title: Potential role of molecular mimicry between Helicobacter pylori lipopolysaccharide and host Lewis blood group antigens in autoimmunity.
abstract: Helicobacter pylori is involved in gastritis, gastric and duodenal ulcers, gastric adenocarcinoma, and mucosa-associated lymphoid tissue lymphoma. Earlier studies already suggested a role for autoimmune phenomena in H. pylori-linked disease. We now report that lipopolysaccharides (LPS) of H. pylori express Lewis y, Lewis x, and H type I blood group structures similar to those commonly occurring in gastric mucosa. Immunization of mice and rabbits with H. pylori cells or purified LPS induced an anti-Lewis x or y or anti-H type I response, yielding antibodies that bound human and murine gastric glandular tissue, granulocytes, adenocarcinoma, and mucosa-associated lymphoid tissue lymphoma cells. Experimental oral infections in mice or natural infection in humans yielded anti-Lewis antibodies also. The beta chain of gastric (H+,K+)-ATPase, the parietal cell proton pump involved in acid secretion, contained Lewis y epitopes; gastric mucin contained Lewis x and y antigenic determinants. Growth in mice of a hybridoma that secretes H. pylori-induced anti-Lewis y monoclonal antibodies resulted in histopathological evidence of gastritis, which indicates a direct pathogenic role for anti-Lewis antibodies. In conclusion, our observations demonstrate that molecular mimicry between H. pylori LPS and the host, based on Lewis antigens, and provide understanding of an autoimmune mechanism for H. pylori-associated type B gastritis.
authors.affiliation: Department of Medical Microbiology, Vrije Universiteit Medical School and Academic Hospital, Amsterdam, The Netherlands.
authors.forename: B J
authors.initials: BJ
authors.lastname: Appelmelk
authors.forename: I
authors.initials: I
authors.lastname: Simoons-Smit
authors.forename: R
authors.initials: R
authors.lastname: Negrini
authors.forename: A P
authors.initials: AP
authors.lastname: Moran
authors.forename: G O
authors.initials: GO
authors.lastname: Aspinall
authors.forename: J G
authors.initials: JG
authors.lastname: Forte
authors.forename: T
authors.initials: T
authors.lastname: De Vries
authors.forename: H
authors.initials: H
authors.lastname: Quan
authors.forename: T
authors.initials: T
authors.lastname: Verboom
authors.forename: J J
authors.initials: JJ
authors.lastname: Maaskant
authors.forename: P
authors.initials: P
authors.lastname: Ghiara
authors.forename: E J
authors.initials: EJ
authors.lastname: Kuipers
authors.forename: E
authors.initials: E
authors.lastname: Bloemena
authors.forename: T M
authors.initials: TM
authors.lastname: Tadema
authors.forename: R R
authors.initials: RR
authors.lastname: Townsend
authors.forename: K
authors.initials: K
authors.lastname: Tyagarajan
authors.forename: J M
authors.initials: JM
authors.lastname: Crothers
authors.forename: M A
authors.initials: MA
authors.lastname: Monteiro
authors.forename: A
authors.initials: A
authors.lastname: Savio
authors.forename: J
authors.initials: J
authors.lastname: De Graaff
mesh_terms: D000818:Animals; D000907:Antibodies, Bacterial / Q000097:blood; D000911:Antibodies, Monoclonal / Q000276:immunology; D001323:Autoantibodies / Q000502:physiology; D015551:Autoimmunity; D002240:Carbohydrate Sequence; D017506:H(+)-K(+)-Exchanging ATPase / Q000378:metabolism; D016480:Helicobacter pylori / Q000276:immunology*; D006801:Humans; D007983:Lewis Blood Group Antigens / Q000276:immunology*; D008070:Lipopolysaccharides / Q000276:immunology*; D051379:Mice; D008807:Mice, Inbred BALB C; D008969:Molecular Sequence Data; D011817:Rabbits
chemical_list: D000907:Antibodies, Bacterial; D000911:Antibodies, Monoclonal; D001323:Autoantibodies; D007983:Lewis Blood Group Antigens; D008070:Lipopolysaccharides; D017506:H(+)-K(+)-Exchanging ATPase