title: Helicobacter pylori vacuolating toxin accumulates within the endosomal-vacuolar compartment of cultured gastric cells and potentiates the vacuolating activity of ammonia.
abstract: This study explored the relationship between vacuolating toxin and ammonia in the genesis of Helicobacter pylori-induced vacuolation in cultured human gastric cells and investigated the intracellular sites of toxin accumulation. Neutral red dye uptake and electron microscopy were used in the investigation of the respective roles of, and of the reciprocal interaction between, toxin and ammonia in cell vacuolation and ultrastructural immunocytochemistry was used for the identification of the intracellular sites of internalized toxin. Toxin was found to cause an expansion of the endosomal compartment, where it accumulates after cellular internalization. However, toxin does not form large, neutral red-positive vacuoles unless combined with ammonia, whose moderate vacuolating activity is markedly potentiated by the toxin. It is concluded that the toxin accumulated within the endosomal compartment alters the morphology and function of this organelle and plays a permissive role towards cell vacuolation, possibly by increasing the accumulation of protonated ammonia within endosomes. In turn, ammonia induces excessive dilatation of the endosomes with reciprocal fusion of their membranes, thus causing cytoplasmic vacuolation.
authors.affiliation: Institute of Human Physiology, University of Pavia, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Ricci
authors.forename: P
authors.initials: P
authors.lastname: Sommi
authors.forename: R
authors.initials: R
authors.lastname: Fiocca
authors.forename: M
authors.initials: M
authors.lastname: Romano
authors.forename: E
authors.initials: E
authors.lastname: Solcia
authors.forename: U
authors.initials: U
authors.lastname: Ventura
mesh_terms: D000641:Ammonia / Q000494:pharmacology*; D001426:Bacterial Proteins / Q000378:metabolism / Q000494:pharmacology*; D001427:Bacterial Toxins / Q000378:metabolism / Q000494:pharmacology*; D018929:Cell Culture Techniques; D004357:Drug Synergism; D011992:Endosomes / Q000187:drug effects / Q000378:metabolism; D005753:Gastric Mucosa / Q000378:metabolism; D016480:Helicobacter pylori / Q000378:metabolism*; D006801:Humans; D009499:Neutral Red; D013270:Stomach / Q000187:drug effects* / Q000648:ultrastructure; D014617:Vacuoles / Q000187:drug effects / Q000378:metabolism
chemical_list: D001426:Bacterial Proteins; D001427:Bacterial Toxins; C074689:VacA protein, Helicobacter pylori; D009499:Neutral Red; D000641:Ammonia