title: Role of ABO secretor status in mucosal innate immunity and H. pylori infection.
abstract: The fucosylated ABH antigens, which constitute the molecular basis for the ABO blood group system, are also expressed in salivary secretions and gastrointestinal epithelia in individuals of positive secretor status; however, the biological function of the ABO blood group system is unknown. Gastric mucosa biopsies of 41 Rhesus monkeys originating from Southern Asia were analyzed by immunohistochemistry. A majority of these animals were found to be of blood group B and weak-secretor phenotype (i.e., expressing both Lewis a and Lewis b antigens), which are also common in South Asian human populations. A selected group of ten monkeys was inoculated with Helicobacter pylori and studied for changes in gastric mucosal glycosylation during a 10-month period. We observed a loss in mucosal fucosylation and concurrent induction and time-dependent dynamics in gastric mucosal sialylation (carbohydrate marker of inflammation), which affect H. pylori adhesion targets and thus modulate host-bacterial interactions. Of particular relevance, gastric mucosal density of H. pylori, gastritis, and sialylation were all higher in secretor individuals compared to weak-secretors, the latter being apparently "protected." These results demonstrate that the secretor status plays an intrinsic role in resistance to H. pylori infection and suggest that the fucosylated secretor ABH antigens constitute interactive members of the human and primate mucosal innate immune system.
authors.affiliation: Laboratory of Gastrointestinal and Liver Studies, Digestive Diseases Division, Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States of America.
authors.forename: Sara
authors.initials: S
authors.lastname: Lindén
authors.forename: Jafar
authors.initials: J
authors.lastname: Mahdavi
authors.forename: Cristina
authors.initials: C
authors.lastname: Semino-Mora
authors.forename: Cara
authors.initials: C
authors.lastname: Olsen
authors.forename: Ingemar
authors.initials: I
authors.lastname: Carlstedt
authors.forename: Thomas
authors.initials: T
authors.lastname: Borén
authors.forename: Andre
authors.initials: A
authors.lastname: Dubois
mesh_terms: D000017:ABO Blood-Group System / Q000235:genetics / Q000276:immunology*; D000818:Animals; D012634:Bodily Secretions / Q000276:immunology; D005753:Gastric Mucosa / Q000276:immunology; D016481:Helicobacter Infections / Q000235:genetics / Q000276:immunology*; D016480:Helicobacter pylori; D007113:Immunity, Innate; D018928:Immunity, Mucosal; D007150:Immunohistochemistry; D007983:Lewis Blood Group Antigens / Q000235:genetics / Q000276:immunology*; D008253:Macaca mulatta; D010641:Phenotype
chemical_list: D000017:ABO Blood-Group System; D007983:Lewis Blood Group Antigens