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Journal of Clinical Pathology 2003;56:348-351; doi:10.1136/jcp.56.5.348
Copyright © 2003 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.
Journal of Clinical Pathology 2003;56:348-351
© 2003 BMJ Publishing Group & Association of Clinical Pathologists

ORIGINAL ARTICLE

Helicobacter pylori water soluble surface proteins prime human neutrophils for enhanced production of reactive oxygen species and stimulate chemokine production

T Shimoyama1, S Fukuda1, Q Liu2, S Nakaji2, Y Fukuda3 and K Sugawara2

1 First Department of Internal Medicine, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki 036–8562, Japan
2 Department of Hygiene, Hirosaki University School of Medicine
3 Fourth Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya 663-8501, Japan

Correspondence to:
Correspondence to:
Dr T Shimoyama, First Department of Internal Medicine, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki 036–8562, Japan;
tsimo-hki{at}umin.ac.jp

Backgrounds/Aims: Chronic gastritis induced by Helicobacter pylori is characterised by considerable neutrophil infiltration into the gastric mucosa without mucosal invasion of bacteria. Bacteria have different characteristics with respect to their ability to stimulate human neutrophils to produce reactive oxygen species and chemokines. The aim of this study was to examine the effects of H pylori water extracts on the oxidative burst and chemokine production of human neutrophils.

Methods: Helicobacter pylori cells were extracted by harvesting into distilled water and centrifugation. Neutrophils were incubated with H pylori water extracts and the production of reactive oxygen species was measured using luminol dependent chemiluminescence (LmCL). In addition, the concentrations of chemokines (interleukin 8 (IL-8), macrophage inflammatory protein 1-{alpha} (MIP1-{alpha}), and MIP1-ß) were measured by enzyme linked immunosorbent assay. Neutrophils were also stimulated by opsonised zymosan (OZ) after preincubation with H pylori water extracts.

Results: Helicobacter pylori water extracts alone induced only a weak oxidative burst but preincubation of neutrophils with water extracts dose dependently enhanced the LmCL response stimulated by OZ. Helicobacter pylori water extracts also stimulated neutrophil IL-8 production, although MIP-1ß production was only stimulated weakly, and MIP-1{alpha} was not stimulated at all.

Conclusions: Helicobacter pylori products in water extracts may have a role in the activation and migration of neutrophils, which results in enhanced oxidative damage to gastric mucosa. These findings may explain the pathology of H pylori induced gastritis, in which there is little invasion of bacteria into the gastric mucosa.

Keywords: Helicobacter pylori; neutrophil; chemokine; reactive oxygen species

Abbreviations: GRO, growth related oncogene; HBSS, Hank’s balanced salt solution; HP-NAP, Helicobacter pylori neutrophil activating protein; IL, interleukin; LmCL, luminol dependent chemiluminescence; MIP, macrophage inflammatory protein; MPO, myeloperoxidase; OZ, opsonised zymosan; ROS, reactive oxygen species


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