Published online Jul 15, 2003. doi: 10.3748/wjg.v9.i7.1529
Revised: March 14, 2003
Accepted: March 28, 2003
Published online: July 15, 2003
AIM: To clone hpaA gene from a clinical strain of Helicobacter pylori and to construct the expression vector of the gene and to identify immunity of the fusion protein.
METHODS: The hpaA gene from a clinical isolate Y06 of H. pylori was amplified by high fidelity PCR. The nucleotide sequence of the target DNA amplification fragment was sequenced after T-A cloning. The recombinant expression vector inserted with hpaA gene was constructed. The expression of HpaA fusion protein in E.coli BL21(DE3) induced by IPTG at different dosages was examined by SDS-PAGE. Western blot with commercial antibody against whole cell of H. pylori as well as immunodiffusion assay with self-prepared rabbit antiserum against HpaA fusion protein were applied to determine immunity of the fusion protein. ELISA was used to detect the antibody against HpaA in sera of 125 patients infected with H. pylori and to examine HpaA expression of 109 clinical isolates of H. pylori.
RESULTS: In comparison with the reported corresponding sequences, the homologies of nucleotide and putative amino acid sequences of the cloned hpaA gene were from 94.25%-97.32% and 95.38%-98.46%, respectively. The output of HpaA fusion protein in its expression system of pET32a-hpaA-BL21(DE3) was approximately 40% of the total bacterial proteins. HpaA fusion protein was able to combine with the commercial antibody against whole cell of H. pylori and to induce rabbit producing specific antiserum with 1:4 immunodiffusion titer after the animal was immunized with the fusion protein. 81.6% of the serum samples from 125 patients infected with H. pylori (102/125) were positive for HpaA antibody and all of the tested isolates of H. pylori (109/109) were detectable for HpaA.
CONCLUSION: A prokaryotic expression system with high efficiency of H. pylorihpaA gene was successfully established. The HpaA expressing fusion protein showed satisfactory immunoreactivity and antigenicity. High frequencies of HpaA expression in different H. pylori clinical strains and specific antibody production in H. pylori infected patients indicate that HpaA is an excellent and ideal antigen for developing H. pylori vaccine.
-
Citation: Mao YF, Yan J, Li LW, Li SP. Construction of
hpaA gene from a clinical isolate ofHelicobacter pylori and identification of fusion protein. World J Gastroenterol 2003; 9(7): 1529-1536 - URL: https://www.wjgnet.com/1007-9327/full/v9/i7/1529.htm
- DOI: https://dx.doi.org/10.3748/wjg.v9.i7.1529
In China, chronic gastritis and peptic ulcer are the most prevalent gastric diseases and gastric cancer is one of the malignant tumors with high morbidities[1-34]. Helicobacter pylori, a microaerophilic, spiral and gram-negative bacillus, is recognized as a human-specific gastric pathogen that colonizes the stomaches of at least half of the world's populations[35]. Most infected individuals are asymptomatic. However, in some subjects, the infection causes acute, chronic gastritis or peptic ulceration, and plays an important role in the development of peptic ulcer and gastric adenocarcinoma, mucosa-associated lymphoid tissue (MALT) lymphoma and primary gastric non-Hodgkin's lymphoma[36-43]. This organism is categorized as a class I carcinogen pronounced by the World Health Organization[44], and direct evidence of carcinogenesis was recently demonstrated in an animal model[45,46]. Immunization against the bacterium represents a cost-effective strategy to prevent H. pylori-associated peptic ulcer diseases and to reduce the incidence of global gastric cancers[47]. The selection of antigenic targets is critical in the design of H. pylori vaccine. To date, this field is scarcely touched upon. The majority of studies focused on urease enzyme, heat shock protein, vacuolating cytotoxin, and so on[35,48-50], but rarely on H. pylori adhesin (HpaA) which is a flagellar sheath protein with approximately 29 KDa located in the bacterial outer membrane[51]. So, in this study, a recombinant plasmid inserted with the gene (hpaA) responsible for encoding HpaA was constructed and the immunogenicity and immunoreactivity of its expression product were examined. Furthermore, the fusion protein of HpaA and its rabbit antiserum were also used to detect serum samples from H. pylori infected patients and H. pylori isolates, respectively. The results of this study will be helpful for determining whether the recombinant HpaA (rHpaA) becomes one of the good candidates as an antigen in H. pylori vaccine.
A well-characterized clinical strain of H. pylori, provisionally named Y06, was provided by the Department of Medical Microbiology and Parasitology, College of Medical Sciences, Zhejing University. Plasmid pET32a (Promega) and E.coli BL21 DE3 (Promega) were used as expression vector and host cell, respectively. The primers for amplification were synthesized by BioAsia (Shanghai, China). EX Taq high fidelity PCR kit and restriction endonucleases were purchased from TaKaRa (Dalian, China). T-A cloning kit and sequencing service were offered by BBST (Shanghai, China). Rabbit antibody against the whole cell of H. pylori and HRP-labeling sheep antibodies against rabbit IgG and human IgG were purchased from DACO and Jackson ImmunoResearch, respectively. The agents used in isolation and identification of H. pylori were purchased from Sigma and bioMérieux, etc. 126 biopsy specimens from patients with positive H. pylori (86 males and 40 females; age range: 6-78 years; mean age: 40.5 years) for gastroduodenoscopy in four different hospitals in Hangzhou were collected during the period of the end of 2001 to the midyear of 2002. Each of the patients consented to be enrolled in this study and all of them agreed to offer their biopsy samples. Among the 126 patients, 68 suffered from chronic gastritis (CG) in cluding 48 with chronic superficial gastritis, 10 with chronic active gastritis and 10 with chronic atrophic gastritis, and 58 patients suffered from peptic ulcer (PU) in cluding 12 with gastric ulcer, 40 with duodenal ulcer and 6 with gastric and duodenal ulcer. None of the patients had received nonsteroidal anti-inflammatory drugs or antacid drugs and antibiotics within the previous two weeks before the study. At the same time, 126 serum specimens from these patients were also collected.
Isolation and identification of clinical H. pylori strains Each of the biopsy specimens was homogenized with a tissue grinder and then inoculated onto Columbia agar plates supplemented with 8.0% (V/V) sheep blood, 0.2% (W/V) cyclodextrin, 5 mg/L trimethoprim, 10 mg/L vancomycin, 2.5 mg/L amphotericin B and 2500 U/L polymyxin B. The plates were incubated at 37 °C under microaerobic conditions (5% O2, 10% CO2 and 85% N2) for 3 to 5 d. Isolates were identified as H. pylori according to typical Gram stain morphology, positive biochemical tests for urease and oxidase, and agglutination with commercial rabbit antibody against whole cell of the microbe. All of H. pylori isolates were stored at -70 °C for ELISA.
Preparation of DNA template Genomic DNA of H. pylori strain Y06 was extracted by routine phenol-chloroform method, DNase-free RNase digestion and phenol-chloroform extraction. The DNA template was solved in TE buffer, and its concentration and purity were determined by ultraviolet spectrophotometry[52].
Polymerase chain reaction Oligonucleotide primers were designed to amplify the whole sequence of hpaA gene from H. pylori strain Y06 based on the published corresponding genome sequence[51,53]. The sequence of sense primer with an endonuclease site of BamH I was: 5'-CCGGGATCCATGAGAGCAAATAATC-3'. The sequence of antisense primer with an endonuclease site of EcoR I was: 5'-CCGGAATTCTTCTTATGCGTTATTTG-3'. The total volume of PCR reaction mixture was 100 μL containing 2.5 mol•l-1 each dNTP, 250 nmol•l-1 each primer, 15 mol•l-1 MgCl2, 3.0 U EX Taq polymerase, 200 ng DNA template and 1 × PCR buffer (pH8.3). The parameters for PCR were as follows: at 94 °C for 5 min, one cycle; at 94 °C for 30 sec, at 50 °C for 30 sec, at 72 °C for 60 sec, 10 cycle; at 94 °C for 30 sec, at 50 °C for 30 sec, at 72 °C for 70 sec (additional 10 sec for each of the following cycles), 20 cycle, at 72 °C for 10 min, 1 cycle. The results of PCR were observed under UV light after electrophoresis in 15 g•l-1 agarose pre-stained with ethidium bromide. The expected size of target amplification fragment was 802 bp.
Cloning and sequencing The target amplification DNA fragment of hpaA gene was cloned into pUCm-T vector (pUCm-T-hpaA) by using the T-A cloning kit according to the manufacturer's instructions. The recombinant plasmid was amplified in E.coli strain DH5α and then extracted by Sambrook's method[52]. A professional company (BBST) was responsible for nucleotide sequence analysis of the inserted fragments. Two different strains of E.coli DH5α containing pUCm-T-hpaA and expression vector pET32a were amplified respectively and the two plasmids were extracted[52]. The plasmids were digested with BamH I and EcoR I. The target fragments of hpaA and pET32a were recovered and then ligased. The recombinant expression vector pET32a-hpaA was transformed into E.coli BL21(DE3). pET32a-hpaA was prepared for sequencing again after the amplification in its host cell.
Expression and identification of the fusion protein The hpaA prokaryotic expression system pET32a-hpaA-BL21(DE3) was rotationally cultured in LB medium at 37 °C under induction of isopropylthio-β-D-galactoside (IPTG) at different dosages of 1, 0.5 and 0.1 mmol•l-1. The supernatant and precipitate were isolated by centrifugation after the engineering bacterium pellet was ultrasonically broken (300V, 5sec once for three times). The molecular weight, output and location of HpaA fusion protein were examined by SDS-PAGE. HpaA fusion protein was collected by Ni-NTA affinity chromatography. The immunoreactivity of HpaA fusion protein was determined by Western blot with commercial rabbit antibody against whole cell of H. pylori and HRP-labeling sheep antibody against rabbit IgG, respectively. Rabbits were immunized with HpaA fusion protein to obtain the antiserum. Immunodiffusion assay was applied to determine antigenicity of the fusion protein.
ELISA The antibodies against HpaA in sera of the patients infected with H. pylori were detected by ELISA with HpaA fusion protein at the concentration of 20 μg/mL as coated antigen, the patients sera (1:200 dilution) as the first antibody, HRP-labeling sheep antibody against human IgG (1:4000 dilution) as the second antibody and ortho-phenylene diamine as a substrate. The result of ELISA for a patient's serum sample was considered as positive if its OD490 value was over the mean plus 3 SD of 6 cases of negative serum samples[54]. HpaA expression of clinical isolates of H. pylori was detected by ELISA using ultrasonic supernatant at the protein concentration of 50 μg/mL of each H. pylori isolate as coated antigen, the self-prepared rabbit antiserum against HpaA fusion protein (1:2000 dilution) as the first antibody, HRP-labeling sheep antibody against rabbit IgG (1:3000 dilution) as the second antibody and ortho-phenylene diamine as a substrate. The result of ELISA for an H. pylori ultrasonic supernatant was considered as positive if its OD490 value was over the mean plus 3 SD of 6 cases of ultrasonic supernatant at the same protein concentration of E.coli ATCC 25922 played as negative control[54].
Data analysis The nucleotide sequences of the cloned hpaA gene inserted in the two recombinant plasmid vectors were compared for homologies with 6 published hpaA gene sequences (X92502, NC000915, X61574, NC000921, AF479028 and U35455)[51,53,55-58] with a special molecular biological analysis soft ware.
Target fragment with expected size amplified from DNA template of H. pylori strain Y06 is shown in Figure 1.
The hpaA gene nucleotide sequences in the recombinant plasmid vectors of pUCm-T-hpaA and pET32a-hpaA were completely the same. The homologies of the nucleotide and putative amino acid sequences in the pUCm-T-hpaA and pET32a-hpaA compared with the published hpaA gene sequences[51,53,55-58] were from 94.25%-97.32% and 95.38%-98.46%, respectively (Figure 2, Figure 3).
1, 0.5 and 0.1 mmol•l-1 of IPTG were able to efficiently induce the expression of HpaA fusion protein in pET32a-hpaA-BL21(DE3) system. The product of HpaA fusion protein was mainly presented in ultrasonic precipitate and the output was approximately 40% of the total bacterial proteins (Figure 4).
The commercial rabbit antibody against the whole cell of H. pylori could combine with HpaA fusion protein confirmed by Western blot (Figure 5) and the titer demonstrated by immunodiffusion assay between HpaA fusion protein and rabbit antiserum against the fusion protein was 1:4.
The mean ± SD at OD490 of the negative serum samples was 0.11 ± 0.03 and the positive reference value was 0.20. The mean ± SD at OD490 of the negative bacterial control was 0.04 ± 0.04 and the positive reference value was 0.16. According to the reference values, 81.6% (102/125, another serum sample was contaminated) of the tested patients serum samples were positive for antibodies against HpaA fusion protein with a range of 0.54-1.84 and 100% (109/109, other 17 isolates could not be revived from -70 °C) of the tested H. pylori isolates were detectable for HpaA with a range of 0.52-1.47.
The outer membrane is a continuous structure on the surface of gram-negative bacteria. For outer membrane proteins in the outer monolayer of bacterial membrane, they have bilateral particular significance as a potential target for protective immunity and bacterial pathogens. Outer membrane vaccines have been used with considerable success to induce protection against a number of organisms, including heat shock protein, vacuolating cytotoxin, ureases A, B of H. pylori and so on[59-65]. HpaA is one of the major structural outer membrane proteins of H. pylori and plays an important role in adhesion of the microbe[51,53]. HpaA gene is located in genome DNA of H. pylori and considerably conservative for its nucleotide and amino acid sequences[55,56]. Furthermore, antibody against HpaA could be found in approximately 86% of H. pylori infected patients sera and this proportion was obviously higher than that of heat shock protein (68%) and vacuolating cytotoxin (68%)[57] and was similar to that of urease B[64]. Therefore, HpaA is an ideal antigen candidate for H. pylori vaccine.
In this study, the homologies of the nucleotide and putative amino acid sequences in the cloned HpaA gene from H. pylori strain Y06 compared with the 6 published hpaA gene sequences[51,53,55-58] were as high as 94.25%-97.32% and 95.38%-98.46%, respectively, whereas the nucleotide and putative amino acid homologies among the 6 HpaA gene sequences were 93.72%-98.21% and 95.00%-98.78%. These data indicate that the mutation level of the HpaA gene of H. pylori strain Y06 is within the range reported by the literatures.
The results of SDS-PAGE demonstrated that the constructed expression system pET32a-hpaA-BL21(DE3) was able to efficiently produce the target fusion protein presented with the form of inclusion body even if induced by IPTG at lower concentration of 0.1 mmol•l-1 and the output was approximately 40% of the total bacterial proteins.
The rabbit antibody against the whole cell of H. pylori could recognize and combine with HpaA fusion protein confirmed by Western blot, indicating that the fusion protein has an active and satisfactory immunoreactivity. The immunodiffusion assay performed in this study demonstrated that HpaA fusion protein could efficiently induce rabbit to produce specific antibody with a higher titer against the fusion protein, which indicates that HpaA fusion protein has favorable antigenicity. The results of ELISA showed that all of the tested clinical isolates of H. pylori would express HpaA and the majority of H. pylori infected patients sera (81.6%) were present for the specific antibody against the microbe.
All the evidences mentioned above suggest that HpaA is an excellent and ideal antigen for developing H. pylori vaccine and an HpaA expression system with high efficiency was successfully constructed in this study.
Edited by Xu XQ
1. | Ye GA, Zhang WD, Liu LM, Shi L, Xu ZM, Chen Y, Zhou DY. Helicobacter pylori vacA gene polymorphism and chronicgastrisis. Shijie Huaren Xiaohua Zazhi. 2001;9:593-595. [Cited in This Article: ] |
2. | Lu SY, Pan XZ, Peng XW, Shi ZL. Effect of Hp infection on gastric epithelial cell kinetics in stomach diseases. Shijie Huaren Xiaohua Zazhi. 1999;7:760-762. [Cited in This Article: ] |
3. | Zhang Z, Yuan Y, Gao H, Dong M, Wang L, Gong YH. Apoptosis, proliferation and p53 gene expression of H. pylori associated gastric epithelial lesions. World J Gastroenterol. 2001;7:779-782. [PubMed] [Cited in This Article: ] |
4. | Lu XL, Qian KD, Tang XQ, Zhu YL, Du Q. Detection of H. pylori DNA in gastric epithelial cells by in situ hybridization. World J Gastroenterol. 2002;8:305-307. [PubMed] [Cited in This Article: ] |
5. | Yao YL, Xu B, Song YG, Zhang WD. Overexpression of cyclin E in Mongolian gerbil with Helicobacter pylori-induced gastric precancerosis. World J Gastroenterol. 2002;8:60-63. [PubMed] [Cited in This Article: ] |
6. | Guo DL, Dong M, Wang L, Sun LP, Yuan Y. Expression of gastric cancer-associated MG7 antigen in gastric cancer, precancerous lesions and H. pylori -associated gastric diseases. World J Gastroenterol. 2002;8:1009-1013. [PubMed] [Cited in This Article: ] |
7. | Peng ZS, Liang ZC, Liu MC, Ouyang NT. Studies on gastric epithelial cell proliferation and apoptosis in Hp associated gastric ulcer. Shijie Huaren Xiaohua Zazhi. 1999;7:218-219. [Cited in This Article: ] |
8. | Hiyama T, Haruma K, Kitadai Y, Miyamoto M, Tanaka S, Yoshihara M, Sumii K, Shimamoto F, Kajiyama G. B-cell monoclonality in Helicobacter pylori-associated chronic atrophic gastritis. Virchows Arch. 2001;438:232-237. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 17] [Cited by in F6Publishing: 18] [Article Influence: 0.8] [Reference Citation Analysis (0)] |
9. | Harry XH. Association between Helicobacter pylori and gastric cancer: current knowledge and future research. World J Gastroenterol. 1998;4:93-96. [PubMed] [Cited in This Article: ] |
10. | Quan J, Fan XG. Progress in experimental research of Helicobacter pylori infection and gastric carcinoma. Shijie Huaren Xiaohua Zazhi. 1999;7:1068-1069. [Cited in This Article: ] |
11. | Liu HF, Liu WW, Fang DC. Study of the relationship between apoptosis and proliferation in gastric carcinoma and its precancerous lesion. Shijie Huaren Xiaohua Zazhi. 1999;7:649-651. [Cited in This Article: ] |
12. | Zhu ZH, Xia ZS, He SG. The effects of ATRA and 5-Fu on telomerase activity and cell growth of gastric cancer cells in vitro. Shijie Huaren Xiaohua Zazhi. 2000;8:669-673. [Cited in This Article: ] |
13. | Tu SP, Zhong J, Tan JH, Jiang XH, Qiao MM, Wu YX, Jiang SH. Induction of apoptosis by arsenic trioxide and hydroxy camptothecin in gastriccancer cells in vitro. World J Gastroenterol. 2000;6:532-539. [PubMed] [Cited in This Article: ] |
14. | Cai L, Yu SZ, Zhang ZF. Helicobacter pylori infection and risk of gastric cancer in Changle County, Fujian Province, China. World J Gastroenterol. 2000;6:374-376. [PubMed] [Cited in This Article: ] |
15. | Yao XX, Yin L, Zhang JY, Bai WY, Li YM, Sun ZC. Htert expression and cellular immunity in gastric cancer and precancerosis. Shijie Huaren Xiaohua Zazhi. 2001;9:508-512. [Cited in This Article: ] |
16. | Xu AG, Li SG, Liu JH, Gan AH. Function of apoptosis and expression of the proteins Bcl-2, p53 and C-myc in the development of gastric cancer. World J Gastroenterol. 2001;7:403-406. [PubMed] [Cited in This Article: ] |
17. | Wang X, Lan M, Shi YQ, Lu J, Zhong YX, Wu HP, Zai HH, Ding J, Wu KC, Pan BR. Differential display of vincristine-resistance-related genes in gastric cancer SGC7901 cell. World J Gastroenterol. 2002;8:54-59. [PubMed] [Cited in This Article: ] |
18. | Liu JR, Li BX, Chen BQ, Han XH, Xue YB, Yang YM, Zheng YM, Liu RH. Effect of cis-9, trans-11-conjugated linoleic acid on cell cycle of gastric adenocarcinoma cell line (SGC-7901). World J Gastroenterol. 2002;8:224-229. [PubMed] [Cited in This Article: ] |
19. | Cai L, Yu SZ. A molecular epidemiologic study on gastric cancer in Changle, Fujian Province. Shijie Huaren Xiaohua Zazhi. 1999;7:652-655. [Cited in This Article: ] |
20. | Gao GL, Yang Y, Yang SF, Ren CW. Relationship between proliferation of vascular andothelial cells and gastric cancer. Shijie Huaren Xiaohua Zazhi. 2000;8:282-284. [Cited in This Article: ] |
21. | Xue XC, Fang GE, Hua JD. Gastric cancer and apoptosis. Shijie Huaren Xiaohua Zazhi. 1999;7:359-361. [Cited in This Article: ] |
22. | Niu WX, Qin XY, Liu H, Wang CP. Clinicopathological analysis of patients with gastric cancer in 1200 cases. World J Gastroenterol. 2001;7:281-284. [PubMed] [Cited in This Article: ] |
23. | Li XY, Wei PK. Diagnosis of stomach cancer by serum tumor markers. Shijie Huaren Xiaohua Zazhi. 2001;9:568-570. [Cited in This Article: ] |
24. | Fang DC, Yang SM, Zhou XD, Wang DX, Luo YH. Telomere erosion is independent of microsatellite instability but related to loss of heterozygosity in gastric cancer. World J Gastroenterol. 2001;7:522-526. [PubMed] [Cited in This Article: ] |
25. | Morgner A, Miehlke S, Stolte M, Neubauer A, Alpen B, Thiede C, Klann H, Hierlmeier FX, Ell C, Ehninger G. Development of early gastric cancer 4 and 5 years after complete remission of Helicobacter pylori associated gastric low grade marginal zone B cell lymphoma of MALT type. World J Gastroenterol. 2001;7:248-253. [PubMed] [Cited in This Article: ] |
26. | Deng DJ. progress of gastric cancer etiology: N-nitrosamides 1999s. World J Gastroenterol. 2000;6:613-618. [PubMed] [Cited in This Article: ] |
27. | Liu ZM, Shou NH, Jiang XH. Expression of lung resistance protein in patients with gastric carcinoma and its clinical significance. World J Gastroenterol. 2000;6:433-434. [PubMed] [Cited in This Article: ] |
28. | Guo CQ, Wang YP, Liu GY, Ma SW, Ding GY, Li JC. Study on Helicobacter pylori infection and p53, c-erbB-2 gene expression in carcinogenesis of gastric mucosa. Shijie Huaren Xiaohua Zazhi. 1999;7:313-315. [Cited in This Article: ] |
29. | Cai L, Yu SZ, Ye WM, Yi YN. Fish sauce and gastric cancer: an ecological study in Fujian Province, China. World J Gastroenterol. 2000;6:671-675. [PubMed] [Cited in This Article: ] |
30. | Xue FB, Xu YY, Wan Y, Pan BR, Ren J, Fan DM. Association of H. pylori infection with gastric carcinoma: a Meta analysis. World J Gastroenterol. 2001;7:801-804. [PubMed] [Cited in This Article: ] |
31. | Wang RT, Wang T, Chen K, Wang JY, Zhang JP, Lin SR, Zhu YM, Zhang WM, Cao YX, Zhu CW. Helicobacter pylori infection and gastric cancer: evidence from a retrospective cohort study and nested case-control study in China. World J Gastroenterol. 2002;8:1103-1107. [PubMed] [Cited in This Article: ] |
32. | Hua JS. Effect of Hp: cell proliferation and apoptosis on stomach cancer. Shijie Huaren Xiaohua Zazhi. 1999;7:647-648. [Cited in This Article: ] |
33. | Liu DH, Zhang XY, Fan DM, Huang YX, Zhang JS, Huang WQ, Zhang YQ, Huang QS, Ma WY, Chai YB. Expression of vascular endothelial growth factor and its role in oncogenesis of human gastric carcinoma. World J Gastroenterol. 2001;7:500-505. [PubMed] [Cited in This Article: ] |
34. | Cao WX, Ou JM, Fei XF, Zhu ZG, Yin HR, Yan M, Lin YZ. Methionine-dependence and combination chemotherapy on human gastric cancer cells in vitro. World J Gastroenterol. 2002;8:230-232. [PubMed] [Cited in This Article: ] |
35. | Michetti P, Kreiss C, Kotloff KL, Porta N, Blanco JL, Bachmann D, Herranz M, Saldinger PF, Corthésy-Theulaz I, Losonsky G. Oral immunization with urease and Escherichia coli heat-labile enterotoxin is safe and immunogenic in Helicobacter pylori-infected adults. Gastroenterology. 1999;116:804-812. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 234] [Cited by in F6Publishing: 219] [Article Influence: 8.8] [Reference Citation Analysis (0)] |
36. | Suganuma M, Kurusu M, Okabe S, Sueoka N, Yoshida M, Wakatsuki Y, Fujiki H. Helicobacter pylori membrane protein 1: a new carcinogenic factor of Helicobacter pylori. Cancer Res. 2001;61:6356-6359. [PubMed] [Cited in This Article: ] |
37. | Nakamura S, Matsumoto T, Suekane H, Takeshita M, Hizawa K, Kawasaki M, Yao T, Tsuneyoshi M, Iida M, Fujishima M. Predictive value of endoscopic ultrasonography for regression of gastric low grade and high grade MALT lymphomas after eradication of Helicobacter pylori. Gut. 2001;48:454-460. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 170] [Cited by in F6Publishing: 187] [Article Influence: 8.1] [Reference Citation Analysis (0)] |
38. | Uemura N, Okamoto S, Yamamoto S, Matsumura N, Yamaguchi S, Yamakido M, Taniyama K, Sasaki N, Schlemper RJ. Helicobacter pylori infection and the development of gastric cancer. N Engl J Med. 2001;345:784-789. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 3126] [Cited by in F6Publishing: 3061] [Article Influence: 133.1] [Reference Citation Analysis (0)] |
39. | Morgner A, Miehlke S, Fischbach W, Schmitt W, Müller-Hermelink H, Greiner A, Thiede C, Schetelig J, Neubauer A, Stolte M. Complete remission of primary high-grade B-cell gastric lymphoma after cure of Helicobacter pylori infection. J Clin Oncol. 2001;19:2041-2048. [PubMed] [Cited in This Article: ] |
40. | Kate V, Ananthakrishnan N, Badrinath S. Effect of Helicobacter pylori eradication on the ulcer recurrence rate after simple closure of perforated duodenal ulcer: retrospective and prospective randomized controlled studies. Br J Surg. 2001;88:1054-1058. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 51] [Cited by in F6Publishing: 61] [Article Influence: 2.7] [Reference Citation Analysis (0)] |
41. | Zhuang XQ, Lin SR. Progress in research on the relationsh between Hp and stomach cancer. Shijie Huaren Xiaohua Zazhi. 2000;8:206-207. [Cited in This Article: ] |
42. | Gao HJ, Yu LZ, Bai JF, Peng YS, Sun G, Zhao HL, Miu K, L XZ, Zhang XY, Zhao ZQ. Multiple genetic alterations and behavior of cellular biology in gastric cancer and other gastric mucosal lesions: H. pylori infection, histological types and staging. World J Gastroenterol. 2000;6:848-854. [PubMed] [Cited in This Article: ] |
43. | Yao YL, Zhang WD. Relation between Helicobacter pylori and gastric cancer. Shijie Huaren Xiaohua Zazhi. 2001;9:1045-1049. [Cited in This Article: ] |
44. | Goto T, Nishizono A, Fujioka T, Ikewaki J, Mifune K, Nasu M. Local secretory immunoglobulin A and postimmunization gastritis correlate with protection against Helicobacter pylori infection after oral vaccination of mice. Infect Immun. 1999;67:2531-2539. [PubMed] [Cited in This Article: ] |
45. | Watanabe T, Tada M, Nagai H, Sasaki S, Nakao M. Helicobacter pylori infection induces gastric cancer in mongolian gerbils. Gastroenterology. 1998;115:642-648. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 689] [Cited by in F6Publishing: 657] [Article Influence: 25.3] [Reference Citation Analysis (0)] |
46. | Honda S, Fujioka T, Tokieda M, Satoh R, Nishizono A, Nasu M. Development of Helicobacter pylori-induced gastric carcinoma in Mongolian gerbils. Cancer Res. 1998;58:4255-4259. [PubMed] [Cited in This Article: ] |
47. | Hatzifoti C, Wren BW, Morrow WJ. Helicobacter pylori vaccine strategies--triggering a gut reaction. Immunol Today. 2000;21:615-619. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 20] [Cited by in F6Publishing: 21] [Article Influence: 0.9] [Reference Citation Analysis (0)] |
48. | Kotloff KL, Sztein MB, Wasserman SS, Losonsky GA, DiLorenzo SC, Walker RI. Safety and immunogenicity of oral inactivated whole-cell Helicobacter pylori vaccine with adjuvant among volunteers with or without subclinical infection. Infect Immun. 2001;69:3581-3590. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 143] [Cited by in F6Publishing: 145] [Article Influence: 6.3] [Reference Citation Analysis (0)] |
49. | Dubois A, Lee CK, Fiala N, Kleanthous H, Mehlman PT, Monath T. Immunization against natural Helicobacter pylori infection in nonhuman primates. Infect Immun. 1998;66:4340-4346. [PubMed] [Cited in This Article: ] |
50. | Ikewaki J, Nishizono A, Goto T, Fujioka T, Mifune K. Therapeutic oral vaccination induces mucosal immune response sufficient to eliminate long-term Helicobacter pylori infection. Microbiol Immunol. 2000;44:29-39. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 45] [Cited by in F6Publishing: 48] [Article Influence: 2.0] [Reference Citation Analysis (0)] |
51. | Evans DG, Karjalainen TK, Evans DJ, Graham DY, Lee CH. Cloning, nucleotide sequence, and expression of a gene encoding an adhesin subunit protein of Helicobacter pylori. J Bacteriol. 1993;175:674-683. [PubMed] [Cited in This Article: ] |
52. | Sambrook J, Fritsch E F, Maniatis T. Molecular Cloning, A Laboratory Manual. 2nd edition. New York: Cold Spring Harbor Laboratory Press. 1989, 1.21-1.52, 2.60-2.80, 7.3-7.35, 9.14-9.22. . [Cited in This Article: ] |
53. | Jones AC, Logan RP, Foynes S, Cockayne A, Wren BW, Penn CW. A flagellar sheath protein of Helicobacter pylori is identical to HpaA, a putative N-acetylneuraminyllactose-binding hemagglutinin, but is not an adhesin for AGS cells. J Bacteriol. 1997;179:5643-5647. [PubMed] [Cited in This Article: ] |
54. | Chen Y, Wang J, Shi L. [In vitro study of the biological activities and immunogenicity of recombinant adhesin of Heliobacter pylori rHpaA]. Zhonghua Yixue Zazhi. 2001;81:276-279. [PubMed] [Cited in This Article: ] |
55. | Tomb JF, White O, Kerlavage AR, Clayton RA, Sutton GG, Fleischmann RD, Ketchum KA, Klenk HP, Gill S, Dougherty BA. The complete genome sequence of the gastric pathogen Helicobacter pylori. Nature. 1997;388:539-547. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 2635] [Cited by in F6Publishing: 2555] [Article Influence: 94.6] [Reference Citation Analysis (0)] |
56. | Alm RA, Ling LS, Moir DT, King BL, Brown ED, Doig PC, Smith DR, Noonan B, Guild BC, deJonge BL. Genomic-sequence comparison of two unrelated isolates of the human gastric pathogen Helicobacter pylori. Nature. 1999;397:176-180. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 1387] [Cited by in F6Publishing: 1341] [Article Influence: 53.6] [Reference Citation Analysis (0)] |
57. | Opazo P, Müller I, Rollán A, Valenzuela P, Yudelevich A, García-de la Guarda R, Urra S, Venegas A. Serological response to Helicobacter pylori recombinant antigens in Chilean infected patients with duodenal ulcer, non-ulcer dyspepsia and gastric cancer. APMIS. 1999;107:1069-1078. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 13] [Cited by in F6Publishing: 13] [Article Influence: 0.5] [Reference Citation Analysis (0)] |
58. | O'Toole PW, Janzon L, Doig P, Huang J, Kostrzynska M, Trust TJ. The putative neuraminyllactose-binding hemagglutinin HpaA of Helicobacter pylori CCUG 17874 is a lipoprotein. J Bacteriol. 1995;177:6049-6057. [PubMed] [Cited in This Article: ] |
59. | Hocking D, Webb E, Radcliff F, Rothel L, Taylor S, Pinczower G, Kapouleas C, Braley H, Lee A, Doidge C. Isolation of recombinant protective Helicobacter pylori antigens. Infect Immun. 1999;67:4713-4719. [PubMed] [Cited in This Article: ] |
60. | Sheng T, Zhang JZ. Current situation on studies of Hp urease. Shijie Huaren Xiaohua Zazhi. 1999;7:881-884. [Cited in This Article: ] |
61. | Huang XQ. Helicobacter pylori infection and gastrointestinal hormones: a review. World J Gastroenterol. 2000;6:783-788. [PubMed] [Cited in This Article: ] |
62. | Hou P, Tu ZX, Xu GM, Gong YF, Ji XH, Li ZS. Helicobacter pylori vacA genotypes and cagA status and their relationship to associated diseases. World J Gastroenterol. 2000;6:605-607. [PubMed] [Cited in This Article: ] |
63. | Jiang Z, Tao XH, Huang AL, Wang PL. A study of recombinant protective H. pylori antigens. World J Gastroenterol. 2002;8:308-311. [PubMed] [Cited in This Article: ] |
64. | Wu C, Zou QM, Guo H, Yuan XP, Zhang WJ, Lu DS, Mao XH. Expression, purification and immuno-characteristics of recombination UreB protein of H. pylori. World J Gastroenterol. 2001;7:389-393. [PubMed] [Cited in This Article: ] |
65. | Keenan J, Oliaro J, Domigan N, Potter H, Aitken G, Allardyce R, Roake J. Immune response to an 18-kilodalton outer membrane antigen identifies lipoprotein 20 as a Helicobacter pylori vaccine candidate. Infect Immun. 2000;68:3337-3343. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 93] [Cited by in F6Publishing: 93] [Article Influence: 3.9] [Reference Citation Analysis (0)] |