n-eicosane (24.98 percent), cyclopentane (16.76 percent), n-triacontane (16.28 percent), aromadendrene (13.63 percent) and α-gujunene (8.77 percent). Terpinen-4-ol and pyrrolidine demonstrated strong antimicrobial activity against H. pylori at all concentrations tested. These results may serve as preliminary scientific validation of the ethnomedicinal uses of the above mentioned plants in the treatment of H. pylori-related infections in South Africa. Terpinen-4-ol and pyrrolidine could be considered for further evaluation as therapeutic or prophylactic agents in the treatment of H. pylori-related infections. However, further investigations would be necessary to determine their toxicological properties, in-vivo potencies and mechanism of action against H.pylori

L’infection par Helicobacter pylori touche environ la moitié de la population mondiale et est responsable de plusieurs pathologies gastrointestinales incluant l’adénocarcinome gastrique. Le développement récent d’un modèle d’étude chez l’animal a permis d’identifier la nature des cellules à l’origine de la transformation cancéreuse en réponse à l’infection chronique par Hélicobacter. Les cellules souches mésenchymateuses de la moelle osseuse (MSC) seraient recrutées au niveau de la muqueuse gastrique afin de reconstituer, par un mécanisme de différenciation épithéliale, les glandes lésées par l’infection. L’adénocarcinome gastrique se développerait à partir des glandes reconstituées par les MSC. Les objectifs de ces travaux ont été d’analyser, in vitro par une approche séquentielle, les différentes étapes responsables de l’initiation tumorale incluant le recrutement des MSC au niveau gastrique, leur différenciation en cellules épithéliales et leur transformation tumorale lors de l’infection par H. pylori. Ces travaux ont tout d’abord démontré que les cellules épithéliales infectées par H. pylori peuvent recruter les MSC après sécrétion de certaines chimiokines. Nous avons ensuite montré que les MSC sont capables de fusionner avec les cellules épithéliales gastriques aboutissant à l’obtention de cellules épithéliales dérivées des MSC. Finalement, les interactions entre H. pylori et les MSC ont été étudiées et ont fourni des premiers éléments de compréhension des mécanismes de l’initiation tumorale. Nos résultats permettent de mieux comprendre le mécanisme physiopathologique de l’adénocarcinome gastrique et seront utiles à la compréhension d’autres cancers dans lesquels le rôle des MSC comme cellules initiatrices de tumeur est suggéré. / Helicobacter pylori infection is found in about half of the world population and can induce several gastrointestinal pathologies including gastric adenocarcinoma. An animal model recently led to the hypothesis of a cellular origin for the cancer initiating cells after Helicobacter infection. Bone marrow-derived mesenchymal stem cells (MSC) are believed to be recruited in the gastric mucosa in order to repair the damages due to infection, by an epithelial differentiation. Gastric carcinoma may rise from MSC reconstituted gastric glands. This study aimed to analyze, by sequential in vitro approaches, the different steps allowing tumor initiation including MSC recruitment by infected epithelial cells, epithelial differentiation of MSC, and cancer marker appearance after H. pylori infection. We first demonstrated that H. pylori infected epithelial cells may recruit MSC by a secretion of cytokines. We then showed that MSC fuse with gastric epithelial cells leading to MSC-derived epithelial cells. Finally, we studied the interaction between H. pylori and epithelial cells providing a preliminary explanation for cancer initiation. Our results allow a better understanding of gastric adenocarcinoma pathophysiology and will be helpful for the understanding of other cancers in which the role of MSC as cancer initiating cells is suspected.

Helicobacter pylori est une bactérie à Gram-négatif qui colonise la muqueuse de l’estomac humain. Elle se distingue des autres bactéries par un nombre de gènes très limité et de nombreuses particularités physiologiques et biochimiques. Elle provoque des infections associées à différentes maladies gastro-duodénales (ulcères et cancers). Depuis quelques années, une recrudescence de multi-résistances aux antibiotiques est observée. La transformation naturelle est l’un des processus clés qui les propage. Il s’agit d’un mécanisme de transfert horizontal de gènes qui permet aux bactéries de s’adapter à leur environnement, en internalisant des fragments d’ADN exogène à travers leur membrane, puis en les intégrant dans le chromosome par recombinaison homologue. Mes travaux ont visé à étudier de façon structurale et fonctionnelle trois protéines d’H. pylori décrites comme étant essentielles dans le processus de transformation naturelle: NucT, DprA et ComFc. La première partie de ce travail s’est concentrée sur la nucléase périplasmique NucT, supposée être impliquée dans la transformation chez H. pylori. Cependant, la délétion de son gène a permis de démontrer qu’elle ne joue en fait qu’un rôle mineur dans ce processus. La résolution de sa structure 3D a permis de mieux comprendre sa spécificité pour les acides nucléiques simple brin. Dans la seconde partie, la protéine DprA, responsable du chargement de la recombinase RecA sur l’ADN internalisé, a été étudiée. DprA d’H. pylori n’est composée que de 2 des 3 domaines qui constituent habituellement DprA, et fixe aussi bien l’ADN double brin que l’ADN simple brin mais uniquement via son domaine RF. Malgré son homologie structurale avec le domaine WH de liaison à l’ADN, le domaine C-terminal de HpDprA n’a pas d’affinité pour l’ADN. Nous avons mis en évidence des acides aminés conservés dans ce domaine dont l’étude pourrait permettre de comprendre son rôle. Enfin, une étude structurale de la protéine ComFc dont la délétion du gène entraîne la disparition totale de la capacité de transformation d’H. pylori a été réalisée. L’obtention de sa structure 3D a permis de mettre en évidence la présence d’un domaine catalytique phosphoribosyl-transférase ainsi que d’un domaine en doigt en zinc. Ce dernier pourrait être responsable de la capacité de ComFc à fixer l’ADN. Le substrat naturel de cette enzyme reste à découvrir.L’ensemble de ce travail a permis de contribuer à une meilleure compréhension à l’échelle moléculaire du mécanisme de transformation génétique naturelle d’H. pylori. L’avancement sur ces connaissances pourrait à long terme aider à réduire la propagation des multi-résistances par l’élaboration de nouvelles thérapies.Mots-clés : H. pylori, transformation naturelle, NucT, DprA, ComFc, interaction protéine-ADN / Helicobacter pylori is a Gram-negative bacterium that colonizes the mucus of the human stomach. It is distinguished from other bacteria by a limited number of genes and many physiological and biochemical characteristics. It causes infections associated with various gastro-duodenal diseases (ulcers and gastric cancers). In recent years, an increase in multi-resistance to antibiotics has been observed. Natural transformation is one of the key processes that spreads these multi-resistances. It is a horizontal gene transfer mechanism that allows bacteria to adapt to their environment by internalizing exogenous DNA fragments through their membrane and then integrating them into the chromosome by homologous recombination. My work aimed to study in a structural and functional approach three proteins of H. pylori described as essential in the natural transformation process: NucT, DprA and ComFc. The first part of this work focused on periplasmic nuclease, NucT, which is supposed to be involved in transformation in H. pylori. However, the deletion of its gene has shown that it actually plays only a minor role in this process. The resolution of its 3D structure has led to a better understanding of its specificity for single-stranded nucleic acids. In the second part, the protein DprA, responsible for loading RecA recombinase onto internalized DNA, was studied. HpDprA is composed of only 2 of the 3 domains that usually constitute DprA, and binds both double-stranded and single-stranded DNA but only via its RF domain. Despite its structural homology with the WH DNA binding domain, the C-terminal domain of HpDprA has no affinity for DNA. We have identified conserved amino acids in this domain that could be studied to understand its role. Finally, a structural study of ComFc, whose deletion of the gene leads to the total disruption of the transformation capacity of H. pylori, has been carried out. The acquisition of its 3D structure has highlighted the presence of a phosphoribosyl transferase catalytic domain as well as a zinc finger domain. The latter could be responsible for capacity of ComFc to bind DNA. The natural substrate of this enzyme remains to be discovered.All this work has contributed to a better knowledge at the molecular level of the natural genetic transformation mechanism of H. pylori. Advancing this knowledge could in the long term help to reduce the spread of multiresistance through the development of new therapies.Keywords: Helicobacter pylori, natural transformation, NucT, DprA, ComFc, protein-DNA interaction

L’infection à Helicobacter pylori est responsable d’une inflammation gastrique chronique qui pourrait contribuer à l’apparition ou l’aggravation de pathologies extradigestives comme la maladie d’Alzheimer (MA). A partir des données de la cohorte PAQUID explorant les facteurs de risque de démence dans une population de patients de plus de 65 ans, nous avons montré que la prévalence de la démence augmentait chez les sujets infectés. Après 20 ans de suivi, l’infection à H. pylori était associée à une augmentation de l’incidence de démence après ajustement aux facteurs de risque connus de MA. Dans une deuxième étude incluant 53 patients atteints de MA, l’infection à H. pylori était associée à des performances cognitives plus sévères et le taux d’homocystéine était positivement corrélé aux lésions cérébrovasculaires et au taux d’anticorps anti-­‐H. pylori. Pour s’affranchir de possibles biais confondant comme le niveau socio-­‐économique, nous avons ensuite évalué l’impact de l’infection à H pylori sur le cerveau de souris sauvages (C57BL/6J) non prédisposées à la MA. Après 18 mois d’infection, alors que l’infection était associée à une inflammation gastrique importante, il n’a pas été retrouvé de plaque amyloïde ou de majoration de la neuroinflammation. Pour aller plus loin, nous avons étudié l’impact de l’infection à H. pylori sur le comportement et les lésions cérébrales de souris transgéniques prédisposées à la MA (APPswe/PS1dE9). Après 6 mois d’infection, les souris transgéniques présentaient plus de plaques amyloïdes sans majoration de la neuroinflammation ni des troubles du comportement.Bien que les études épidémiologiques apportent de nouveaux éléments en faveur d’une association entre la MA et l’infection à H. pylori, les études sur modèle animal ne mettent pas en évidence de majoration des troubles cognitifs ni de la neuroinflammation des souris infectées malgré une majoration du nombre de plaques amyloïdes. D’autres études sont nécessaires pour conclure à une association. / Helicobacter pylori infection seems to play a critical role in extra-­‐gastric diseases including Alzheimer’s dementia (AD). Chronic H. pylori infection could worsen AD lesions via atherosclerosis and inflammation.In a cohort study with 603 non-­‐institutionalized individuals aged 65 and older followed from 1989 to 2008, dementia was more prevalent in the H. pylori-­‐positive group at baseline compared to non-­‐infected group. After 20 years of follow-­‐up, H. pylori infection was determined to be a risk factor for developing dementia after controlling for AD risk factors. In a second study, including 53 AD patients, H. pylori infection was associated with a more pronounced cognitive impairment. Homocysteine levels were positively correlated to cerebrovascular lesions and to H. pylori immunoglobulin levels. To bypass possible confounding biases concerning socio-­‐economic conditions for instance, we evaluated the impact of H. pylori infection on the brain of non-­‐AD predisposed C57BL/6J mice. After an 18-­‐month infection, H. pylori SS1 and H. felis induced a significant gastric inflammation but no brain Aβ deposit was observed in their brain and the infection did not lead to neuroinflammation. To go further, we studied the impact of Helicobacter species infection on cerebral lesions and behaviour of AD transgenic (APPswe/PS1dE9) mice and their wild type littermates. H. pylori infection was associated with an increased number of brain amyloid plaques, but not with an increased neuroinflammation nor a worsening behaviour at 6 and 10 months of age.Although epidemiological studies provided new elements for an association between AD and H. pylori infection, animal model studies did not display a worsening behaviour or an increased neuroinflammation despite an increased number of amyloid plaques. More studies are needed to firmly conclude that there is an association between H. pylori infection and AD.

Please read the abstract in the section front of this document / Dissertation (MSc)--University of Pretoria, 2007. / Chemical Pathology / unrestricted

H. pylori has a panmictic population structure due to high genetic diversity. The homoplasy index for H. pylori is 0.85 (where 0 represents a completely clonal organism and 1.0 indicates a freely recombining organism) which is much higher than homoplasy index for E. coli (0.26) or naturally competent Neisseria meningitides (0.34). It undergoes both inter as well as intra strain transformation. Intergenomic recombination is subject to strain specific restriction in H. pylori. Hence, a high homoplasy index means that competence predominates over restriction in H. pylori. Annotation of the genomes of H. pylori strains 26695 and J99 show the presence of nearly two dozen R-M systems out of which 16 were postulated to be Type II for J99. H. pylori has been described to be an ideal model system for understanding the equilibrium between competing tension of genomic integrity and diversity (42). R-M systems allow some degree of sexual isolation in a population of competent cells by acting as a barrier to transformation. The mixed colonizing population of H. pylori has a polyploidy nature where each H. pylori strain adds to ‘ploidy’ of the colonizing population. Maintenance of polyploidy nature of mixed colonizing population in a selective niche of stomach needs a barrier to free gene flow. Restriction barrier maintains a polyploidy nature of H. pylori population which is considered as yet another form of genetic diversity helping in persistence of infection. Thus, according to the model proposed by Kang and Blaser, where H. pylori are considered as perfect gases like bacterial population, transformation and restriction both add to genetic diversity of the organism. Again, restriction barriers are not completely effective, which could be due to cellular regulation of restriction system. Thus, a perfect balance between restriction and transformation in turn regulates the gene flow to equilibrate competition and cooperation between various H. pylori strains in a mixed population. RecA, DprA and DprB have been shown to be involved in the presynaptic pathway for recombination substrates brought in through the Com system. Biochemical characterization of HpDprA, during this study revealed its ability to bind to ssDNA and dsDNA. Binding of HpDprA to both ssDNA as well as dsDNA results in large nucleoprotein complex that does not enter the native PAGE. However, DNA trapped in the wells could be released by the addition of excess of competitor DNA, illustrating that the complex are formed reversibly and do not represent dead-end reaction products. Transmission electron microscopy for SpDprA interaction with ssDNA established that a large nucleoprotein complex consisting of a network of several DNA molecules bridged by DprA is formed which is retained in the well. A large DNA-protein complex that sits in the well has also been observed with other DNA binding proteins like RecA. It has been observed for ssDNA binding protein (SSB) that they bind non-specifically to dsDNA under low salt condition (20 mM NaCl) in the absence of Mg2+. The non specific binding of SSB to dsDNA was prevented under high salt conditions (200 mM NaCl) or in the presence of Mg2+. HpDprA interaction with both ssDNA and dsDNA was stable under high salt condition (200 mM NaCl) and in the presence of Mg2+ indicating that these interactions are specific. The interaction of HpDprA with dsDNA is significant since dsDNA plays an important role in natural transformation of H. pylori. The pathway of transformation by dsDNA is highly facilitated (nearly 1000 fold) as compared to ssDNA. However, dsDNA is a preferred substrate for REases which are a barrier to horizontal gene transfer. This implies that the decision of ‘restriction’ or ‘facilitation for recombination’ of incoming DNA might be taken before the conversion of dsDNA into ssDNA. The incoming DNA has been shown to be in the double-stranded form in periplasm and in single-stranded form in cytoplasm. Hence, the temporal and spatial events surrounding endonuclease cleavage remain to be understood. Taken together, these results suggest a very important role of dsDNA in natural transformation in H. pylori. Hence, binding and protection of dsDNA by HpDprA is possibly of crucial importance in the success of natural transformation process of the organism. DprA is characterized by presence of a conserved DNA binding domain. The DNA binding domain adopts a Rossman fold like topology spanning most region of the protein. Rossman fold consists of alternating alpha helix and beta strands in the topological order of β-α-β-α-β. It generally binds to a dinucleotide in a pair as a single Rossman fold can bind to a mononucleotide only. All homologous DprA proteins characterized till date show that in addition of the prominent Rossman fold domain they consist one or more smaller domains. RpDprA consists two more domains other than the Rossman fold domain i.e., N- terminal SAM (sterile alpha motif) domain and a C-terminal DML-1 like domain. SpDprA consist of an N-terminal SAM domain other than Rossman fold domain. While the main function of Rossman fold is to bind DNA, the supplementary domains are highly variable in sequences and functions. For example, the SAM domain in S. pneumoniae plays a key role in shut-off of competence by directly interacting with ComE~P. HpDprA consist of an N-terminal Rossman fold domain and a C-terminal DML-1 like domain. Both these domains are found to be prominently α-helical in nature. Amino acid sequence analysis of the protein suggests that NTD is basic and CTD is acidic in nature. NTD is sufficient for binding with ssDNA and dsDNA, while CTD plays an important role in formation of higher order polymeric complex with DNA. For HpDprA and SpDprA, dimerization site was mapped in Rossman fold domain. Gel filtration data revealed an important observation that HpDprA can exist as a monomer (dominant species at lower concentration) as well as a dimer (dominant species at higher concentration) in solution. However, the exchange between these two forms is very fast resulting in a single peak of elution. Since, HpDprA binds to DNA in dimeric form, the dimer species will be favoured in presence of DNA. Hence, even at lower concentrations HpDprA will be mainly a dimer in presence of DNA. Interestingly, both domains of HpDprA i.e., NTD and CTD were able to form dimers but no higher oligomeric form. On the other hand, HpDprA was seen to form oligomeric forms higher than dimer in gluteraldehyde cross linking assay. The strength of CTD dimer was much lower that NTD dimer, therefore it could be proposed that there are two sites of interaction present in HpDprA - a primary interaction site (N-N interaction) and a secondary interaction site (C-C interaction). The N-N interaction is responsible for dimer formation but further oligomerization of HpDprA necessitates the interaction of two dimers using C-C interaction site. It was shown that NTD binds to ssDNA but forms lower molecular weight complex. SPR analysis of DprA and NTD – DNA interaction pointed out that deletion of CTD leads to faster dissociation of the protein from DNA. Concomitantly, reduction in binding affinity was observed for both ss and ds DNA upon deletion of CTD from full length protein. These results suggest that CTD does play an important role in interaction of full length HpDprA with DNA. Two possible roles of CTD were proposed by Wang et al (2014) group to explain their observation of formation of lower molecular weight complex in absence of CTD. (i) CTD possesses a second DNA binding site but much weaker than site present in NTD. (ii) CTD is not involved in DNA binding but mediates nucleoprotein complex formation through protein – protein interaction. EMSA and SPR analysis with purified CTD protein confirmed that there is no secondary DNA binding site present in CTD. As discussed above, it was observed that CTD can mediate interaction between two HpDprA through C-C interaction. Since the interaction is weaker it is lesser likely to be responsible for dimer formation but in trimer or higher oligomeric form of HpDprA, the presence of N-N interaction will facilitate and stabilize C-C interaction. These observations together bring forward an interesting model for HpDprA – DNA interaction. HpDprA forms dimer through N-N interaction (favourably in presence of DNA) and many HpDprA dimers bind to DNA owing to their high affinity and sequence independent nature of binding. These dimers interact with each other through C-C interaction resulting in higher molecular weight nucleoprotein complex. HpDprA - DNA complex formation is slower than NTD – DNA complex but the former one is more stable (Fig. 2). According to the above proposed model there are two binding events (DNA – protein and protein – protein) in case of HpDprA – DNA complex formation and hence it would take longer time than NTD-DNA complex formation which involves only one binding event. But the resulting higher order complex with HpDprA – DNA would be much more stable. NTD is able to offer equally efficient protection from nuclease to ssDNA and dsDNA (Fig. 7). This shows that NTD alone is sufficient to completely coat single molecule DNA. AFM images confirm the difference in binding pattern of HpDprA full length protein and NTD. As can be seen in Fig. 8F, NTD binds a DNA molecule by entirely occupying all the available space but forms nucleoprotein filaments isolated from each other. In contrast to full length HpDprA, which forms tightly packed, condensed, extensively cross linked polynucleoprotein complexes, NTD forms much thinner complexes with DNA. In the electron micrographs of SpDprA – DNA complex, extensive cross filament interaction was observed resulting in a dense molecular aggregate. Similar kinds of complexes with DNA were also observed for Bacillus subtilis DprA in atomic force microscope images. Thus, it could be proposed that HpDprA binds to a single DNA molecule (single strand or double strand) mainly as a dimer formed through N-N interaction. Such multiple individual nucleoprotein filaments come together and interact with each other through C- C interaction resulting in dense and intricate poly – nucleoprotein complex. HpDprA is proposed to undergo conformational changes from closed state to open state in presence of ssDNA. In agreement with this, structural transition (resulting in reduction of α-helicity of the protein) was observed in presence of ssDNA. Similar structural transitions were observed for dsDNA indicating possibly a common mode of interaction for both forms of DNA. Further, mutation of the residues shown to be involved in binding ssDNA from crystallographic data, resulted in decrease of binding affinity with dsDNA as well. The fold reduction in binding affinity of dsDNA was lower than that for ssDNA despite that it is obvious that the same positively charged pocket which is primarily involved in ssDNA interaction is also responsible (atleast partially) for binding with dsDNA. However, the residues crucial for interaction with these two forms of DNA may be different. Both DprA and R-M systems have been shown to have presynaptic role in natural transformation process. While DprA has a protective role, R-M systems have an inhibitory role for incoming DNA suggesting a functional interaction between them. Results of this study show that HpDprA interacts with dsDNA, inhibits Type II restriction enzymes from acting on it and at the same time stimulates the activity of MTases resulting in increased methylation of bound DNA. This observation is of significance from the view of genetic diversity as the only way a bacterial cell discriminates between self and nonself DNA is through the pattern of methylation. Binding of HpDprA to incoming DNA inhibits its access to restriction endonucleases but not to methyltransferases. As a result DNA will be methylated with the same pattern as that of the host cell. Hence, it no longer remains a substrate for restriction enzymes. HpDprA thus, effectively alleviates the restriction barrier. However, it remains to be understood as to how DNA in complex with HpDprA, while not accessible to REases or other cellular nucleases, is accessible to a MTase? A possible explanation could be that HpDprA interacts with MTase and recruits it on DNA. It has been shown that there is a overlap between DprA dimerization and RecA interaction interfaces and in presence of RecA, DprA-DprA homodimer is replaced with DprA-RecA heterodimer allowing RecA nucleation and polymerization on DNA followed by homology search and synapsis with the chromosome. A similar scenario can be thought for interaction of HpDprA with the MTase. R-M systems play an important role in protection of genomic DNA from bacteriophage DNA. Hence, downregulation of restriction barrier by HpDprA may not be desirable by host during the entire life cycle. Therefore, the expression of HpDprA, which is ComK dependent and that which takes place only when competence is achieved is noteworthy. In H. pylori, DNA damage induces genetic exchange via natural competence. Direct DNA damage leads to significant increase in intergenomic recombination. Taken together it can be proposed that when genetic competence is induced, R-M systems are down regulated to allow increased genetic exchange and thus, increasing adaptive capacity in a selective environment of stomach. There is an evolutionary arms race between bacterial genomes and invading DNA molecules. R-M systems and anti-restriction systems have co-evolved to maintain an evolutionary balance between prey and predator. Phages and plasmids employ anti-restriction strategies to avoid restriction barrier by a) DNA sequence alteration, b) transient occlusion of restriction sites and c) subversion of restriction-modification activities. DNA binding proteins have been shown to bind and occlude restriction sites. On the other hand, λ Ral protein alleviates restriction by stimulating the activity of Type IA MTases. The observations of MTase stimulation and site occlusion of restriction sites by HpDprA appears to be analogous to anti restriction strategies, otherwise employed by bacteriophages. Thus, DprA could be a unique bacterial anti-restriction protein used by H. pylori for downregulating its own R-M systems to maintain the balance between fidelity and diversity. In conclusion, HpDprA has unique ability to bind to dsDNA in addition ssDNA but displays higher affinity towards ssDNA. Binding of HpDprA to DNA results in a compact complex that is inert to the activity of nucleases. A novel site of oligomerization for HpDprA was observed which suggests the role of C-C interaction in inter-nucleoprotein filament interaction. It would be interesting to further study the effects of CTD deletion on the transformation efficiency of H. pylori, to understand these mechanisms better. It has been well demonstrated that R-M systems offer a barrier to incoming DNA, but our understanding of the regulation of R-M systems has been poor. While other factors like regulation of cellular concentration of restriction enzymes and conversion of dsDNA into ssDNA might play crucial roles in striking the perfect balance between genome diversity and integrity, one of the factors that regulate R-M systems could be DprA.

Reaction of BiPh3 or Bi(OtBu)3 with benzohydroxamic acid (H2-BHA) results in formation of novel mono- and di-anionic hydroxamato complexes; [Bi2(BHA)3]∞1, [Bi(H-BHA)3] 2, [Bi(BHA)(H-BHA)] 3, all of which display nM activity against Helicobacter pylori. Subsequent dissolution of [Bi2(BHA)3]∞ in DMSO/toluene results in hydrolysis to the first structurally authenticated {Bi34} oxido-cluster [Bi34O22(BHA)22(H-BHA)14(DMSO)6] 4. / Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.