Alexander Eckhardt,1
Christian Schütz,1
Peer R. E. Mittl,2
Sascha Barabas,1
Stefanie Denk,1
Gertrud Knoll,1
Norbert Lehn,1 and
Wulf Schneider-Brachert1*
Institute for Medical Microbiology and Hygiene, University of Regensburg, D-93053 Regensburg, Germany,1 Biochemisches Institut, Universität Zürich, CH-8057 Zürich, Switzerland2
Received 29 October 2004/ Returned for modification 2 December 2004/ Accepted 9 March 2005
Predominant T-helper 1 (Th1) responses with increased gamma interferon (IFN-
) levels have been proposed to play an important role in Helicobacter pylori-induced gastritis and peptic ulceration. However, bacterial factors contributing to the initiation of Th1 polarization of H. pylori-specific immune responses have not been characterized in detail thus far. We report here on the identification of Helicobacter cysteine-rich protein A (HcpA) as a novel proinflammatory and Th1-promoting protein. The capacity of HcpA to induce immune activation was studied in splenocyte cultures of naive H. pylori-negative mice. HcpA stimulated the release of high concentrations of the proinflammatory and Th1-promoting cytokines interleukin-6 (IL-6) and IFN-
, in addition to significant levels of IL-12, tumor necrosis factor alpha, and IL-10. The observed cytokine profile was comparable to that induced by lipopolysaccharide but differed in the kinetics and maximum levels of cytokine production. In addition, HcpA-induced cytokine release resembled that observed upon incubation with H. pylori except for IL-10, which was only moderately released upon HcpA stimulation. Both HcpA- and H. pylori-mediated IFN-
production was drastically reduced by a neutralizing antibody against IL-12 but not by an anti-IL-2 antibody. Thus, HcpA seems to represent a novel bacterial virulence factor triggering the release of a concerted set of cytokines to instruct the adaptive immune system for the initiation of proinflammatory and Th1-biased immunity.
Present address: Accenture GmbH München, D-80539 Munich, Germany.
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