Functional Analysis of the Helicobacter pylori Flagellar Switch Proteins

Helicobacter pylori uses flagellum-mediated chemotaxis to promote infection. Bacterial flagella change rotational direction by changing the state of the flagellar motor via a subcomplex referred to as the switch. Intriguingly, the H. pylori genome encodes four switch complex proteins, FliM, FliN, FliY, and FliG, instead of the more typical three of Escherichia coli or Bacillus subtilis. Our goal was to examine whether and how all four switch proteins participate in flagellation. Previous work determined that FliG was required for flagellation, and we extend those findings to show that all four switch proteins are necessary for normal numbers of flagellated cells. Furthermore, while fliY and fliN are partially redundant with each other, both are needed for wild-type levels of flagellation. We also report the isolation of an H. pylori strain containing an R54C substitution in fliM, resulting in bacteria that swim constantly and do not change direction. Along with data demonstrating that CheY-phosphate interacts with FliM, these findings suggest that FliM functions in H. pylori much as it does in other organisms.Flagellar motility is important for gastric colonization by the ulcer-causing bacterium Helicobacter pylori and also for suborgan localization within the stomach (16-18, 33, 45). Flagellar motility is regulated by a set of signal transduction proteins, collectively referred to as the chemotaxis pathway, that control the migration of microbes in response to environmental cues. This pathway is well elucidated in organisms such as Escherichia coli, Salmonella enterica serovar Typhimurium (referred to hereinafter as S. Typhimurium), and Bacillus subtilis. Sequence analysis of the genomes of other flagellated bacteria, including H. pylori, has suggested that there is diversity in the set of chemotaxis proteins that a particular microbe contains. Here we analyze the diversity of H. pylori''s flagellar switch proteins, which control flagellar rotational direction.The molecular mechanisms underlying chemotactic signal transduction in E. coli and S. Typhimurium have been extensively studied (7, 50) The overall function of this pathway is to convert the perception of local environmental conditions into a swimming response that drives bacteria toward beneficial conditions and away from harmful ones. Such migration is accomplished by interspersing straight, or smooth, swimming with periods of random reorientations or tumbles. Smooth swimming occurs when the flagella rotate counterclockwise (CCW), while reorienting occurs when the flagella rotate clockwise (CW). The chemotaxis signal transduction system acts to appropriately alter flagellar rotation. The canonical chemotaxis pathway consists of a chemoreceptor bound to the coupling protein CheW, which is in turn bound to the histidine kinase CheA. If a beneficial/attractant ligand is not bound (or a repellant is bound) to the chemoreceptor, CheA autophosphorylates and passes a phosphate to the response regulator CheY. Phosphorylated CheY (CheY-P) interacts with a protein complex called the flagellar switch (discussed at more length below). This interaction causes a switch in the direction of flagellar rotation from CCW to CW, thus reorienting the cells, via an as-yet-unknown mechanism (reviewed in references 23 and 29).Bacterial flagella are complex, multiprotein organelles (reviewed in references 23, 25, and 29). Each flagellum is composed of several parts, including the filament, the hook, and the basal body (listed from outside the cell to inside the cytoplasm). The flagellar basal body spans from the outer membrane to the cytoplasm and is responsible for rotating the flagellum. This part of the flagellum is further made up of several subassemblies that are named for their locations. The innermost is called the switch or C ring, based on its location in the cytoplasm. The switch is comprised of three proteins in E. coli, FliM, FliN, and FliG (reviewed in references 23 and 29). Experimental evidence strongly suggests that these proteins, along with the stator proteins MotA and MotB, drive motor rotation, because one can obtain point mutations in these proteins that disrupt rotation but not flagellation. Null mutations, however, in fliM, fliN, or fliG also result in aflagellated cells, a phenotype that has been proposed to arise because these proteins are needed to complete the flagellar export apparatus (23).There is extensive structural information about each of the switch proteins and their arrangement in the flagellum (reviewed in references 23 and 29, with additional key references added below). There are 26 copies of FliG, 34 copies of FliM, and ∼136 copies of FliN, arranged in a circular structure at the base of each flagellum. FliM is positioned between FliG and FliN and interacts with both. FliM also binds CheY-P via sequences in the first 16 amino acids, and elsewhere (15), to play a key role in switching flagellar rotation direction. FliG, the switch protein closest to the cytoplasmic membrane, interacts with the stator protein MotA, the FliF membrane protein that forms the flagellar basal-body MS ring, and the membrane-bound respiratory protein fumarate reductase (11). FliG has the most direct role in creating flagellar rotation. FliN is the most cytoplasmic component of the switch, and its role is not fully understood. FliN may play a role in switching by possibly binding CheY-P directly (36) and an additional role in flagellar assembly, because it binds to the flagellar export protein FliH and localizes it, along with its interaction partners FliI and FliJ, to the flagellum (20, 28, 36). FliN contains significant sequence similarity to secretion proteins of type III secretion systems of Yersinia pestis and Shigella flexneri. The conserved domain comprises most of FliN and is called a SpoA or PFAM PF01052 domain. Other FliN homologs include YscL and Spa33 (25).The flagellar switch of another well-studied chemotactic microbe, B. subtilis, differs slightly in its protein makeup from that of E. coli. B. subtilis contains FliM and FliG, which function similarly to their E. coli counterparts, but instead of FliN it has a protein called FliY (6, 42). FliY of B. subtilis has two functional domains, one of which is homologous to E. coli FliN, while the other shares similarity with the B. subtilis chemotaxis protein CheC, which functions to dephosphorylate CheY-P. FliY is the most active known phosphatase of CheY-P in B. subtilis (40, 41).H. pylori contains homologs of many of the chemotaxis and flagellar genes found in other organisms (32, 48). Curiously, its genome encodes four predicted flagellar switch proteins, FliG, FliM, and both FliY and FliN, although FliY was not annotated in the original genome analysis. Previous work had determined that H. pylori strain SS1 lacking fliG was aflagellated (1), but the other switch proteins had not been analyzed. As noted above, FliN and FliY share a FliN domain and so could have functional redundancy. fliY and fliM appear to reside in an operon, suggesting that the two encoded proteins function together (see Fig. S1 in the supplemental material).Since having all four flagellar switch proteins in one microbe is unusual, we were curious as to whether all four serve “switch” functions. As noted above, fliM and fliG deletions typically result in an aflagellated phenotype in other organisms. Others had previously shown that fliG mutations have this phenotype in H. pylori (1), and we additionally show here that fliM null mutants are also almost completely aflagellate. In spite of a shared domain that might indicate functional redundancy, we show that fliN and fliY are each necessary for normal numbers of flagellated cells. Finally, we characterize a fliM point mutant that results in a lock-smooth swimming bias and demonstrate physical interaction between CheY-P and FliM, indicating that FliM responds to CheY signaling in H. pylori in a manner similar to that found in E. coli, S. Typhimurium, B. subtilis, and other studied organisms.     

Role of the C-Terminal Cytoplasmic Domain of FlhA in Bacterial Flagellar Type III Protein Export

For construction of the bacterial flagellum, many of the flagellar proteins are exported into the central channel of the flagellar structure by the flagellar type III protein export apparatus. FlhA and FlhB, which are integral membrane proteins of the export apparatus, form a docking platform for the soluble components of the export apparatus, FliH, FliI, and FliJ. The C-terminal cytoplasmic domain of FlhA (FlhA_C) is required for protein export, but it is not clear how it works. Here, we analyzed a temperature-sensitive Salmonella enterica mutant, the flhA(G368C) mutant, which has a mutation in the sequence encoding FlhA_C. The G368C mutation did not eliminate the interactions with FliH, FliI, FliJ, and the C-terminal cytoplasmic domain of FlhB, suggesting that the mutation blocks the export process after the FliH-FliI-FliJ-export substrate complex binds to the FlhA-FlhB platform. Limited proteolysis showed that FlhA_C consists of at least three subdomains, a flexible linker, FlhA_CN, and FlhA_CC, and that FlhA_CN becomes sensitive to proteolysis by the G368C mutation. Intragenic suppressor mutations were identified in these subdomains and restored flagellar protein export to a considerable degree. However, none of these suppressor mutations suppressed the protease sensitivity. We suggest that FlhA_C not only forms part of the docking platform for the FliH-FliI-FliJ-export substrate complex but also is directly involved in the translocation of the export substrate into the central channel of the growing flagellar structure.The bacterial flagellum, which is responsible for motility, is a supramolecular complex of about 30 different proteins, and it consists of at least three substructures: the basal body, the hook, and the filament. Flagellar assembly begins with the basal body, followed by the hook and finally the filament. Many of the flagellar component proteins are translocated into the central channel of the growing flagellar structure and then to the distal end of the structure for self-assembly by the flagellar type III protein export apparatus (11, 16, 22). This export apparatus consists of six integral membrane proteins, FlhA, FlhB, FliO, FliP, FliQ, and FliR, and three soluble proteins, FliH, FliI, and FliJ (18, 21). These protein components show significant sequence and functional similarities to those of the type III secretion systems of pathogenic bacteria, which directly inject virulence factors into their host cells (11, 16).FliI is an ATPase (4) and forms an FliH₂-FliI complex with its regulator, FliH, in the cytoplasm (20). FliI self-assembles into a homo-hexamer and hence exhibits full ATPase activity (1, 8, 17). FliH and FliI, together with FliJ and the export substrate, bind to the export core complex, which is composed of the six integral membrane proteins, to recruit export substrates from the cytoplasm to the core complex (14) and facilitate the initial entry of export substrates into the export gate (23). FliJ not only prevents premature aggregation of export substrates in the cytoplasm (13) but also plays an important role in the escort mechanism for cycling export chaperones during flagellar assembly (3). The export core complex is believed to be located in the central pore of the basal body MS ring (11, 16, 22). In fact, it has been found that FlhA, FliP, and FliR are associated with the MS ring (5, 9). The FliR-FlhB fusion protein is partially functional, suggesting that FliR and FlhB interact with each other within the MS ring (29). The export core complex utilizes a proton motive force across the cytoplasmic membrane as the energy source to drive the successive unfolding of export substrates and their translocation into the central channel of the growing flagellum (23, 27). Here we refer to the export core complex as the “export gate,” as we have previously (8, 16, 23, 24).FlhA is a 692-amino-acid protein consisting of two regions: a hydrophobic N-terminal transmembrane region with eight predicted α-helical transmembrane spans (FlhA_TM) and a hydrophilic C-terminal cytoplasmic region (FlhA_C) (12, 15). FlhA_TM is responsible for the association with the MS ring (9). FlhA_C interacts with FliH, FliI, FliJ, and the C-terminal cytoplasmic domain of FlhB (6, 12, 21, 24) and plays a role in the initial export process with these proteins (28). It has been shown that the V404M mutation in FlhA_C increases not only the probability of FliI binding to the export gate in the absence of FliH (14) but also the efficiency of substrate translocation through the export gate in the absence of FliH and FliI (23). Recently, it has been shown that FlhA_C is also required for substrate recognition (7). These observations suggest that an interaction between FlhA_C and FliI is coupled with substrate entry, although it is not clear how.In order to understand the mechanism of substrate entry into the export gate, we characterized a temperature-sensitive Salmonella enterica mutant, the flhA(G368C) mutant, whose mutation blocks the flagellar protein export process at 42°C (28). We show here that this mutation severely inhibits translocation of flagellar proteins through the export gate after the FliH-FliI-FliJ complex binds to the FlhA-FlhB platform of the gate and that the impaired ability of the flhA(G368C) mutant to export flagellar proteins is restored almost to wild-type levels by intragenic second-site mutations that may alter the interactions between subdomains of FlhA_C for possible rearrangement for the export function.     

Interaction of the Extreme N-Terminal Region of FliH with FlhA Is Required for Efficient Bacterial Flagellar Protein Export

The flagellar type III protein export apparatus plays an essential role in the formation of the bacterial flagellum. FliH forms a complex along with FliI ATPase and is postulated to provide a link between FliI ring formation and flagellar protein export. Two tryptophan residues of FliH, Trp7 and Trp10, are required for the effective docking of the FliH-FliI complex to the export gate made of six membrane proteins. However, it remains unknown which export gate component interacts with these two tryptophan residues. Here, we performed targeted photo-cross-linking of the extreme N-terminal region of FliH (FliH(EN)) with its binding partners. We replaced Trp7 and Trp10 of FliH with p-benzoyl-phenylalanine (pBPA), a photo-cross-linkable unnatural amino acid, to produce FliH(W7pBPA) and FliH(W10pBPA). They were both functional and were photo-cross-linked with one of the export gate proteins, FlhA, but not with the other gate proteins, indicating that these two tryptophan residues are in close proximity to FlhA. Mutant FlhA proteins that are functional in the presence of FliH and FliI but not in their absence showed a significantly reduced function also by N-terminal FliH mutations even in the presence of FliI. We suggest that the interaction of FliH(EN) with FlhA is required for anchoring the FliI hexamer ring to the export gate for efficient flagellar protein export.     

幽门螺杆菌热休克蛋白70基因的克隆与表达

从幽门螺杆菌染色体ＤＮＡ,用ＰＣＲ方法扩增得到了热休克蛋白７０基因。序列分析表明,我国Ｈｐ临床分离株Ｙ２的热休克蛋白７０基因与经全基因组序列测定的两株幽门螺杆菌２６６９５和ｊ９９有高度同源性。将该基因克性到融合分泌表达载体ｐＭＡＬ－ｐ２中,转化大肠杆菌,在ＩＰＴＧ诱导下表达出与预期大小相符的１１３ｋＤ的融合表达蛋白。该蛋白质３０℃诱导表达５ｈ后,可达到细菌周质总蛋白质的１９．４％。用免疫印迹分析表     

Affinity of Helicobacter pylori to cholesterol and other steroids

Helicobacter pylori has a particular affinity to cholesterol. It is not known, however, whether other steroidal substances are bound as well. In order to characterize the specificity and nature of the H. pylori-steroid interaction, the affinity of H. pylori to cholesterol and several steroidal hormones was investigated. Seven strains of H. pylori (five reference strains, two wild strains) and one strain each of Staphylococcus epidermidis and Escherichia coli were cultured on a cholesterol-free medium. Cholesterol-free bacteria were incubated with cyclodextrin-mediated cholesterol and several cyclodextrin-mediated steroidal hormones (beta-estradiol, testosterone, progesterone, hydrocortisone, dexamethasone). The steroid contents of the bacteria were determined by gas liquid chromatography. High amounts of cholesterol were detected in all H. pylori strains, whilst steroidal hormones were not found. Neither S. epidermidis nor E. coli showed an appreciable amount of cholesterol in the chromatographic examinations. Bacterial pretreatment with proteinase K diminished cholesterol adsorption of H. pylori. These data indicate a specific affinity of H. pylori to cholesterol. This unique property might serve as a pathogenicity component enabling survival and colonization of H. pylori in the gastric environment.     

MacA,a Periplasmic Membrane Fusion Protein of the Macrolide Transporter MacAB-TolC,Binds Lipopolysaccharide Core Specifically and with High Affinity

The Escherichia coli MacAB-TolC transporter has been implicated in efflux of macrolide antibiotics and secretion of enterotoxin STII. In this study, we found that purified MacA, a periplasmic membrane fusion protein, contains one tightly bound rough core lipopolysaccharide (R-LPS) molecule per MacA molecule. R-LPS was bound specifically to MacA protein with affinity exceeding that of polymyxin B. Sequence analyses showed that MacA contains two high-density clusters of positively charged amino acid residues located in the cytoplasmic N-terminal domain and the periplasmic C-terminal domain. Substitutions in the C-terminal cluster reducing the positive-charge density completely abolished binding of R-LPS. At the same time, these substitutions significantly reduced the functionality of MacA in the protection of E. coli against macrolides in vivo and in the in vitro MacB ATPase stimulation assays. Taken together, our results suggest that R-LPS or a similar glycolipid is a physiological substrate of MacAB-TolC.     

幽门螺杆菌热休克蛋白A基因的克隆、表达及免疫原性研究

幽门螺杆菌的感染可诱发人体产生胃炎和消化性溃疡,其组成成分热休克蛋白Ａ（ＨｓｐＡ）可刺激机体产生保护性的免疫反应。用ＰＣＲ方法从幽门螺杆菌的染色体ＤＮＡ上扩增出ＨｓｐＡ基因片段,将其插入原核表达载体ｐＥＴ２２ｂ（＋）中,并在ＢＬ２１（ＤＥ３）大肠杆菌表达。经测序ＨｓｐＡ基因片段有３５４ｂｐ组成,可编码１１８个氨基酸残基的多肽。ＳＤＳＰＡＧＥ和免疫印迹分析检测发现,ＨｓｐＡ基因表达的蛋白质分子量约为１５ｋＤ,并证实该重组蛋白质可以被幽门螺杆菌感染阳性患者的血清所识别,同时将其免疫小鼠可刺激机体产生抗该重组蛋白质的抗体。ＨｓｐＡ有可能作为一种有效的蛋白质疫苗用于幽门螺杆菌感染的预防和治疗。     

Human Adenosine A2A Receptor Binds Calmodulin with High Affinity in a Calcium-Dependent Manner

Understanding how ligands bind to G-protein-coupled receptors and how binding changes receptor structure to affect signaling is critical for developing a complete picture of the signal transduction process. The adenosine A2A receptor (A2AR) is a particularly interesting example, as it has an exceptionally long intracellular carboxyl terminus, which is predicted to be mainly disordered. Experimental data on the structure of the A2AR C-terminus is lacking, because published structures of A2AR do not include the C-terminus. Calmodulin has been reported to bind to the A2AR C-terminus, with a possible binding site on helix 8, next to the membrane. The biological meaning of the interaction as well as its calcium dependence, thermodynamic parameters, and organization of the proteins in the complex are unclear. Here, we characterized the structure of the A2AR C-terminus and the A2AR C-terminus-calmodulin complex using different biophysical methods, including native gel and analytical gel filtration, isothermal titration calorimetry, NMR spectroscopy, and small-angle X-ray scattering. We found that the C-terminus is disordered and flexible, and it binds with high affinity (K_d = 98 nM) to calmodulin without major conformational changes in the domain. Calmodulin binds to helix 8 of the A2AR in a calcium-dependent manner that can displace binding of A2AR to lipid vesicles. We also predicted and classified putative calmodulin-binding sites in a larger group of G-protein-coupled receptors.     

Classification and Phylogenetic Analysis of the cAMP-Dependent Protein Kinase Regulatory Subunit Family

The members of the PKA regulatory subunit family (PKA-R family) were analyzed by multiple sequence alignment and clustering based on phylogenetic tree construction. According to the phylogenetic trees generated from multiple sequence alignment of the complete sequences, the PKA-R family was divided into four subfamilies (types I to IV). Members of each subfamily were exclusively from animals (types I and II), fungi (type III), and alveolates (type IV). Application of the same methodology to the cAMP-binding domains, and subsequently to the region delimited by β-strands 6 and 7 of the crystal structures of bovine RIα and rat RIIβ (the phosphate-binding cassette; PBC), proved that this highly conserved region was enough to classify unequivocally the members of the PKA-R family. A single signature sequence, F–G–E–[LIV]–A–L–[LIMV]–x(3)–[PV]–R–[ANQV]–A, corresponding to the PBC was identified which is characteristic of the PKA-R family and is sufficient to distinguish it from other members of the cyclic nucleotide-binding protein superfamily. Specific determinants for the A and B domains of each R-subunit type were also identified. Conserved residues defining the signature motif are important for interaction with cAMP or for positioning the residues that directly interact with cAMP. Conversely, residues that define subfamilies or domain types are not conserved and are mostly located on the loop that connects α-helix B′ and β strand 7. Received: 2 November 2000/Accepted: 14 June 2001     

Interaction between FliJ and FlhA,Components of the Bacterial Flagellar Type III Export Apparatus

A soluble protein, FliJ, along with a membrane protein, FlhA, plays a role in the energy coupling mechanism for bacterial flagellar protein export. The water-soluble FliH_X-FliI₆ ATPase ring complex allows FliJ to efficiently interact with FlhA. However, the FlhA binding site of FliJ remains unknown. Here, we carried out genetic analysis of a region formed by well-conserved residues—Gln38, Leu42, Tyr45, Tyr49, Phe72, Leu76, Ala79, and His83—of FliJ. A structural model of the FliI₆-FliJ ring complex suggests that they extend out of the FliI₆ ring. Glutathione S-transferase (GST)-FliJ inhibited the motility of and flagellar protein export by both wild-type cells and a fliH-fliI flhB(P28T) bypass mutant. Pulldown assays revealed that the reduced export activity of the export apparatus results from the binding of GST-FliJ to FlhA. The F72A and L76A mutations of FliJ significantly reduced the binding affinity of FliJ for FlhA, thereby suppressing the inhibitory effect of GST-FliJ on the protein export. The F72A and L76A mutations were tolerated in the presence of FliH and FliI but considerably reduced motility in their absence. These two mutations affected neither the interaction with FliI nor the FliI ATPase activity. These results suggest that FliJ(F72A) and FliJ(L76A) require the support of FliH and FliI to exert their export function. Therefore, we propose that the well-conserved surface of FliJ is involved in the interaction with FlhA.     

幽门螺杆菌空泡毒素表达系统的构建及其鉴定

采用常规酚 氯仿法提取幽门螺杆菌 (Helicobacterpylori,Hp)临床菌株Y0 6株基因组DNA ,用PCR扩增空泡毒素 (vacA)基因 ,T A克隆后测序 ,亚克隆构建表达载体 ,采用Ni NTA亲和层析法提纯表达产物 ,SDS PAGE和Westernblot分别检测表达产物的分子量和免疫性。所构建的表达系统能表达vacA ,其产物可与相应抗体结合。重组vacA能有效地诱导家兔产生抗体 ,该抗体也能与重组vacA发生结合反应。     

Molecular Evolution of the Helicobacter pylori Vacuolating Toxin Gene vacA

Helicobacter pylori is a genetically diverse organism that is adapted for colonization of the human stomach. All strains contain a gene encoding a secreted, pore-forming toxin known as VacA. Genetic variation at this locus could be under strong selection as H. pylori adapts to the host immune response, colonizes new human hosts, or inhabits different host environments. Here, we analyze the molecular evolution of VacA. Phylogenetic reconstructions indicate the subdivision of VacA sequences into three main groups with distinct geographic distributions. Divergence of the three groups is principally due to positively selected sequence changes in the p55 domain, a central region required for binding of the toxin to host cells. Divergent amino acids map to surface-exposed sites in the p55 crystal structure. Comparative phylogenetic analyses of vacA sequences and housekeeping gene sequences indicate that vacA does not share the same evolutionary history as the core genome. Further, rooting the VacA tree with outgroup sequences from the close relative Helicobacter acinonychis reveals that the ancestry of VacA is different from the African origin that typifies the core genome. Finally, sequence analyses of the virulence determinant CagA reveal three main groups strikingly similar to the three groups of VacA sequences. Taken together, these results indicate that positive selection has shaped the phylogenetic structure of VacA and CagA, and each of these virulence determinants has evolved separately from the core genome.Helicobacter pylori is a Gram-negative bacterium that persistently colonizes the human stomach. H. pylori induces a gastric mucosal inflammatory response known as superficial gastritis and is a risk factor for the development of peptic ulcer disease, gastric adenocarcinoma, and gastric mucosa-associated lymphoid tissue (MALT) lymphoma (2, 43). H. pylori is present in about half of all humans throughout the world.H. pylori strains from unrelated humans exhibit a high level of genetic diversity (5, 44). The population structure of H. pylori is panmictic, and the rate of recombination in H. pylori is reported to be among the highest in the Eubacteria (17, 44). Multilocus sequence analysis of housekeeping genes has revealed the presence of at least nine different H. pylori populations or subpopulations that are localized to distinct geographic regions (12, 27, 31). Analysis of these sequences suggests that H. pylori has spread throughout the world concurrently with the major events of human dispersal, and thus H. pylori is potentially a useful marker for the geographic migrations of human populations (12).One of the important virulence determinants of H. pylori is a secreted toxin known as VacA. VacA is a pore-forming toxin that causes multiple alterations in human cells, including cell vacuolation, depolarization of membrane potential, alteration of mitochondrial membrane permeability, apoptosis, activation of mitogen-activated protein kinases, inhibition of antigen presentation, and inhibition of T-cell activation and proliferation (8, 10, 15). Secreted by an autotransporter (type Va) secretion mechanism, VacA is translated as a 140-kDa protoxin that undergoes N- and C-terminal cleavage during the secretion process to yield an N-terminal signal sequence, a mature 88-kDa secreted toxin known as p88, a small secreted peptide with no known function (termed secreted alpha peptide, or SAP) (7), and a C-terminal beta-barrel domain (41, 47) (Fig. ​(Fig.1A).1A). Two domains of p88 VacA, p33 and p55, have been identified based on partial proteolysis of p88 into fragments of 33 kDa and 55 kDa, respectively (47) (Fig. ​(Fig.1A).1A). The N-terminal p33 domain (residues 1 to 311) is involved in pore formation while the p55 domain (residues 312 to 821) contains one or more cell-binding domains (14, 48). The isolated p55 domain binds to host cells less avidly than does the full-length p88 protein, and in contrast to p88, the isolated p55 domain is not internalized by cells (18, 48). These observations suggest that sequences in both the p33 and p55 domains mediate VacA interactions with the surface of cells.Open in a separate windowFIG. 1.Analysis of VacA phylogeography. (A) The vacA gene encodes a 140-kDa protoxin, which undergoes cleavage to yield a signal sequence, a secreted 88-kDa toxin, a secreted alpha-peptide (SAP), and a C-terminal β-barrel domain. The mature 88-kDa VacA toxin contains two domains, designated p33 and p55. The midregion sequence that defines type m1 and m2 forms of VacA is located within p55. A 21-amino-acid insertion is present in m2 forms but not m1 forms of VacA. (B) Neighbor-joining phylogenetic tree of 100 amino acid sequences of VacA. Three major groups (designated groups 1 to 3) are evident. The chart shows the number of strains analyzed and characteristics of VacA protein sequences in each group of the tree. Group 1 comprises type m1 sequences mainly from non-Asian strains, group 2 comprises m1 sequences from Asian strains, and group 3 comprises m2 sequences from both Asian and non-Asian strains. See Fig. S1 in the supplemental material for a ladder-type version of this tree.All strains of H. pylori contain a chromosomal vacA gene, but individual strains differ considerably in levels of VacA activity (3, 8). Two studies analyzed vacA sequence encoding a fragment of the p33 domain and did not detect any recognizable phylogenetic structure (star or bush-type pattern), presumably due to the presence of extensive recombination (19, 44). Other studies analyzed different regions of VacA and detected polymorphisms that allow classification of vacA alleles into distinct families (designated s1/s2, i1/i2, and m1/m2) depending on the presence of signature sequences in different regions of VacA (3, 4, 39). Geographic differences have been detected within several of these vacA regions (22, 24, 29, 37, 51, 52, 55). In general, strains containing vacA alleles classified as s1, i1, or m1 have been associated with an increased risk of ulcer disease or gastric cancer compared to strains containing vacA alleles classified as s2, i2, or m2 (3, 13, 39).Another important H. pylori virulence factor is the secreted CagA effector protein. The cagA gene is localized within a 40-kb chromosomal region known as the cag pathogenicity island (PAI) (20). H. pylori strains expressing CagA are associated with a significantly increased risk for development of ulcer disease or gastric cancer compared to strains that lack the cagA gene (6). Upon entry into cells, CagA undergoes phosphorylation by host cell kinases and induces numerous alterations in cellular signaling, leading to the designation of CagA as a “bacterial oncoprotein” (20, 32).H. pylori strains that produce an active VacA protein (type s1 VacA) typically express CagA, and strains that produce inactive VacA proteins (type s2 VacA) typically lack the cagA gene (3). vacA and the cag PAI localize to distant sites on the H. pylori chromosome, and, therefore, the basis for this association has been unclear. Recently, several studies have reported that there are complex relationships between the cellular effects of VacA and CagA, whereby VacA can downregulate CagA''s effects on epithelial cells, or vice versa (1, 35, 46, 56). This functional interaction between VacA and CagA may represent a mechanism that allows H. pylori to minimize damage to gastric epithelial cells or minimize mucosal inflammation, thereby allowing it to persistently colonize the stomach.Although VacA is considered an important H. pylori virulence factor and hundreds of studies have classified H. pylori strains based on a vacA typing scheme, there has been very little effort to investigate the forces that drive vacA diversification, to analyze the evolutionary history of vacA, or to correlate vacA diversity with features of the VacA three-dimensional structure. Several important questions remain in studying the vacA gene: (i) Are the s1, i1, and m1 alleles (which are associated with an increased risk of gastroduodenal disease) more recently derived than the s2, i2, and m2 alleles? (ii) Are the geographic differences in vacA alleles driven by adaptive evolution or genetic drift? (iii) Does the evolutionary history of the vacA gene parallel the evolutionary history of the core genes used for MLST analysis, which are markers for ancient migrations of human populations?In the current study, we present a comprehensive analysis of the molecular evolution of vacA. Our analysis of VacA diversity indicates that VacA sequences are clustered into three main groups with distinct geographic distributions. By analyzing topological differences between vacA and housekeeping gene phylogenetic trees, we demonstrate that the vacA gene does not share the same evolutionary history as the core genome of H. pylori. We report that the evolution of VacA has been shaped by positive selection, and adaptive evolution is restricted to the p55 domain. Most of the sequence divergence corresponds to surface-exposed amino acids in the three-dimensional structure of the p55 domain. Finally, we note that there are similarities between the phylogenetic structure of the VacA and CagA trees, and we discuss the roles that positive selection pressures have played in the evolution of these two virulence determinants.