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Infection and Immunity, January 2006, p. 273-281, Vol. 74, No. 1
0019-9567/06/$08.00+0 doi:10.1128/IAI.74.1.273-281.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Department of Medical Microbiology and Immunology, University of Alberta, Edmonton, Alberta T6G 2R3, Canada,1 Dipartimento di Biologia, Biomediche Sperimentali, Universita di Padova, Via G Colombo 3, Padova, Italy2
Received 22 July 2005/ Returned for modification 17 August 2005/ Accepted 14 October 2005
Development of severe gastric diseases is strongly associated with those strains of Helicobacter pylori that contain the cag pathogenicity island (PAI) inserted into the chromosome. The cag PAI encodes a type IV secretion system that translocates the major disease-associated virulence protein, CagA, into the host epithelial cell. CagA then affects host signaling pathways, leading to cell elongations and inflammation. Since the precise mechanism by which the CagA toxin is translocated by the type IV secretion system remained elusive, we used fusion proteins and immunoprecipitation studies to identify CagA-interacting secretion components. Here we demonstrate that CagA, in addition to other yet-unidentified proteins, interacts with CagF, presumably at the inner bacterial membrane. This interaction is required for CagA translocation, since an isogenic nonpolar cagF mutant was translocation deficient. Our results suggest that CagF may be a protein with unique chaperone-like function that is involved in the early steps of CagA recognition and delivery into the type IV secretion channel.
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