UBC Theses and Dissertations

UBC Theses Logo

UBC Theses and Dissertations

Isolation and characterization of a family of porin proteins from Helicobacter pylori Exner, Maurice Michael 1997

Your browser doesn't seem to have a PDF viewer, please download the PDF to view this item.

Item Metadata

Download

Media
831-ubc_1997-195740.pdf [ 9.91MB ]
Metadata
JSON: 831-1.0088008.json
JSON-LD: 831-1.0088008-ld.json
RDF/XML (Pretty): 831-1.0088008-rdf.xml
RDF/JSON: 831-1.0088008-rdf.json
Turtle: 831-1.0088008-turtle.txt
N-Triples: 831-1.0088008-rdf-ntriples.txt
Original Record: 831-1.0088008-source.json
Full Text
831-1.0088008-fulltext.txt
Citation
831-1.0088008.ris

Full Text

I S O L A T I O N A N D C H A R A C T E R I Z A T I O N O F A F A M I L Y OF P O R I N P R O T E I N S F R O M Helicobacter  pylori  by MAURICE MICHAEL EXNER B.Sc. University of Regina A THESIS S U B M I T T E D IN P A R T I A L F U L F I L L M E N T OF T H E R E Q U I R E M E N T S F O R T H E D E G R E E OF D O C T O R OF P H I L O S O P H Y in T H E F A C U L T Y OF G R A D U A T E STUDIES (Department of Microbiology) We accept this thesis as conforming to the required standard  T H E U N I V E R S I T Y OF B R I T I S H C O L U M B I A April, 1997 ©Maurice Michael Exner, 1997  In  presenting this  degree  at the  thesis  in  University of  partial  fulfilment  of  of  department  this thesis for or  by  his  or  scholarly purposes may be her  representatives.  permission.  The University of British Columbia Vancouver, Canada  for  an advanced  Library shall make  it  agree that permission for extensive  It  publication of this thesis for financial gain shall not  DE-6 (2/88)  requirements  British Columbia, I agree that the  freely available for reference and study. I further copying  the  is  granted  by the  understood  that  head of copying  my or  be allowed without my written  11  A B S T R A C T  Porins are pore forming proteins found in the outer membranes of gram negative bacteria. They are involved in the transport of small, hydrophilic molecules across the membrane, and are thus important in the uptake of a variety of substances from the external environment. A n attempt was made to identify porin(s) in the outer membrane of the gastric pathogen Helicobacter pylori in order to gain insight into the physiology of this organism. Growth studies were done in order to optimize large scale growth conditions for H. pylori, and a novel growth media was developed such that large masses of membrane proteins could be obtained. Five porin proteins, (HopA, B, C, D and E) were identified and purified. N-terminal sequence analysis revealed that all five shared a strong degree of homology with each other which indicated that this was a group of related proteins. Model membrane analyses showed that the HopA, B, C, and D proteins functioned as channels. They all were functional as monomers, and they possessed similar channel forming properties in that they formed channels with conductances between 0.24 and 0.36 nS in 1.0 M KC1 pH 7.0. HopE also formed channels, but it showed different pore forming characteristics, as even though it still appeared to function as a monomer, it formed large channels with conductances of 1.5 nS in 1.0 M KC1. Since most porins previously isolated function as trimers, a series of major outer  membrane proteins which were isolated as monomers from a variety of organisms were examined for pore forming ability in order to further show precedence for the existence of functional monomeric porins. Six of these proteins functioned as porins, indicating that porins which are functional as monomers may be more common than previously thought. Growth studies utilizing a defined medium demonstrated that the expression of HopA, B, and C was regulated by the amount of iron in the medium, and the different expression levels of the porins appeared to affect the uptake of a number of different antibiotics. Degenerate P C R primers created from N-terminal and internal protein sequences allowed amplification of D N A sequences encoding the N-terminal portions of two of the H. pylori porin proteins, and these D N A sequences were used to identify hopA and hopB clones from a H. pylori chromosomal D N A library that was created. Hybridization with H. pylori chromosomal D N A indicated that the hopA and hopB genes are located at different loci on the chromosome.  iv  T A B L E  O F  C O N T E N T S  Page ABSTRACT  ii  T A B L E OF CONTENTS  iv  List of Tables  x  List of Figures  xii  ACKNOWLEDGEMENTS  xv  INTRODUCTION  1  A.  B. C.  Helicobacter  pylori  1  Clinical significance of Helicobacter  pylori  Bacterial outer membranes 1) General  5 8  x  8  2) Lipopolysaccharide  9  3) Proteins and Lipoproteins  11  4) Helicobacter  12  pylori outer membrane  D.  Porin proteins  14  E.  Structure of porin proteins  16  V  F.  G.  Model membrane studies of porin proteins  22  1) Proteoliposomes incorporating radioactive substrates  22  2) Proteoliposomes incorporating enzymes  22  3) Liposome swelling assays  23  4) Planar lipid bilayer experiments  23  Rationale for this study  26  MATERIALS A N D METHODS  28  A.  Strains, plasmids, cosmids, and phage  28  B.  Growth studies  28  1) Viable counts and cultureabihty of H. pylori  28  2) Culture of H. pylori in defined media  34  Protein procedures  34  C.  D . Isolation of membrane proteins  34  1) Assays  38  2) One dimensional S D S - P A G E  39  3) Two-dimensional (unheated x heated) S D S - P A G E  39  4) Protein purification  40  i) Selective protein solubilization  40  ii) Column chromatography  42  iii) Gel purification 6) Protein sequencing  D.  43 43  i) N-terminal amino acid sequencing  43  ii) Internal amino acid sequence  43  D N A procedures  44  1) Plasmid procedures  44  i) Preparation of plasmid D N A  44  ii) Transformation of plasmid D N A  45  2) Isolation of H. pylori chromosomal D N A  45  3) Preparation of H. pylori cosmid library  45  4) P C R cloning from H. pylori chromosome  46  i) Oligonucleotide preparation and P C R reactions  46  ii) Cosmid library screening  47  iii) H. pylori chromosome screening  48  5) D N A sequencing  49  E. Model membrane procedures  49  1) Single channel conductance measurements  49  2) Zero-current membrane potential measurements  50  F. Minimal inhibitory concentration determinations  50  vii  RESULTS  52  C H A P T E R 1:  Formulation of H. pylori Growth Medium, and Optimization of Large Scale Growth Conditions.  A)  Introduction  B)  H. pylori growth studies on solid media, and identification  52 52  of a novel medium formulation  52  C)  H. pylori growth studies in liquid media  58  D)  Summary  60  C H A P T E R 2:  Identification and Purification of H. pylori Porin Proteins  62  A)  Introduction  62  B)  Preparation of H. pylori  C)  Identification of heat modifiable proteins  65  D)  Purification of porin proteins  68  membrane proteins  63  1) Selective solubilization  68  2) Column chromatography  69  3 )Gel purification  71  E)  N-terminal amino acid sequence analysis  73  F)  Summary  77  viii  C H A P T E R 3:  Characterization of Porin Function and Regulation  78  A)  Introduction  78  B)  Single channel conductance measurements of HopA,B,C,D  79  C)  Single channel and zero current membrane potential measurements of HopE  D)  E)  87  Model membrane analysis of functional monomeric porins from other bacteria  88  Summary  90  C H A P T E R 4: Growth of H. pylori in Defined Media, and Examination of Porin Protein Expression  92  C H A P T E R 5: Cloning of Porin Proteins  99  A)  Introduction  99  B)  Construction of H. pylori gene bank  99  C)  Construction of porin gene probes  100  D)  Identification of positive cosmid clones  109  E)  Summary  113  DISCUSSION  116  ix  A)  Novel techniques and methods for manipulation of H. pylori  120  B)  Identification of a putative family of porin proteins  119  C)  Evidence for new classes of porin proteins  129  D)  Possible functions for H. pylori porins  134  E)  Cloning and genetic organization of H. pylori porin proteins  139  F) Conclusions  142  REFERENCES  143  List o f Tables Table I.  Page  Examples of porin proteins regulated by environmental conditions  17  Table II.  Bacterial strains and Bacteriophage  29  Table III.  Plasmids and Cosmids  30  Table IV.  Solid growth media used  31  Table V .  Liquid growth media used  32  Table VI.  Defined growth medium for H. pylori  35  Table VII.  Different growth media supplements or depletions  36  Table VIII.  List of detergent solutions tested in solubilizations of H. pylori membrane proteins  41  Table IX.  Growth of H. pylori on a variety of different media  54  Table X .  Comparison of growth and cultureability of H. pylori on different media and in different atmospheres  Table X I .  Percent of cells with coccoid morphology after growth on solid media  Table XII.  86  Characteristics and single channel conductances of porin proteins that function as monomers  Table X I V .  57  Average single channel conductance measurements for H. pylori porin proteins in a variety of salt solutions  Table XIII.  56  Minimal inhimitory concentrations for H. pylori grown with  89  xi  varying iron concentrations Table X V .  97  G/a rations for H. pylori porin proteins in different salt solutions  130  xii  List of Figures Figure 1.  Schematic representation of a gram negative bacterial outer membrane and the underlying peptidoglycan  Figure 2.  25  Coomassie Brilliant Blue stained SDS-PAGE comparison of H. pylori inner and outer membrane preparations  Figure 4.  10  Schematic representation of planar lipid bilayer model membrane system.  Figure 3.  Page  64  Identification of heat modifiable proteins by two-dimensional SDS-PAGE (unheated x heated) stained with Coomassie blue. 67  Figure 5.  SDS-polyacrylamide gel of selectively solubilized, partially purified membrane proteins stained by Coomassie blue.  Figure 6.  70  Silver stained SDS-polyacrylamide gel showing heat modifiability of gel purified porin proteins.  72  Figure 7.  N-terminal amino acid sequence comparisons.  74  Figure 8.  SDS-polyacrylamide gel of proteins from different H. pylori  Figure 9.  strains.  76  Stepwise conductance increases for the HopB protein.  80  Figure 10a. Histogram of conductance increments for the HopA protein.  81  Figure 10b.  Histogram of conductance increments for the HopB protein.  82  Figure 10c.  Histogram of conductance increments for the HopC protein.  83  Figure lOd.  Histogram of conductance increments for the HopD protein.  84  Figure lOe.  Histogram of conductance increments for the HopE protein.  85  Figure 11.  SDS-PAGE of membrane protein samples from cells grown on different media and for different periods of time.  93  Figure 12.  SDS-PAGE showing regulation of porin expression by iron.  96  Figure 13.  Oligonucleotides used for porin probes.  101  Figure 14.  Silver stained SDS-polyacrylamide gel of peptide fragments generated by CNBr cleavage of HopA, B, C, and D.  Figure 15.  Internal amino acid sequences of CNBr digested HopA, B , C, andD fragments.  Figure 16.  103  104  Schematic representation of strategy used to create probes to porin proteins.  105  Figure 17.  Reverse translated oligonucleotides used for PCR.  106  Figure 18.  PCR products using H. pylori chromosomal D N A and primers derived from reverse translations of N-terminal and internal protein sequences.  108  Figure 19.  D N A and protein sequence comparisons of HopA and HopB. 110  Figure 20.  Southern blots of digested cosmid clones.  112  Figure 21.  Southern blots of digested H. pylori chromosomal D N A .  114  Figure 22.  Comparison of E. coli outer membrane profile with H. pylori  membrane profile.  120  XV  A C K N O W L E D G E M E N T S  I would like to thank my supervisor, Dr. Bob Hancock, and my supervisory committee for their advice and suggestions regarding my project. I would also like to thank my co-workers and members of the Department of Microbiology and Immunology who have shared their knowledge and friendship with me over the years. In particular, I express my thanks to Susan Farmer for putting up with five years of incessant whining. I also wish to acknowledge the support of my family and friends; your help and presence is greatly appreciated. The financial support of the Natural Sciences and Engineering Research Council and acknowledged.  of the Canadian Bacterial Diseases Network is also gratefully  1  I N T R O D U C T I O N  A) Helicobacter pylori Helicobacter pylori is a curved to spiral Gram-negative bacterium that is a gastric pathogen which colonizes the stomachs of humans. It has been known for decades that a variety of spiral organisms are present in the stomach (Freedberg and Barron, 1940), but H. pylori was only first isolated and cultured in 1983 from patients with gastritis and peptic ulcers. It was originally classified as a Campylobacter species (Marshall et al, 1984), but upon further characterization, including ribosomal RNA sequencing, and examination of phenotypic properties, the new genus of Helicobacter was proposed (Goodwin et al, 1989). Since the proposal of this genus, at least 13 new Helicobacter species have been identified. H. pylori is a slow growing, fastidious organism that normally requires a microaerobic atmosphere for growth, and it is these factors that have made it difficult to culture. H. pylori normally grows in vitro as a slightly spiral form, but, after approximately 4 to 5 days of growth, the spiral shapes begin to turn into coccoid forms which appear to be viable but non culturable. It is not known whether coccoid cells represent a degenerate or just a dormant form, but to date, all attempts to resuscitate coccoid cells have failed. There does not seem to be a natural animal reservoir for H. pylori, and it appears to be spread through person to person contact by either a fecal-oral or oral-oral route. H. pylori has been identified in fecal samples (Kelly et ai, 1994), and it also appears to be  2  viable in water for up to 30 days in some cases (Shahamat et al, 1993). In addition, a high prevalence of H. pylori infection has been found in cases in which vegetables washed with fecally contaminated water were ingested (Hopkins et al, 1992). On the other hand, H. pylori has also been found in dental plaque (Desai et al, 1991). Thus, there is evidence for both fecal-oral or oral-oral transmission, but neither route has been positively confirmed to date. Studies have shown that over 60% of the entire population may be infected with H. pylori (Gasbarrini et al, 1995, Tamassy et al, 1995), and because of the enormous clinical implications which ensue from this, a tremendous amount of research has been initiated to study this organism. Despite difficulties in working with the organism, a number of different contributors to virulence have been identified for H. pylori. In many cases, the exact roles of these factors in the process of infection are not fully understood. Some H. pylori proteins or structures which appear to be involved in virulence include: urease (Smoot et al, 1990, Eaton et al, 1991, Mobley et al, 1991, Ferrero et al, 1991); cytotoxins (Leunk et al, 1988, Cover et al, 1992); catalase (HazeU et al, 1991); proteases (Sarosiek et al, 1988); hemagglutinins (Evans et al,  1988, Lelwala-Guruge et al,  1993); and flagella (Eaton et  al, 1989). The most studied and possibly the most significant of the H. pylori virulence factors appear to be the urease enzyme and the vacuolating cytotoxin. H. pylori urease is a multimeric structure composed of a 29-31 kDa subunit and a 61-68 kDa subunit which  3  combine to form a complex with a molecular mass between 300 and 625 kDa. It has a reasonably high affinity for urea, having a K of 0.3 to 0.8 mM (Mobley et al, 1988, Dunn M  et al, 1990, Evans et al., 1991). It has been proposed that this enzyme helps the bacterium to overcome the acidity of the stomach by creating a "cloud" of ammonia around the organism (Goodwin and Worsley, 1993), and in vitro studies have directly shown that urease activity is required for the survival of H. pylori in an acidic environment (Marshall et al., 1990, Perez-Perez et al., 1992). The hydrolysis of urea could also provide a nitrogen source for the organism, and this would also increase C 0 levels which may be beneficial to 2  the organism's metabolism. Urease activity also has direct effects on the pathology of infection. For example, ammonia which is generated by urea hydrolysis can be toxic to gastric cells (Megraud et al., 1992). It has also been proposed that the ammonia production and the resulting alkaline pH causes a back diffusion of hydrogen ions into the gastric mucous, and subsequently degradation of the mucous as well as damage to the underlying gastric cells (Hazell and Lee, 1986, Miederer and Grubel, 1996). The production, by H. pylori, of a vacuolating cytotoxin and a cytotoxin associated protein has been shown to be important in pathogenesis (Ghiara et al, 1995), since it appears that significant pathological conditions arise predominantly in strains which express the cytotoxin and the cytotoxin associated protein. In fact, H. pylori strains have been divided into two types, type I which express VacA, the vacuolating cytotoxin, and CagA, the cytotoxin associated protein, and type II, which do not express these proteins (Xiang et  4  al, 1995). The vacuolating cytotoxin is a large aggregate composed of VacA subunits which have a molecular mass of approximately 87 kDa (Cover and Blaser, 1992). CagA is a highly immunogenic protein which has a predicted molecular mass of 131,517 (Tummuru et al, 1993). VacA can directly damage gastric cells by causing vacuolization of these cells, whereas CagA does not appear to have a direct effect on gastric cells; however, its high degree of immunogenicity contributes to an inflammatory response which may lead to tissue damage in patients with chronic infections. There is some question as to whether or not both VacA and CagA are required to cause peptic ulcers. CagA is associated with 93.4% of patients with peptic ulcer disease, while only 56.6% of these patients possessed antibodies to VacA (Weel et al, 1996), and this would suggest that CagA plays a more important role in ulceration. VacA still seems to play some role in ulceration, as it may be involved in inhibiting gastric mucosal repair (Ricci et al, 1996). In addition, Ghiara et al. (1995) have shown that inflammatory responses which lead to ulceration may not be directed primarily to CagA, but rather to other components that are expressed in CagA-containing strains. H. pylori's niche is in the gastric mucous and underlying epithelium, and it often adheres very tightly to gastric epithelial cells (Kobayashi et al, 1993). In some cases, it may also be present between epithelial cell junctions. It is a combination of factors, including this location of the organism in the body, the toxicity involved with the activity of the urease enzyme and the vacuolating cytotoxin, and the production of enzymes such as proteases that degrade the gastric mucous, which initiate clinical manifestations of disease. This,  5  combined with the host's inflammatory response lead to host cell damage and to the onset of gastritis and other disease conditions.  B) Clinical significance of H. pylori Helicobacter pylori has been shown to be involved in a variety of disease conditions.  Epidemiological studies have consistently related H. pylori infection with  chronic gastritis (Goodwin et al., 1987, Morris and Nicholson, 1987), dyspepsia (Marshall et al., 1985, Morris and Nicholson, 1987), peptic ulcers (Buck et al., 1986, Graham, 1989, Sipponen et al., 1990), and gastric carcinomas (Fox et al, 1989, Parsonnet et al, 1991, Sipponen et al, 1992). In addition, infection has recently been correlated with the development of coronary heart disease (Martin-de Argila et al, 1995, Patel et al, 1995). Many of the disease states induced by H. pylori infection generally start with gastritis, and the severity of the disease symptoms then depend on the development from an acute infection to a more prolonged chronic infection. Gastritis, or inflammation of the gastric mucosa, may begin as an acute inflammation which occurs after infection. In some cases, infections may be asymptomatic; however, if the infection is not cleared by the immune response or by antibiotic therapy, this acute condition may progress to chronic gastritis which results in tissue atrophy and a loss of normal glands in the stomach. In turn, this may lead to gastric metaplasia, which is the growth of new gastric epithelium and glands which are less differentiated than the normal  6  tissues of these types. As the length of infection progresses, tissue atrophy and metaplasia generally become increasingly severe (Siurala et al, 1985, Sipponen et al, 1993). In many cases, H. pylori infection may also spread to the duodenum, which results in the same types of atrophy and metaplasia found in the stomach. Chronic gastritis, which is nearly always associated with H. pylori infection (Marshall, 1990), is an important factor in the development of peptic and duodenal ulcer disease. In fact, nearly 100% of patients with chronic duodenal ulcer disease, and 80% of patients with chronic gastric ulcer disease are infected with H. pylori (Ormand and Talley, 1990). Tissue atrophy and mucous degradation are likely contributors to ulceration, but there are also a number of environmental conditions, including acid production and the genetic dispositions of the host, which also contribute to the formation of ulcers. Gastric cancer is another condition which may not be solely caused by H. pylori infection, but the risk of developing gastric cancer is greatly increased with the presence of chronic gastritis. H. pylori-induced gastritis can lead to damage to the DNA of gastric tissues by the production of free radicals which are generated in the oxidative bursts associated with immune and inflammatory responses. In addition, gastritis is associated with a constant regeneration of epithehal cells, and this may allow for the enhancement and selection of transformed malignant cells, which would outgrow other clones (Sipponen et al, 1993). These are mechanisms by which gastritis may lead to gastric cancer, and  7  although gastritis may not be the single cause of gastric cancer, it definitely contributes to the possibility of developing gastric cancer. Once H. pylori is acquired, it may persist within a host for years, and possibly for life. Chronic H. pylori infections exist even though there appears to be an immune response to the organism. Considering the significant health risks that can be involved with chronic H. pylori infection, it has been desirable to develop antibiotic therapies to eradicate the organism from infected individuals. Eradication of the bacterium has proven to be quite difficult, however, and in many cases, recurrence of infection occurs. Although H. pylori is quite susceptible to a number of antibiotics in vitro (McNulty et al., 1985, Lambert et al., 1986), this susceptibility has correlated poorly with in vivo efficacy. There are a number of problems with using antibiotic therapy to eradicate H. pylori. First of all, even though an aggressive triple therapy (e.g. two antibiotics, such as amoxicillin and metronidazole, along with a proton pump inhibitor such as omeprazole) is often prescribed, this treatment is not always successful (Deltenre et ai, 1996, Seppala et al. 1992, Marshall et al, 1988). In addition, the treatment is very expensive, and compliance with some therapy regimens has been problem due to various side effects that occur with such therapy (Glupczynski et al, 1989). Another important factor contributing to the relative inefficiency of conventional antibiotics is the site of infection, which is the gastric mucosa. Many antibiotics will not be found in sufficient concentrations in the gastric mucosa, or they may be inactivated by the low pH of the stomach (Sabath et al, 1968, Glupczynski and Burette, 1990, Veldhuyzen et  8  al, 1992). Pathogen-dependent factors which influence antibiotic susceptibility are also significant, and among the most important factors are the permeability of the bacterium to a particular antimicrobial agent, the production of enzymes, such as P-lactamases which degrade antibiotics, and the presence of efflux pumps which extrude the antibiotic from the cell. However, none of these mechanisms have been demonstrated in H. pylori to date. Despite the ongoing research into H. pylori pathogenesis, along with studies relating to treatment of H. pylori infection, there is still no simple cure for infection or for the diseases which are caused after infection. Many pathogenic determinants are now better understood, but there are still many fundamental questions that remain unanswered. For example, the exact mechanism by which H. pylori is transmitted is still unknown, as is the fate of coccoid cells. The fact that basic questions such as these have not been answered stresses the continuing need for the study of this organism.  C) Bacterial outer membranes 1) General Since prior to this study httle was known about the outer membrane of Helicobacter pylori, the outer membrane of the Enterobacteriaceae will first be discussed. In Gramnegative bacteria, the outer membrane provides a selective barrier between the cell and the external environment. It acts as a molecular sieve that allows the passage of molecules into and out of the cell, and it helps to maintain the structure of the bacterial cell. The outer  9  membrane is an asymmetric lipid bilayer which contains lipopolysaccharide (LPS) in the outer leaflet and phospholipids, predominantly phosphatidyl ethanolamine (Cronan Jr., 1979), in the inner leaflet. This bilayer contains many proteins which are either anchored in or traverse the bilayer. Closely associated with the inner surface of the outer membrane and with various outer membrane proteins is a layer of peptidoglycan which provides structural integrity to the cell. A schematic representation of a bacterial outer membrane is seen in Figure 1. 2) Lipopolysaccharide The LPS molecules in the outer leaflet of the outer membrane are amphipathic molecules consisting of an O-antigenic polysaccharide and a core oligosaccharide region, which are hydrophilic, and a Lipid A portion which provides the hydrophobic component. The O-antigenic polysaccharide is a repeating unit of tri to pentasaccharide units that can vary in composition and in the number of repeating units. This polysaccharide, which is the immunodominant portion of the LPS, is only present on approximately 10% of all LPS molecules in a given bacterium (Hancock et al, 1994). The core oligosaccharide, which usually consists of phosphates, heptoses, hexoses, and a unique sugar, 2-keto-3deoxyoctonoate (KDO), is relatively conserved in a given bacterial species. The core region is linked to the Lipid A by the KDO, and the Lipid A is in turn inserted in the outer membrane by its fatty acid chains. Lipid A consists of 5 to 7 fatty acids which are O- and Nlinked to a diglucosamine disaccharide which normally has phosphates at the 1 and 4  10  Figure 1. Schematic representation of an enterobacterial Gram-negative bacterial outer membrane and the underlying peptidoglycan layer.  11  positions. The Lipid A moiety is highly conserved in most bacterial genera, and it is responsible for endotoxicity. LPS is often tightly associated with proteins in the membrane via non-covalent associations, and this may be important, in part, in maintaining outer membrane stability. LPS molecules also interact with each other, and divalent cations stabilize the LPS-LPS interactions by neutralizing the negative charges of attached sugar and phosphate groups. The crossbridging of LPS molecules with divalent cations is important in maintaining membrane stability. In addition to the structural role of LPS, its high surface negative charge provides a barrier function, as it results in a layer of tightly bound water and thus restricts the free passage of hydrophobic molecules through the lipid bilayer. 3) Proteins and lipoproteins Proteins are also important constituents of the outer membrane, and they can be found associated with both the inner and outer leaflets of the outer membrane. One of the most abundant proteins associated with the outer membrane of Escherichia coli is the 7.2 kDa Braun's lipoprotein which is found both covalently (33%) or non-covalently (67%) associated with peptidoglycan (Braun, 1975). The protein portion of the Braun lipoprotein interacts with the peptidoglycan, while the lipid part is associated with the inner monolayer of the outer membrane, thus providing a part of the outer membrane structure. A number of other lipoproteins also exist in Enterobacteriaceae, including PAL (peptidoglycan associated lipoprotein) (Mizuno, 1979) which is non-covalently associated with the  12  peptidoglycan, and again, there is some evidence that PAL contributes to the structural integrity and barrier function of the outer membrane (Lazzaroni and Portalier, 1992). Other types of outer membrane proteins contain no lipid moiety, such as OmpA from Escherichia coli and OprF from Pseudomonas aeruginosa. These proteins are completely embedded in the membrane, and they traverse the membrane in anti-parallel (3strands (Vogel and Jahnig, 1986, Rawling et al., 1995). Studies using OmpA-deficient / Lpp (Braun's hpoprotein)-deficient and OprF-deficient mutants show that they have reduced membrane and cell stability, thus suggesting that these proteins play a structural role (Woodruff and Hancock, 1989). OmpA and OprF also appear to function as channels (Benz and Hancock, 1981, Sugawara and Nikaido, 1992), and OmpA has other functions; it can act as a phage and colicin receptor, and it can stabilize mating aggregates between recipients and F* donor cells (Skurray et al, 1974, Morona et al., 1984). Although proteins such as OmpA and OprF function as channels, the non-specific trimeric porins of the porin superfamily are often the major proteins involved in transport of small substrates across the membrane of Gram-negative bacteria [i.e. substrates the size of (3-lactam antibiotics or disaccharides]. As with the other membrane-associated proteins, porins also interact with membrane components. In particular, they have close associations with LPS molecules and with the peptidoglycan beneath the outer membrane. The structure and function of porin proteins will be discussed in sections D and E. 4) Helicobacter pylori outer membrane  13  H.  pylori  is a Gram-negative bacterium, so it possesses an outer membrane.  However, its outer membrane has some distmguishing characteristics. Given the organism's unique gastric niche, it is not surprising to see what appear to be speciahzed features in its outer membrane. H. pylori LPS is unusual for a number of reasons. The LPS contains phydroxy stearic acid and stearic acid as major components (Geis et al, 1990), and these fatty acids are not normally found in the LPS of other organisms. In addition, the Lipid A contains unusually long 3-hydroxy fatty acids (i.e., 3-hydroxyoctadocanoic and 3hydroxyhexadecanoic) and the D-glucosamine backbone is phosphorylated at only the 1 position and not at the 4' position (Mattsby-Baltzer et al, 1992, Muotiala et al, 1992). The O-antigenic region of H. pylori LPS is unique in that its structure mimics Lewis blood group antigens (AspinaU et al, 1996, Moran, 1996, Appelmelk et al, 1996). This may act to hide the organism from the immune system, but on the other hand, it could also lead to the development of autoimmune diseases in the host. H. pylori's unusual LPS structure and composition may be why its LPS is up to 1000 times less toxic as an endotoxin than the LPS of typical enteric bacteria (Geis et al, 1990, Mattsby-Baltzer et al, 1992). In addition to the unusual fatty acids associated with LPS, H. pylori hpids include cholesteryl glucosides (Hirai et al, 1995), which are not normally associated with either animal or bacterial cells. The exact function of these molecules is unknown, but they must have some effect on the physicochemical properties of the membrane (Haque et al, 1995).  14  Another distinctive characteristic of the H. pylori outer membrane is that it appears to be either very closely associated with the inner membrane, or it has a density which is very similar to the inner membrane, because it is very difficult to separate the two membranes from each other. Sucrose gradient centrifugation generally separates membranes on the basis of density, and outer membranes are generally more dense than inner membranes because of their LPS and protein content. Attempts to separate inner and outer membranes of Campylobacter species (which are taxonomicalfy related to H. pylori) by sucrose gradient centrifugation have not been successful (Page and Taylor, 1988), and this appears to true for H. pylori (Goodwin and Worsley, 1993). Regarding its protein content, H. pylori does not possess any highly expressed major outer membrane protein species, such as the porins that are present in most other Gram-negative bacteria, (Megraud et al., 1985, Newell, 1987, Perez-Perez and Blaser, 1987, Dunn et al, 1989) and this may result in a less dense outer membrane.  D) Porin proteins Porins are pore forming proteins which are found in the outer membranes of Gramnegative bacteria. These proteins serve as diffusion channels which facilitate the passage of hydrophilic molecules, below a given exclusion limit, across the bacterial outer membrane. Studies have shown that the size of porin channels generally ranges from 1-2 nm in diameter (Benz, 1985, Hancock, 1986, Nikaido, 1992), and this would allow the diffusion of most  15  growth requirements, including sugars, amino acids, peptides, and ions. Porins have an important role in infections, because, in addition to transporting nutrients, they provide the major route for the passage of certain classes of antibiotics across the outer membrane. It is known that most P-lactam antibiotics use primarily the general diffusion channels of porins to cross this membrane (Nikaido, 1988, Livermore, 1988, Yoshimura and Nikaido, 1985). In contrast, OprD from Pseudomonas aeruginosa actually contains a specific binding site for imipenem, thus allowing facilitated diffusion of this P-lactam antibiotic (Trias and Nikaido, 1990). Bacterial mutants which are resistant to p-lactam antibiotics can arise in the clinic, and can be the result of a mutation which decreases or ehminates the expression of a porin protein that was involved in the uptake of the antibiotic (Hashizume et ai, 1993, Hancock and Bell, 1988, Aronoff, 1988). Porin proteins are typically functional as homo-trimers. Individual subunits normally have molecular masses ranging from 26,000 to 48,000 Daltons. They usually have an acidic pi, and they possess a high proportion of p-sheet structure (Lugtenberg et. al, 1983, Benz, 1985, Hancock, 1986). Many porins are found in very high copy number in a cell, with up to 10 per cell. The expression of porins is often regulated by environmental conditions, and s  a number of such regulated porins are hsted in Table I. Many porins may also act as phage and colicin receptors (Table I), and this again is unsurprising because of their high levels of expression and their cell-surface exposure.  16  There are two basic classes of porins, the general-diffusion porins, and the substrate specific porins. General diffusion porins have no specific substrate or substrate binding site, and as the name implies, they allow for diffusion of hydrophihc molecules that fit through the most constricted portion of the channel. They may, however, be somewhat ion-selective due to the electrostatic properties of the amino acids lining the channel. Specific porins are those with a saturable, substrate-specific binding site within the channel, and they are often components of uptake systems. The crystal structure of the maltodextrin specific porin, LamB, from E. coli has shown that a substrate binding site is formed by amino acid residues in the P-barrel wall along with a protein loop which is folded into the channel to form a constriction site (Schirmer et al, 1995), and a similar structure may exist for other specific porins.  E) Structure of porin proteins Early studies on porin structure had suggested the presence of a stable p-barrel conformation, but a complete elucidation of porin structure and a confirmation of previous theoretical structures has only recently become available through the use of X-ray crystallography, which has provided structures for five porins (Weiss et al, 1991, Cowan et al,  1992, Kreusch and Schulz, 1994, Scriirmer et al, 1995). Crystal structures of  Rhodobacter capsulatus porin (Weiss et al, 1991), Rhodobacter blastica porin (Kreusch and Schulz, 1994) and of OmpF and PhoE from E. coli (Cowan et al, 1992) show that all  17  Table I. Examples of porin proteins regulated by environmental conditions.  Bacterium  Protein  Growth Conditions Favoring expression  Escherichia coli  OmpC  High osmolality  Escherichia coli  OmpF  Low osmolality  Escherichia coli  PhoE  Escherichia coli  Involved as Receptor for Colicin/Phage  Reference  TuIb,Mel,T4,P A-2.434 TuIa,T2,TPl  Brass, 1986  Phosphate limitation  TC23,TC45  Brass, 1986  LamB  Presence of maltose  MClO/TPl  Brass, 1986  Pseudomonas aeruginosa  OprB  Glucose  Hancock, 1986  Pseudomonas aeruginosa  OprP  Phosphate limitation  Hancock, 1986  Stationary growth phase  Forst et al, 1995  Xenorhabdus nematophilus OpnP  Brass, 1986  18  of these porins have similar structures. Even though porins are present in the hydrophobic environment of the bacterial outer membrane, they have no long stretches of hydrophobic amino acids which could span the membrane. Rather, they possess amphipathic sequences and contain many charged residues. In addition, they do not contain regions of a-helices which may interact with the membrane, but instead, these porins form consecutively-folded, antiparallel P-sheets which create a very stable p-barrel structure. These four structurally characterized porins and many of the known functional porins are composed of 3 monomeric units which bind together non-covalently to create a stable trimeric structure. Specifically looking at the structure of the E. coli porins, the p-barrels of OmpF and PhoE are formed from 16 antiparallel p strands which are at a 35° to 50° tilt relative to the barrel axis (Cowan et al., 1992). The pore itself is also off-center, and it is at an angle of 16° relative to the barrel axis. There are long external loops between p-strands, and relatively short hairpin loops which face the periplasm. The amino and carboxy termini of the porins are linked by a salt bridge, and this helps to maintain the cylindrical barrel structure. A surface loop (loop 3, which is formed between p strands 5 and 6) is folded into the pore, and it contains 1.5 turns of an a-helix which constricts the pore. Loop 2 interacts with the loops of adjacent monomers, and, together with approximately one third of the barrel wall, forms salt bridges and hydrogen bonds which enable the trimeric porin structure to be held tightly together. There is also tight packing of large hydrophobic amino acids along the symmetry axis of the trimer, along with various hydrophobic interaction between strands of  19  different monomers, and this also contributes to trimer stability. In fact, 35% of the surface of a monomeric porin unit is involved in binding with adjacent monomers, so it is, perhaps, not surprising that the trimeric structure is stable to heating and to strong detergents such as sodium dodecyl sulphate. The strands of the P-barrel that interact with the membrane are amphipathic (approximately), but nonetheless these strands still interact with the lipid bilayer membrane. Generally speaking, alternating hydrophobic and hydrophilic residues are oriented such that the hydrophobic amino acid side chains face outwards towards the fatty acids of the membrane. They also interact with hydrophobic residues on adjacent transmembrane protein strands, or they may fold over the mouth of the channel to constrict the entrance of the channel. The exterior walls of the P-barrel contain a 25 A band of protruding hydrophobic side chains, mostly from aromatic residues, that face the membrane, and this band spans the approximate distance required to cross the hydrophobic core of the lipid bilayer. Meanwhile the side chains from hydrophilic residues face into the lumen of the channel, which is hydrophilic, and some are involved in interactions with loop 3 residues within the channel. For a molecule to pass through the E. coli OmpF porin channel, it would have to fit through a constriction of approximately 7 A x 11 A. The pore diameter created by the pbarrel has been proposed to be approximately 15 A x 22 A (Cowan et al, 1992), but the entrance to the channel is partially constricted t o l l A x l 9 A b y surface loops, and the inner channel is constricted to 7 A x 11 A by the insertion of loop 3 into the pore.  20  Hydrophobic molecules may pass through the channel, but because they would be surrounded by a structured "cage" of water (Nikaido, 1992), they would not pass as easily as hydrophilic molecules. The structure of a substrate specific porin, LamB from E. coli is quite similar to that of the Rhodobacter porins and of OmpF and PhoE, except that it forms a p-barrel that is composed of 18 P-strands (Schirmer et al, 1995). It too has a constriction formed by loop 3. This porin, however, has additional features which could contribute to the substrate specificity. For instance, the channel contains what has been termed a "greasy slide" (Schirmer et al, 1995) which is composed of a series of aromatic residues within the channel that form a left-hand helical pathway from the entrance to the end of the channel. It is believed that the stacking of sugars between the aromatic residues could guide sugar molecules into the channel, and various charged amino acid residues within the channel could react with hydroxyl groups on the sugars, and this may be the cause of the stereospecificity of molecule selection, as well as the preference for tetrasaccharide over disaccharide binding. Although the structures of different porin proteins are not identical, the basic pbarrel structure is conserved amongst monomeric subunits, and each subunit forms a separate pore that spans the membrane. Despite the basic conservation in structure, there is still not a substantial amount of similarity between most porin protein sequences. However, there appears to be a "superfamily" of related non-specific porins (Jeanteur et al, 1991),  21  and Gibbs motif sampling also shows that sequences of some of the transmembrane pstrands of different porin species appear to be conceptually related (Neuwald et al, 1995). In addition to sequence identity, many porins also show antigenic cross reactivity (Hofstra and Dankert, 1979, Singh et al, 1992). The strong interactions between monomeric porin subunits along with the p-sheet structure lends to the extreme stability of porins. Some porins require heating to 70°C in sodium dodecyl sulfate (SDS) before their stable structures can be denatured, and this is why porins are termed heat modifiable. This heat modification can be visualized using sodium dodecyl phosphate polyacrylamide gel electrophoresis  (SDS-PAGE). Porins  solubilized at room temperature will generally be seen on a gel as high molecular mass aggregates (trimers), whereas proteins solubilized at 95°C will "modify" and denature, and will be visualized as apparently lower molecular mass monomeric units (Hancock and Carey, 1979, Benz, 1985, de Cock et al, 1990). Another heat modifiable characteristic is that if stable monomeric subunits are isolated, samples that are solubilized at room temperature will be visualized on a gel at a lower apparent molecular mass than proteins solubilized at 95°C. This is due to the p-sheet structure of porins; the compact p-sheet protein migrates through the gel faster than an unfolded, denatured form, and heating to 95°C in SDS denatures porins from the folded to the unfolded conformation. Another attribute of porin stability is that they are normally resistant to a variety of proteases (Schulz, 1993). This characteristic is likely due to evolution; porins generally have large  22  surface exposed regions, and since cells may regularly be exposed to proteases, only structures that are protease resistant would evolve.  F) Model membrane studies of porin proteins Model membrane techniques have routinely been used in the study of the structure and function of porin proteins. There are four different systems that have been most commonly used. 1) Proteoliposomes incorporating radioactive molecules (Nakae, 1975). In this system, lipid vesicles are created using phospholipids, lipopolysaccharide, porin proteins, a C labeled sugar that is permeable through the porin, and a H labeled 1 4  3  dextran which is impermeable. After the liposomes are formed, they will contain both radioisotope labels. When the solution containing the liposomes is diluted, a concentration gradient will be created, and the permeable sugar will diffuse through the porins. Liposomes can then be isolated through gel filtration, and a comparison of the retention of the permeable sugar as compared to the impermeable dextran can be measured. This assay can indicate whether or not the proteins incorporated into the liposomes actually form pores, and by using different sizes of labeled compounds, an exclusion limit can be determined. 2) Proteoliposomes containing enzymes (Tokunaga et al, 1979). This system uses liposomes that are formed from phospholipids, porin proteins, and an enzyme such as alkaline phosphatase, which becomes trapped inside the liposome. A  23  substrate that can be hydrolyzed by the enzyme is then added, and if it can pass through the porin protein, it will be cleaved and the amount of product that is produced can be measured. This method can give indications as to whether or not a protein functions as a porin, and it can also give some information regarding size exclusion and the kinetics of transport. 3) Liposome swelling assays (Nikaido and Rosenberg 1983). Unlike thefirsttwo mentioned systems, liposome swelling assays do not incorporate any labeled markers into the liposomes. Instead, the swelling of the hposomes which is caused by the influx of water, causes a change in optical density which can be measured. Liposomes are reconstituted from phosphohpids and porin protein in a buffer containing an impermeable solute. When hposomes are added to the test solute solution containing a permeable solute, the solute will enter the liposome according to the concentration gradient, and the osmotic gradient that is created will result in an influx of water and swelling of the hposome. The swelling causes a decrease in the refractive index of the liposome, and this decreases the optical density of the solution. This assay will, of course, give evidence as to whether or not a protein forms pores, and by using different solutes, an estimation of the exclusion limit can be made. In addition, because the log of the permeation rate is a function of the molecular size of the solute, the kinetics of uptake can be resolved, and this relationship also allows for an estimation of the channel sizes. 4) Planar lipid bilayer experiments (Benz et ai, 1979, Benz and Hancock  24  1981, Benz etai., 1985). Planar bilayer experiments involve the formation of a lipid bilayer, the insertion of porins into the bilayer, and the application of a voltage to measure the conductance of ions through the pores and across the lipid bilayer. The bilayers are typically formed across a hole connecting two compartments of a Teflon chamber. There are a number of ways of forming the bilayer and incorporating porins into the bilayer. The easiest method is by "painting" a bilayer across a hole, and then by adding porin protein (solubihzed in detergent) directly to the system. The porins will eventually spontaneously insert into the bilayer. Porins can also be added in the form of proteoliposomes which will then fuse with the bilayer. Other methods utilize proteoliposome vesicles which can be used to form a monolayer on the surface of an aqueous solution. The volume of the aqueous solution can then be increased such that the level rises above that of the hole separating compartments of the chamber, and this forms a bilayer, containing porin proteins, across the hole. A schematic representation of this model system is seen in Figure 2. When a lipid bilayer is formed, it becomes optically black to incident light, and hence the name "black lipid bilayers" by which the method is often referred. When a voltage is applied across this membrane, the lipid bilayer is virtually impermeable to the conductance of ions, but when a pore forming protein is inserted into the bilayer, an increase in conductance is observed. This system has many advantages and uses. As with the other model membrane systems, one can determine if a protein forms pores or not. By measuring  Figure 2. Schematic representation of planar lipid bilayer model membrane system. Panel A describes the experimental set up. Panel B gives a detailed representation of the Teflon chamber, and it illustrates the conductance of ions through a porin protein which has inserted into the lipid bilayer.  26  the conductance increases, an estimation of the channel size can also be made. Performing experiments with increasing voltages can indicate whether or not a channel is voltage gated, and zero current membrane potential experiments can indicate a porin's selectivity for anions or cations.  G) Rationale for this study Despite the fact that porins are important to the physiology of a bacterium, nothing was known about H. pylori porins at the time that this study was begun. In fact, little was known about the outer membrane of H. pylori, or about any of its membrane proteins. Various membrane proteins had been identified, but no specific functions were attributed to these proteins. There was no evidence suggesting the presence, in H. pylori, of classical types of highly expressed porins as one would see in the Enterobacteriaceae. Porins are involved in the transport of a variety of molecules across the bacterial outer membrane. More specifically, they may be involved in the uptake of molecules such as antibiotics, and thus, they may play a significant role in the apparent antibiotic resistance of H. pylori. Since porins are exposed on the surface of a bacterium, they can also be important in host immune stimulation. Because of the significance of porins in bacterial physiology, my studies were undertaken to identify porin proteins in the outer membrane of H. pylori. The particular goals of this project were to simply identify porin proteins in H. pylori and to provide some characterization of the porins' functions. In doing so, it would  27  be necessary to devise new schemes for large scale culturing of H. pylori and for identifying and purifying its porins, as such methods had not been documented. By identifying and characterizing H. pylori porins, it was hoped that a contribution could be made to understanding the physiology of this organism, and it would also provide a basis for further study into the relationship between porins and pathogenesis in H. pylori.  28  M A T E R I A L S A N D  M E T H O D S  A ) Strains, plasmids, cosmids, and phage Helicobacter pylori CCUG 17874 (NCTC 11637) was used exclusively except where it is noted that strain CCUG 5284 was used. Escherichia coli strains and phage used are listed in Table II. Plasmids and cosmids used are listed in Table III. E. coli strains were grown on solid media composed of Luria broth and 1.5% agar. Liquid media used were Luria broth, Terrific broth, SOC medium, or TYGPN medium (Sambrook et al, 1989). Strains containing plasmids were grown using the appropriate antibiotic. Ampicillin was used at lOOug/ml, and tetracycline was used at 12.5 ug/ml.  B) Growth studies 1) Viable counts and cultureability of H. pylori Initial growth studies with Helicobacter pylori were done to determine which media would best support growth, and which would be best suited for large scale culture. The media and growth conditions used are described in Tables IV and V. For assessment of growth on solid media, cells originally grown on chocolate agar (brain heart infusion agar supplemented with 5% sheep blood cells that have been lysed by heating to 80°C for 15 min) were collected, resuspended and washed in phosphate buffered saline (PBS), and then 100 ul of the cell suspension was spread onto agar plates of varying medium compositions.  29  Table II. Bacterial Strains and Bacteriophage  Strain  Characteristics  Reference  H, pylori CCUG 17874  Type strain (cagA+, vacA+)  T J . Trust (U. of Victoria)  CCUG 5284  Clinical Isolate  T J . Trust (U. of Victoria)  E. coli DH5a LE392 INVocF  endAl hsdRll supE44 thi-l recAl relAl gyrA96 BRL, Burlington, ON D(argF-lacZYA) U169 / f&Odlac ZDM15 hsdR5l4 supEAA sup5% lacYl galK2 galTH meiBlBRL, Burlington, ON trpR55 F' X' endAl hsdRll supEU thi-l recAA relAl Invitrogen, SanDiego,CA gyrA96 U169 (|)80rf/acAM15 deoR  Bacteriophage  X  X clndts%57Szm7 phage  BRL, Burlington, ON  30  Table UL Plasmids and Cosmids  Name  Characteristics  Reference  pTZ18R  Ap , Multiple cloning site  Yanisch-Perron et al, (1985)  pCRU  Ap , Multiple cloning site, predigested and containing T-overhang for efficient cloning of PCR products Cosmid with multiple cloning site, Tc  Invitrogen (SanDiego CA)  608bp hopA PCR product fragment cloned into EcoRI site of pCRII vector 110 bp hopB PCR product cloned into EcoRI site of pCRII vector pLAFR3 clone with 20 kb H. pylori chromosomal DNA fragment encoding hopA pLAFR3 clone with 20 kb H. pylori chromosomal DNA fragment encoding hopA pLAFR3 clone with 20 kb H. pylori chromosomal DNA fragment encoding hopB  This Study  pLAFR3 pHOPA pHOPB p321 p322 p451  R  R  R  Tc tetracycline resistant, Ap =ampicillin resistant  Staskawicz et al., 1987  This study This study This study This study  31  Table IV. Solid growth media used  Medium *  Abbreviated name  Brain heart infusion agar  BHI  Brain heart infusion agar + 5% sheep blood (heated to 80°C)  BHI/5% blood  Brain heart infusion agar + 10% sheep blood (heated to 80°C)  BHI/10% blood  Brain heart infusion agar + 5% fetal calf serum  BHI/FCS  Brain heart infusion agar +1% bovine serum albumin  BHI/BSA  Brain heart infusion agar +1% casamino acids  BHI/Casamino acids  Brain heart infusion agar +1% tryptone  BHI/Tryptone  Brain heart infusion agar + 1% skim milk powder  BHI/Milk  Brain heart infusion agar +1% powdered hemoglobin  BHI/Hb  Brain heart infusion agar +1% 2,6-di-O-methyl P-cyclodextrin  BHI/CD  * AU media were used with or without 10 ug/ml of vancomycin, and 10 ug/ml polymyxin B (Sigma, Mississauga, ON)  32  Table V. Liquid growth media used.  Medium *  Growth conditions  Brain heart infusion + 5% fetal calf serum  No n-agitated growth in tissue culture flasks in 10% C 0 2  Brain heart infusion + 5% fetal calf serum  Aerated growth (stirring**) in microaerobic atmosphere (Campy Pak Plus)  Brain heart infusion + 0.1% cyclodextrin***  Aerated growth (stirring**) in microaerobic atmosphere (Campy Pak Plus)  * Media were used with or without 10 ug/ml vancomycin, 10 ug/ml polymyxin B, and 2.5 Ug/ml Fungizone (Gibco BRL, Burlington, ON) ** stirring was achieved by adding a magnetic stir bar and placing the sealed jar containing the culture on a magnetic stirrer. *** cyclodextrin was (2, 6, di-0-methyl)-pVcyclodextrin (Sigma, Mississauga, ON)  33  The plates were incubated at 37°C in either a C 0 incubator supplying 10% C 0 or in 2  2  sealed jars containing Campy Pak Plus pouches (Becton Dickinson, Cockeysville, MD) which supplied a microaerobic atmosphere. After 3 to 5 days of incubation, the number of colonies growing on each plate were counted, and cells from each plate were microscopically examined using wet mounts. After colony counts were made, the plates were allowed to grow for an extended period of time, and cells were subcultured at regular intervals to determine how long cells remained culturable on each medium type. Subculturing involved using an inoculating loop to obtain a sample of bacteria representative of colonies from the entire plate, and this heavy inoculum was then streaked onto another plate of the same medium composition. The presence of growth on the subcultured plate after 3 to 5 days indicated that the cells were still culturable. Growth in liquid cultures was performed with and without shaking using the media described in Table V. Non-agitated cultures were grown in tissue culture flasks, and the culture was started by inoculating bacteria into 10 ml of medium in a 40 ml tissue culture flask. After 3 d of growth, 10 ml of fresh medium was added and after another 3 d, the culture was transferred to a 250 ml tissue culture flask, to which 30 ml of fresh medium was added. After another period of growth, 90 ml of fresh medium was added. Cells were again allowed to grow for 3 to 5 days, at which time they were added to 500 ml of fresh medium in a 2 1 flask. All experiments utilizing tissue culture flasks were performed in an incubator providing 10% C 0 . Agitated cultures were grown in 30 to 60 ml of medium in 500 ml 2  34  flasks which contained a magnetic stir bar. Agitation was achieved by placing the cultures on a magnetic stirrer. Culture flasks were maintained in sealed containers, and Campy Pak gas generating systems were used to generate a micro aero philic environment. Growth in liquid culture conditions was assessed by measuring optical densities of the cultures and by counting cells using an improved Neubauer hemocytometer. The cell morphologies were also examined microscopically. 2) Culture ofH. pylori in defined media H. pylori cells were grown in a defined medium based on that of Reynolds and Perm (1994). The base medium (Table VI) was used along with a variety of additions or subtractions as described in Table VII. Cultures were grown in 500 ml flasks containing 60 ml of medium along with a magnetic stir bar. The flasks were then placed in a micro aero philic environment which was supplied using a sealed container containing Campy Pak Plus gas generating envelopes. The containers were then placed on magnetic stirrers, and cultures were allowed to grow at 37°C for 24 to 96 hours. Cell morphologies were examined microscopically, and all cultures were streaked onto agar plates and tested for the presence of the urease enzyme to ensure that the organisms present were H. pylori.  C . Protein procedures 1) Isolation of membrane proteins  Table VI. Defined growth medium for H. pylori  Component  Concentration (mg/1)  Component  NaCl KC1 KN0 MgS0 7H 0 CaCl Na HP0 NaHC0 Glucose FeS0 Bovine Serum Albumin Adenine Lipoic Acid D-Biotin Choline chloride Folic acid myo-Inositol Niacinamide p-Aminobenzoic acid D-Pantothenic acid Pyridoxine hydrochloride Riboflavin Thiamin hydrochloride Vitamin B12 Hydrochloric acid  6000 400 86 100 62 800 2000 2000 2 5000 50 3 0.2 3 1 35 1 1 1 1 0.2 1 0.005 Variable (to bring medium to pH 7.4)  Alanine Arginine Asparagine Aspartic acid Cystine Glutamic acid Glutamine Glycine Histidine Isoleucine Leucine Lysine Methionine Phenylalanine Proline Serine Threonine Tryptophan Valine Vancomycin  3  4  2  2  2  4  3  4  Concentration (mg/1) 44.5 632 75 66.5 120 73.5 300 37.5 110 262.5 262 362.5 75.5 165 57.5 52.5 238 51 234 10  All salt solutions, the glucose, and the HC1 were obtained from Fisher Scientific, (Edmonton, AB). Adenine, and all vitamins and amino acids were obtained from Sigma (Mississauga, ON). Bovine serum albumin (fraction V) was obtained from Boehringer Mannheim (Indianapolis IN).  36  Table VII. Different growth media supplements or depletions Name of Media  Deviation from Minimal Media Base  Essential A.A. deficient Non-essential A.A. deficient Essential A.A. negative Non-essential A.A. negative Essential A.A. extra Non-essential A.A. extra pH 5 medium pH 5 urea pH 7 urea FeS04 deficient FeS0 extra FeCt supplemented Iron deficient Iron depleted Glucose deficient Glucose negative Cyclodextrin +  0.1 X E pylori essential amino acids * 0.1 X H. pylori non-essential amino acids * No H. pylori essential amino acids * No H. pylori non-essential amino acids * 10 X H. pylori essential amino acids * 10 X H. pylori non-essential amino acids Minimal medium at pH 5.0 Minimal medium at pH 5 with 10 mM urea Minimal medium with 10 mM urea 0.1XFeSO 10 X FeS0  4  4  4  Minimal medium with 100 uM FeCl Minimal medium with 25 uM 2,2-dipyridyl Minimal medium with 250 uM 2,2, dipyridyl Minimal medium with 0.1 X glucose Minimial medium with no glucose Minimal medium without BSA and with cyclodextrin** CMC + Minimal medium with 10% carboxymethyl cellulose Copper + Minimal medium with 1 mM CuCl Nickel + ImM Minimal medium with 1 mM NiCl Nickel + 10 mM Minimal medium with 10 mM NiCl Zinc + 1 mM Minimal medium with 1 mM ZnCl Ampicillin + Minimal medium with 0.005 |i.g/ml ampicillin Tetracycline + Minimal medium with 0.01 ug/ml tetracycline Metronidazole + Minimal medium with 0.1 ug/ml metronidazole Casamino Acid + Minimal medium with 0.5% casamino acids Phosphate Low Minimal medium with 0.1 X Na HP0 Magnesium Low Minimal medium with 0.1 X MgCl Calcium Low Minimal medium with 0.1 X CaCL H. pylori CCUG 17874 non-essential amino acids are: A, R, H, I, L, M, F, V (Reynolds and Penn, 1994) H. pylori CCUG 17874 essential amino acids are: D, N, C, G, E, Q, K, P, S, ** W, T, Y (Reynolds and Penn, 1994) cyclodextrin is (2,6-di-O-methyl) -(3-cyclodextrin *** 3  2  2  2  2  2  4  2  lg/1  37  Large scale membrane protein isolations were performed using cells that were grown on BHI agar plates supplemented with 1% powdered hemoglobin (Accumedia, Baltimore MD). Up to 300 (150 mm x 15 mm) agar plates were streaked with H. pylori to form lawns of confluent growth. Cells were grown for 3 days at 37°C in an atmosphere of 10% C 0 . The cells were then harvested by scraping off the plates with a cotton swab and 2  resuspending them in 20% (wt/vol) sucrose/10 mM Tris-HCl pH 8.0 containing 50 ug/ml of deoxyribonuclease I (DNAse) (Sigma, Mississauga, ON). The pooled cells were then disrupted by passaging the cells twice through a French Pressure Cell at 15,000 p.s.i. Any unbroken cells were then removed by centrifugation at 1000 x g for 10 minutes in a Beckman SS34 rotor. The supernatant was then layered in 10 ml quantities onto a sucrose gradient comprising (from bottom) 10 ml of 70% (wt/vol) sucrose and 20 ml of 18% (wt/vol) sucrose in a 40 ml tube, or 5 ml of 70% (wt/vol) sucrose, 10 ml of 50% (wt/vol) sucrose, and 15 ml of 18% (wt/vol) sucrose in a 40 ml tube. The samples were centrifuged at 65,000 x g for 4 h at 4°C using a Beckman SW28 rotor. The membrane bands that had migrated to a position on top of the 70% sucrose and on top of the 50% sucrose were then collected and diluted 5 fold with distilled water, and the membranes were pelleted at 250,000 x g for 1 h at 4°C  in a Beckman 60Ti rotor. The membrane pellet was then  resuspended in 10 mM Tris-HCl pH 8.0. Membrane preparations from liquid grown cultures were performed as above, except the cells were initially pelleted in an SS34 rotor, and washed in PBS buffer prior to resuspending in sucrose/DNAse.  38  Proteins were isolated from cells grown in defined media by first pelleting the cells in an SS34 rotor, and washing the cells twice with PBS. Cells were resuspended in 20% sucrose/50 mM DNAse and were then passaged once through a French pressure cell. The broken cells were,diluted five fold in distilled water, and membranes were pelleted at 180,000 x g and were saved for further manipulations. A second procedure used to isolate outer membranes was the CHAPS solubilization protocol of Worst et al. (1995). Cells grown in liquid media were pelleted and washed in PBS. The pellet was then resuspended in 1% (wt/vol) 3-{93-cholaidopropyl)-dimethylammonio}-l-propanesulfonate (CHAPS) (Sigma, Mississauga, ON)/ 12% (wt/vol) sucrose / 50 mM sodium carbonate and was incubated at 4°C for 30 min. Following this incubation, an equal volume of 10% sodium lauryl sarcosinate (Sarkosyl) (Sigma, Mississauga, ON) was added, and the cells were incubated at room temperature for 30 min. The membrane proteins were then pelleted by centrifugation at 70,000 x g for 2h in a Beckman 70Ti rotor. 2) Assays Protein yields were determined by using a modified Lowry assay as described by Peterson (1977). The solutions used in the assay contained sodium dodecyl sulfate (SDS), which helped to solubilize the membrane proteins. Succinate dehydrogenase was assayed as a marker indicating the presence of inner membranes according to the protocol of Kasahara and Anraku, 1974.  39  Assays for ketodeoxyoctonoate (KDO) were done to determine the presence of outer membranes using a thiobarbiturate assay based on the protocol of Weissbach and Hurwitz (1958). 50 ul of 0.5 N H S0 was added to 50 ul of a membrane sample, and the 2  4  mixture was heated to 100°C for 15 min. 50 ul of 2.3% periodate was then added, and the sample was vortexed, and incubated at room temperature for 10 min. 200 ul of 4% NaAs0  2  (in 0.5 N HC1) was added, the sample was vortexed, and then 800 ul of 0.6% thiobarbituric acid was added and the sample was heated to 100°C for 10 min. The sample was allowed to equilibrate to room temperature and then 1.5 ml of 95% butanol / 5% concentrated HC1 (vol/vol) was added. The sample was vortexed and then centrifuged for 5 min at 1500 x g. The upper butanol fraction was saved, and the optical density of this fraction was measured at 549 nm and compared with KDO standards. 3) One dimensional SDS-PAGE Protein samples were analyzed by electrophoresis through sodium dodecyl sulfatepolyacrylamide gels using a discontinuous buffer system (Laemmli, 1970). Separating gels were composed of either 11% or 15% acrylamide (29:1 acrylamide:bis acrylamide), while stacking gels were composed of 4% acrylamide. Samples were solubilized by incubation at 23 °C or 95 °C for 20 min in 5X sample buffer containing a final concentration of 7% glycerol and 2% SDS. After electrophoresis, the proteins were stained with Coomassie Brilliant Blue R250, or by silver (Wray et al, 1981). 4) Two-dimensional (unheated x heated) SDS-PAGE  40  Two dimensional gels were created by first running a one-dimensional gel of a H. pylori  membrane protein sample that was solubilized at 23°C. An entire lane was then  excised from the gel, and this gel slice was wrapped in cellophane and boiled for 20 minutes in 0.375 M Tris pH 6.8. Following heating, the gel slice was fused to the top of an 11% separating gel with or without a 4% stacking gel, and electrophoresis was initiated. The gels were subsequently stained with Coomassie Brilliant Blue R250. 5) Protein purification i) Selective protein solubilization A series of 20 different detergent solutions (Table VIII) were tested to assess which would best solubilize the H. pylori heat modifiable proteins apart from other membrane proteins. Cell membrane preparations were solubilized by adding them to various detergent preparations, and the samples were then sonicated for 15 seconds. Insoluble proteins were pelleted by centrifugation at 180,000 x g, and the supernatants and pellets were analyzed by SDS-PAGE. Three detergents were ultimately chosen for use with large scale protein preparations in the following protocol. First, the membrane pellet was solubilized in 1% (vol/vol) Triton X-100 (Sigma, Mississauga, ON) 12 mM MgCl /10 mM 2  Tris HC1 pH 8.0 by sonicating for 30 seconds, and the insoluble fraction was then pelleted at 180,000 x g for 1 hour. The pellet was then resuspended in 0.5% (wt/vol) Sarkosyl /10 mM Tris HC1 pH 8.0 and the insoluble fraction was again pelleted at 180,000 x g. Finally, the pellet was resuspended in 3% (vol/vol) octylpolyoxyethylene (OPOE) (Bachem  41  Table VIII. List of detergent solutions tested in solubilizations of H. pylori membrane proteins.  Detergent and supplements 0.5 % Octyl polyoxyethylene 3.0 % Octyl polyoxyethylene 3.0 % Octyl polyoxyethylene / 0.5 M NaCl 3.0 % Octyl polyoxyethylene / 40 mM EDTA 3.0 % Octyl polyoxyethylene / 2mM MgCl 0.25% Zwittergent 10 2.5% Zwittergent 10 0.25% Zwittergent 14 2.5% Zwittergent 14 0.2 M Deoxycholate 0.05 M CHAPS 2.5% Octyl glucoside 0.08 %N,N, dimethyldocecylamine-N-oxide 1.0% N,N, dimethyldocecylamine-N-oxide 1.0% Triton X-100 5.0% Triton X-100 1.0% Triton X-100 / 0.5 M NaCl 0.5% Sarkosyl 2.5% Sarkosyl 2.5% Sarkosyl / 0.5 M NaCl 2  42  Bioscience Inc., Philadelphia PA) /10 mM Tris HC1 pH 8.0, the insoluble fraction was pelleted at 180,000 x g, and the supernatant was saved. ii) Column chromatography The OPOE soluble membrane proteins were subjected to fast protein liquid chromatography (FPLC) on either a MonoQ HR 5/5 anion exchange column (Pharmacia, Baie d'Urse, PQ), on a MonoS cation exchange column (Pharmacia, Baie d'Urse, PQ), or on a MonoP chromatofocusing column (Pharmacia, Baie d'Urse, PQ). For anion exchange chromatography, a column buffer of 10 mM Tris-HCl pH 8.0 or pH 10.0 / 0.08% or 3% N,N, dimethyldocecylamine-N-oxide (LDAO) (Fluka Chemika, Ronkonkoma, N.Y.) was used with a salt gradient of 0 to 1 M NaCl. Cation exchange chromatography utilized 50 mM acetic acid, pH 5.0 / 0.08% LDAO as a column buffer, and elution was done with a NaCl gradient of 0 to 1 M NaCl. Chromatofocusing was done using 25 mM histidine, pH 6.2 / 0.5% LDAO as the column buffer with 12.5% Polybuffer, pH 6.3 (Pharmacia, Baie d'Urse, PQ) / 0.5% LDAO as the eluent. A variety of flow speeds and sample concentrations were used in each system, and the steepness of the salt gradient was also varied. Samples were originally dialyzed into column buffer prior to loading, or in column buffer with 3% OPOE substituting for LDAO. The proteins within column fractions were analyzed by SDS-PAGE. iii) Gel purification  43  After anion exchange chromatography, samples were solubilized at room temperature in SDS-PAGE loading buffer containing 2% SDS, and were electrophoresed through a preparative SDS-PAGE gel containing a 4% stacking gel and an 11% separating gel. Horizontal gel slices corresponding to the positions of the porin proteins that were visualized on Coomassie blue stained portions of the gel, rehydrated to the original size, were excised from an unstained portion of the gel. Gel slices were subsequently crushed and soaked for 24 h at 4°C in 0.5 ml of 10 mM Tris-HCl pH 8.0/1 mM ethylene diamine tetraacetate (EDTA)/150 mM NaCl/0.08% LDAO. The liquid was aspirated andfilteredto remove pieces of acrylamide, and the eluate was stored at -70°C. 6) Protein sequencing i) N-terminal amino acid sequencing Protein samples that were partially purified by FPLC were electrophoresed on an 11% SDS-PAGE gel, and following electrophoresis, the proteins were blotted onto an Immobilon P polyvinylinedifluoride (PVDF) membrane (Millipore, Bedford, MA) using a BioRad transblot cell with a buffer composed of 192 mM glycine, 25 mM Tris pH 8.3, and 25% methanol (Millipore, Immobilon-P transfer membrane user guide). The blots were then stained with Ponceau S or Coomassie blue, and individual protein bands were excised and sent to a micro sequencing facility (University of Victoria, or NAPS Unit, University of British Columbia) to be analyzed by automated Edman degradation. ii) Internal amino acid sequencing  44  Protein samples were blotted using the procedure described above. After blotting onto Immobilon P membranes (Millipore, Bedford MA) and Ponceau S staining, sq  bands were excised and cleaved directly on the membranes as per the protocol described in Matsudaira et al. (1993). Briefly, 500 ul of 95% acetone was added to the PVDF slices, which were then incubated for lh. The acetone was removed, and the PVDF slices were then placed in a formic acid/acetonitrile/cyanogen bromide solution and incubated for 24 h, at which time the supernatant was collected. The PVDF slices were rinsed with acetonitrile, the rinse solution was added to the previous supernatant, and the entire sample was dried using a vacuum dessicator, and was then resuspended in water. Following CNBr cleavage, samples were electrophoresed on a 15% acrylamide gel, and the proteins were blotted onto PVDF membranes. Protein bands were then stained with Coomassie brilliant blue R250, and visible bands were excised and sent to a microsequencing facility for sequence analysis.  D. DNA procedures 1) Plasmid procedures i) Preparation of plasmid DNA Small scale plasmid preparations were typically done using the alkaline lysis method (Sambrook et al, 1989). Large scale preparations were carried out using a similar alkaline lysis procedure for 400 ml cultures (Sambrook et al, 1989) and this was followed by CsCl density gradient centrifugation or PEG precipitation (Ausubel et al, 1987). Plasmid  45  DNA for sequencing was isolated using a modified alkaline 4ysis/PEG precipitation procedure described by Applied Biosystems Inc. (Mississauga, Ont.) in the Taq DyeDeoxy terminator cycle sequencing manual. Cosmid DNA isolations were performed in order to obtain DNA from the H. pylori chromosomal DNA library clones. This was done using small scale alkaline lysis, or by alkaline lysis in 96 well microtitre trays as described by Ausubel et al, (1987). ii) Transformation of plasmid DNA Competent E. coli DH5a cells were prepared using a CaCl method as 2  described by Sambrook et al, (1989), and 10 to 1000 ng of DNA was added to the competent cells for transformation (Sambrook et al, 1989). 2) Isolation of H. pylori chromosomal DNA H. pylori chromosomal DNA was isolated by a procedure described by Majewski et al. (1988). Cells were harvested from agar plates, washed, and then incubated with a 30 mg/ml lysozyme solution (in 100 mM Tris (pH 8.5) / 100 mM EDTA) for 1 h at 37°C. This was followed by a 1 h incubation after an addition of Pronase (1 mg/mlfinalsolution) and another 1 h incubation after the addition of sodium perchlorate (0.6 Mfinalsolution). The sample was then extracted with phenol and chloroform, and the chromosomal DNA was precipitated using 95% ethanol. The DNA was subsequently pelleted and resuspended in 10 mM Tris/1 mM EDTA pH 8.0. 3) Preparation of H. pylori cosmid library  46  A cosmid library was prepared using the cosmid vector pLAFR3. H. pylori chromosomal DNA was partially digested with Sau3AI,  and the DNA was centrifuged  through a 10%-40% sucrose gradient for 24 h at 25,000 rpm in a Beckman SW28 rotor at 20°C. Gradients were formed with a gradient maker by using 10% and 40% sucrose solutions which each contained 1M NaCl, 5 mM EDTA, and 20 mM Tris-HCl, pH 7.5. After centrifugation, the bottom of the centrifuge tube was pierced and fractions were collected. Fractions containing DNA fragments of approximately 20 kilobase pairs (as determined by electrophoresis of samples on 1% agarose gels) were used in in vitro X packaging reactions (Gibco BRL, Burlington, ON). Phage with packaged DNA were used to transfect E. coli LE392, and transfected cells were collected and stored at -70°C . 4) PCR cloning from the H. pylori chromosome i) Oligonucleotide preparation and PCR reactions Degenerate oligonucleotide primers for PCR reactions were created using an Applied Biosystems 392 DNA synthesizer. The oligonucleotide sequences that were chosen corresponded to reverse translated protein sequences obtained from N-terminal and internal amino acid sequences of the HopA, B, C, and D proteins, and they were designed using portions of the protein sequences that possessed the least amount of degeneracy. No codon bias was used. PCR reactions were carried out in 50 ul volumes using 0.5 ug of each 5' and 3' oligonucleotide primer, 1 ug ofH. pylori chromosomal DNA, 2 mM of deoxynucleotide triphosphates (dNTP's), and 12 mM MgCl . Five ul of 10 X PCR buffer was used, along 2  47  with Taq polymerase (1.5 U/reaction) (Gibco BRL, Burlington, ON). Annealing temperatures were 55-56°C , and the extension time was 30 to 90 seconds at 72°C. To obtain successful results, the concentrations of primers, template DNA, dNTP's, and MgCl  2  were varied, as were the annealing temperatures and extension times. The above listed conditions were those which provided the best results, ii) Cosmid library screening The screening ofthe cosmid library was performed using two methods. First of ah, transfected clones containing cosmid DNA from the H. pylori library were grown on agar plates, and colony blots were performed using nylon membranes that were positively charged by the incorporation of quaternary ammonium salts (Boehringer Mannheim, Indianapolis, IN). Blots were done according to the Genius system user's guide (Boehringer Mannheim). The blots were then probed with oligonucleotides derived from reverse translated N-terminal protein sequences from HopA, B, C, and D. The oligonucleotides were 3' end labeled with digoxigenin conjugated dideoxy uridine triphosphate (DIGddUTP) according to the Genius system protocol. Hybridization was done in 5X SSC buffer (750 mM NaCl, 75 mM sodium citrate, pH 7.0). Detection of positive clones was performed using alkaline phosphatase conjugated anti-DIG antibodies and Lumigen PPD (Boehringer Mannheim). A second method of library screening involved using cosmid DNA from E. coli clones that had been inoculated into 96 well microtitre plates. The DNA was collected by  48  alkaline lysis as described and was used in a dot blot procedure in which 5 ul of each sample was spotted onto a Boehringer Mannheim positively charged nylon membrane. Prior to blotting, the DNA was denatured by subjecting it to heating or to alkaline conditions, and the DNA was then fixed to the membrane by baking at 120°C for 30 min in an oven. The membranes were probed with DNA that was randomly labeled with DIG-ddUTP. In this case, the probes consisted of a 608 bp fragment which encoded the N-terminal region of the HopA porin gene, and an 83 bp fragment encoding the N-terminus of the HopB porin gene. The fragments were obtained after PCR reactions using H.  pylori  chromosomal DNA as a  template, along with ohgonucleotide primers designed from N-terminal and internal amino acid sequences. PCR fragments were purified using the Geneclean II kit and protocols (BIO 101, Vista, CA). After hybridization at 68°C for 16 hours in 5X SSC buffer, membranes were washed, and detection of positive clones was performed as described in the Genius system protocol. iii) H.  H.  pylori  pylori  chromosome screening  chromosomal DNA was completely digested (16h at 37°C) using  various restriction endonucleases. Digested samples were electrophoresed through a 0.8% agarose gel, and were subsequently blotted onto Boehringer Mannheim positively charged membranes using an alkaline transfer procedure as described in the Boehringer Mannheim DIG labeling and detection system handbook. DNA was fixed to the membranes by baking at 120°C for 30 min, and the membranes were probed with 3' end labeled ohgonucleotide  49  probes for HopA. B, C, and D, or with randomly labeled probes for HopA and HopB which were generated by PCR as described above. 5) DNA sequencing Double stranded DNA sequencing was performed using an ABI 373 automated DNA sequencer. DyeDeoxy terminators (Perkin Elmer, Foster City, CA) were used in a cycle sequencing protocol which employed AmphTaq (Perkin Elmer, Foster City, CA) as the thermal-stable polymerase. Sequencing reactions were performed according to the manufacturer's methods using DNA which was isolated using the modified alkaline lysis/PEG precipitation procedure as described in the Applied Biosystems sequencing guide.  E. Model membrane procedures 1) Single channel conductance measurements Single channel conductance measurements were performed as previously described (Benz and Hancock, 1981). Lipid bilayers made from 1.5% (wt/vol) oxidized cholesterol in n-decane were formed across a 0.2 mm hole connecting two compartments of a Teflon 2  chamber containing a variety of salt solutions that were adjusted to pH 7.0 or 4.0 with 5 mM KH P0 , and to pH 2.0 with 1% acetic acid. Calomel electrodes were submerged in 2  4  each compartment, one connected to a voltage source, and one to a current amplifier and chart recorder (with the output monitored on a storage oscilloscope). Protein samples, solubilized in 0.1% Triton X-100, were added to one of the compartments, and a voltage of  50  50 mV was applied across the lipid bilayer. Conductance increases were recorded, and average conductances for each purified protein were calculated for each of the salt solutions. 2) Zero-current membrane potential measurements Zero-current membrane potential measurements were performed as previously described (Benz et al, 1985). Teflon chambers for these experiments were separated into two compartments by a divider containing a hole larger (2.0 mm ) than those used for single 2  channel conductance measurements. Six ml of 0.1 M KC1 was added to each compartment of the chamber, a membrane was formed, and 20 ng of the porin protein was added to one of the compartments. A voltage of 20 mV was applied until the conductance reached 2.5 X 10" A, and then the voltage was removed. A 100 ul aliquot of 3 M KC1 was added to one 10  side of the membrane, while 100 ul of 0.1 M KC1 was added to the other. Eight additions were made, and the zero current potential was measured after each addition.  F. Minimal inhibitory concentration determinations Minimal inhibitory concentrations were determined by making doubling dilutions of antibiotics in 96 well round bottom microtitre trays. Each well was then inoculated with 10 Ul of a H. pylori cell suspension. The media used was BHIB/0.1% cyclodextrin (BHI-CD) or BHI-CD with 100 um ferric citrate and 100 um dipyridyl, or BHI-CD with 100 um dipyridyl. Micro titre dishes were incubated for up to 5 days at 37 °C in sealed jars containing  51  Campy Pak Plus gas generating envelopes which provided a microaerobic atmosphere. The antibiotics used, along with their maximum concentrations were as follows: ampiciJlin - 0.25 ug/ml, amoxicillin - 0.50 ug/ml, tetracycline - 1.0 ug/ml, kanamycin - 2.0 ug/ml, metronidazole - 8.0 ug/ml, ciprofloxacin - 2.0 ug/ml. The minimal inhibitory concentration was judged to be the concentration which inhibited growth of cells to at least half or less (as judged visually) of the control cells, which had no antibiotics added.  52  RESULTS  CHAPTER 1: Formulation of H. pylori Growth Medium, and Optimization of Large Scale Growth Conditions  A) Introduction At the time that these studies commenced, there were relatively few reports of the growth and growth requirements of H. pylori. Traditionally, to cultivate H. pylori, chocolate agar or blood agar was used, and these media included a rich base such as Brucella broth, or brain heart infusion broth. Liquid culture of H. pylori had been described (Morgan et al, 1987), but growth in liquid media did not produce high cell densities. Success with liquid growth seemed to be strain dependent, and was not routinely performed in large volumes. In addition, a gyratory incubator with a gassing hood was required. Large scale cultures were required for the purification of the H. pylori porins. Thus, it was necessary to identify a convenient and effective way to obtain large masses of H. pylori cells. This chapter describes the growth of H. pylori on a variety of media, and it also describes the development of large scale growth techniques, including a description of a novel and effective growth medium for H. pylori. B) H. pylori growth studies on solid media, and identification of a novel medium formulation  53  Experiments were initiated to determine the growth characteristics of H. pylori on a variety of different solid media. Chocolate agar, consisting of 5% lysed sheep blood cells in a base of brain-heart infusion agar (BHI), was originally used to cultivate H. pylori. Cells grown on this media were scraped from plates, resuspended in brain-heart infusion broth (BHIB) and seeded onto agar plates containing different medium preparations. The results are described in Table IX. Growth was achieved on media containing either 1) whole blood 2) lysed blood cells, 3) fetal calf serum 4) bovine serum albumin (BSA) and 5) powdered hemoglobin (Hb). No growth was observed on media containing casamino acids, tryptone, or skim milk powder supplements. All media which supported growth were similar with respect to the size of the colonies that were formed (1-2 mm after 5 days), the time required for individual colonies to become visible on the media (4 to 5 days), and the number of colonies that grew (Table IX). The addition to the media of antibiotics to which H. pylori is resistant was very helpful, since with the slow growth of this organism, it was prone to being overgrown by contaminants. Growth did not appear to be inhibited by the addition of either vancomycin, polymyxin B, or trimethoprim to the media, although when cells were plated out onto media containing all three antibiotics together, a slightly smaUer number of colonies were observed. In ah cases, with or without antibiotics, only approximately 2-5% of the cells which were plated actually formed colonies. This was determined by comparing the number of cells plated, as determined using a hemocytometer to the number of colonies formed.  54  Table IX. Growth of H. pylori on a variety of different media.  Plate Count: Media  Atmosphere  (10" Dilution)  CFU/ml  BHI  Microaerobic  0  0  BHI / Hb  Microaerobic  48  4.8 X 10  BHI/5% blood  Microaerobic  56  5.6 X 10  BHI/10% blood  Microaerobic  50  5.0 X 10  BHI/5%FCS  Microaerobic  51  5.1 X 10  BHI/ BSA  Microaerobic  49  4.9 X 10  BHI / Casamino acids  Microaerobic  0  0  BHI / Tryptone  Microaerobic  0  0  BHI / Milk  Microaerobic  0  0  BHI / Hb / vancomycin (10 ug/ml)  Microaerobic  52  5.2 X 10  BHI / Hb / polymyxin B (10 u.g/ml)  Microaerobic  50  5.0 X 10  BHI / Hb /trimethoprim (10 |ig/ml)  Microaerobic  48  4.8 X 10  BHI/ Hb /vancomycin /polymyxin/  Microaerobic  40  4.0 X 10  10% C 0  53  5.3 X 10  s  7  7  7  7  7  7  7  7  7  trimethoprim (10 ug/ml each) BHI / Hb  2  7  100 ul of cells from a culture with a density of 1 X 10* cells/ml was serially diluted and plated onto agar plates containing each medium. The plate count refers to the number of colonies observed for the particular dilution. CFU/ml is the calculated number of colony forming units per ml of cells that were plated out. Results are the average of two trials. Microaerophilic conditions were achieved using Campy Pak Plus gas generating envelopes, and the 10% C 0 atmosphere was provided by a C 0 incubator. 2  2  55  Most of the original growth studies were performed using microaerophihc growth conditions provided by activating Campy Pak Plus gas-generating packets inside sealed chambers. Because the use of these chambers was prohibitive to culturing large masses of cells using large numbers of agar plates, growth of cells in a carbon dioxide incubator was attempted. Growth in 10% C 0 was comparable to that in a microaerophihc environment 2  (Table IX), and it was much more convenient than growing cells in sealed chambers. Thus, further experiments were conducted comparing cells grown in microaerophihc conditions and those grown in 10% C 0 . 2  Cells were grown on different media and under different atmospheric conditions for up to 30 days. A comparison was then made as to which culture conditions would best support growth and maintain viable cells. Table X lists the results from these experiments. It can be seen that growth on Hb-containing medium in a 10% C 0 atmosphere was equal to or 2  superior to growth achieved on other media tested, and this medium and growth conditions maintained culturable cells longer than any other culture methods tested. These observations were made after examining cell morphologies by light microscopy to determine whether the ceUs were in the spiral/rod form, or in the non-culturable coccoid form (Table XI), or by studies observing whether or not cells could be subcultured from a particular growth medium after an increasing number of days. In addition to maintaining viable cells for longer periods of time, the Hb containing medium was more convenient to prepare than media containing blood. Medium containing  56  Table X. Comparison of growth and culturability of H. pylori on different media and in different atmospheres.  Media  Atmosphere  Growth  Culturability  BHI / Hb  Microaerobic 10% C 0 Microaerobic 10% C 0 Microaerobic 10% C 0 Microaerobic 10% C 0 Microaerobic 10% C 0 Microaerobic 10% C 0 Microaerobic 10% C 0 Microaerobic 10% C 0  ++ ++ + ++ + + + ++ + ++  8d 30d 8d 10 8d 8d 8d 16d 8d 16d  -  -  2  BHI/FCS  2  BHI/ BSA  2  BHI / 5% Blood  2  BHI / 10% Blood  2  BHI / Casamino acids  2  BHI / Tryptone  2  BHI/Milk  2  -  -  A microaerobic atmosphere was achieved using sealed jars containing Campy Pak Plus gas generating envelopes. The 10% C 0 atmosphere was provided by a C 0 incubator. Growth 2  2  indicates the number of colonies that formed on a plate of each medium after 100 ul of a cell suspension was plated on it. Symbols: + indicates <300 colonies per plate; ++ indicates >300 colonies per plate; - signifies that there was no growth. Culturability refers to the number of days after the original plating that cells could be maintained in a culturable form; that is, subculturing produced visible growth of cells.  57  Table XI. Percent of cells with coccoid morphology after growth on solid media.  Cells with coccoid morphology (%)  a  Media  Atmosphere  BHI / Hb  Microaerobic  <5%  10% C 0 BHI/5%  3 days 5 days  8 days  10 days 16 Days 30 days  60%  80%  >95%  >99%  100%  <5%  30%  40%  90%  >99%  >99%  Microaerobic  <5%  70%  90%  >95%  >99%  100%  10% C 0  <5%  50%  90%  >95%  >99%  100%  2  2  The percentage refers to the approximate percentage of cells with coccoid morphology as  a  observed in an improved Neubauer hemocytometer. Cells classified as coccoid were those showing no free ends, while all rod shapes or curved shapes were considered to be noncoccoid.  58  powdered hemoglobin could also be stored for at least three months and still support growth, as long as the plates were stored in sealed bags which would not allow the plates to dry out.  C) H. pylori growth studies i n liquid media Concurrent with the studies examining H. pylori growth on solid media were those examining growth in liquid media. It was known that H. pylori would grow in liquid media consisting of a rich base with 1 to 5% serum added (Morgan et al, 1987), so studies were initiated using BHIB with 5% FCS. In addition, antibiotics were added in some cases (vancomycin, polymyxin B, trimethoprim, and fungizone). As with the solid media, virtually no differences were observed between growth with and without antibiotics. Experiments were done using non-agitated cultures grown in tissue culture flasks and in large Erlenmeyer flasks, or with agitated cultures which were grown in 500 ml flasks with stirring on a magnetic stirrer. Non-agitated cultures were started in 10 ml of BHI/FCS in 50 ml tissue culture flasks grown in a 10% C 0 atmosphere. Fresh medium was continually added every 2 2  days, and cells were transferred to larger flasks as the medium volume increased. Generally, during periods after fresh medium was added, cells remained in the spiral form. As expected, coccoid cells became more abundant the longer the cells were incubated without adding fresh medium. In fresh medium, cells appeared to be extremely motile. The cells also had a definite spiral form in contrast to the more rod shaped forms seen with cultures grown on solid  59  media. Clumping of cells became pronounced with older cultures, but the ceUs appeared to become separated again upon the addition of fresh medium. Floes also started to appear in the liquid phase of cultures grown for over three days without the addition of fresh medium. These floes sedimented and were visually apparent, but as with the clumps, they appeared to disaggregate upon the addition of fresh medium. Cell numbers in liquid medium appeared to double in approximately 24 hours when fresh medium was added, and maximum cell densities always remained constant at approximately 1-3 x 10 cells/ml. 9  H. pylori cells grew best in shallow depths of liquid (i.e. in a tissue culture flask). When cells were inoculated into 640 ml of media in a 2 1 Erlenmeyer flask, growth was very slow, and the density of the culture did not reach the levels that it did in the tissue culture flasks. In addition, cells did not appear to grow at all when inoculated directly into large volumes of liquid. It was apparent that a very large inoculum was required for any hquid growth. Incubating H. pylori in 40 to 60 ml of medium in 500 ml flasks with agitation in a microaerobic atmosphere at 37°C produced some growth (10 cells/ml), but a large inoculum 8  (at least 10 cells /ml) was required, and the maximum increase in cell numbers was only 10 7  to 50 fold. Agitated cultures (on magnetic stirrers) had the advantage that a larger volume of hquid and a greater depth of hquid could be used to grow H. pylori, and this may relate to the fact that the stirring allowed more gas exchange into the medium. Even though hquid growth could be achieved in both non-agitated and agitated cultures, the low cell densities  60  and the relatively small volumes of liquid • that were used eliminated liquid culture as a possibility for obtaining large masses of cells. Initially, all of these hquid growth studies used BHIB supplemented with 5% fetal calf serum. However, in 1993, Olivieri et al. discovered that cyclodextrins could substitute for blood or serum supplements, so growth experiments were done using their proscribed media. Cells grew faster and to higher densities, but they still did not grow to high enough densities for large scale growth. Nonetheless, this media proved useful for other studies.  D ) Summary Hemoglobin supplemented medium supported growth of H. pylori, and using this medium it was found that maintaining the cells in an atmosphere of 10% C 0 supported 2  growth for an extended period of time. Hemoglobin supplemented medium maintained spiral or rod-shaped culturable cells for longer periods of time than did blood supplemented media, but there was not a tremendous difference between the different media. The addition of antibiotics to the growth media was helpful in eliminating contaminants, and vancomycin, polymyxin B, and trimethoprim could be added with little effect on the growth ofH. pylori. Culturing H. pylori in hquid medium was possible, but the low cell densities which were achieved coupled with the relatively small volumes which could be used prohibited the use of hquid culture for isolating large masses of cells. The convenience of preparing the hemoglobm-containing agar medium, together with the low cost and the efficiency of this  61  medium for growing H. pylori made it the medium of choice for large scale growth of the organism.  62  CHAPTER 2: Identification and Purification of H. pylori Porin Proteins  A) Introduction Because porin proteins are a major route for the uptake of nutrients and small hydrophihc substances in Gram-negative bacteria, and since porins have been identified in most Gram-negative bacteria, it was assumed that H. pylori would also have porin proteins. Due to their stable (3-sheet structure and the large percentage of then surface involved in subunit-subunit interactions to form their typical trimeric structure, porins have the property of being heat modifiable. That is, they only denature after being heated in strong detergent solutions (e.g. SDS). This denaturation causes a change in the apparent molecular weights of the proteins when observed on SDS-PAGE gels, and this provides a method for detecting heat modifiable proteins, which are porin candidates. From early studies (Dunn et al, 1989), it was evident that H. pylori did not possess porins that were the same type as the major species that are present in most Gram-negative bacteria. In addition, the growth characteristics of H. pylori and the fact that the inner membrane and outer membrane of this organism did not appear to be easily separable (Goodwin and Worsley, 1993) suggested that standard procedures which were used to isolate porins from other bacteria may not be successful when working with H. pylori. This chapter describes the identification of porin proteins in H. pylori, as weU as a documentation of the novel methods required to purify these proteins.  63  B) Preparation of H. pylori membrane proteins In order to identify and purify H. pylori porin proteins, outer membrane protein preparations were required. Initially, membranes were obtained by growing cells on solid media, disrupting them with a French pressure cell and then isolating membranes by centrifugation through a sucrose gradient. A sucrose gradient comprised (from the bottom) of 70% sucrose, 50% sucrose, and 20% sucrose layers was originally used. Normally, the majority of the outer membranes would be found at the 50%-70% interface, while the inner membrane proteins would be at the 20%-50% interface (Hancock and Nikaido, 1978). However, when H. pylori membranes were isolated, this was not the case. KDO assays and SDH assays were performed to assay for the presence of outer membranes and inner membranes, respectively, as KDO indicates the presence of LPS, which is present only in the outer membrane, while SDH assays indicate the presence of succinate dehydrogenase, which is typically found in the inner membrane (Kasahara and Anraku, 1974). These assays showed that the KDO and SDH contents of both the high and low density fractions were within 10% of each other (data not shown). These results indicate that there was significant inner membrane protein contamination in the outer membrane fraction and vice versa. Polyacrylamide gels (11% SDS-PAGE) were also used to examine the protein content in the apparent inner and outer membrane preparations. Figure 3 shows the results of these gels which demonstrate that the H. pylori inner membrane protein samples (taken from the 20%-  64  1 2  3  4  Figure 3. Coomassie Brilliant Blue stained SDS-PAGE comparison of H. pylori inner and outer membrane preparations. Lanes: 1) outer membrane sample solubilized at 95°C 2) outer membrane sample solubilized at 23°C  3) inner membrane sample solubilized at 95°C 4)  inner membrane sample solubilized at 23°C . Membrane preparations were obtained using sucrose gradient centrifugation as described in materials and methods. Molecular masses are indicated on the right.  65  50% sucrose interface) and outer membrane protein samples (taken from the 50%-70% sucrose interface) gave profiles that were not identical; however, it appeared that a number of proteins with identical molecular masses were present in both inner and outer membrane fractions. The apparent presence of the same proteins in both samples along with the data obtained from KDO and succinate dehydrogenase assays suggested that the H. pylori inner and outer membranes were not easily separable. This is possibly not surprising, as it has not been possible to separate outer membranes from Campylobacter species free from inner membrane contamination (Page and Taylor, 1988). Thus, for further membrane isolations, a single step gradient (70% and 20% sucrose) was used to isolate cell envelope preparations. This ensured that no outer membrane proteins would be lost due to their partitioning into the apparent inner membrane component. Protein assays that were performed on collected membrane fractions indicated that by using cells which were scraped from approximately 300 agar plates (150 mm X 15 mm), approximately 850 mg of membrane proteins were obtained.  C) Identification of heat modifiable proteins The property of heat-modification is characteristic of porin proteins, as they typically denature from their original trimeric organization into monomers after heating in SDS. When analyzed using SDS-PAGE, one can see the change in the porin band from a high apparent molecular mass to a lower apparent molecular mass. In addition, some porin proteins which appear to function as monomers have a different character in that the monomers increase in apparent molecular mass after heating in SDS due to the unfolding of the compact (3-barrel  66  structure. One dimensional gel electrophoresis showed no obvious porin-like bands (Figure 3) in that there were no exceptionally predominant bands that showed heat modification from a trimeric to a monomeric configuration. However, several moderately expressed protein species appeared to change their gel mobility after the samples were heated. Because of the large number of proteins which showed a migration shift, it was not possible to determine which protein from the unheated samples corresponded to which band from the heated sample. Thus, experiments using two-dimensional SDS-PAGE (unheated x heated) were initiated. The results of different protein separations using two-dimensional gels (data not shown) indicated that the best resolution of protein bands was obtained when using a second dimension gel without the 4% stacking gel. The protein pattern which was observed can be seen in Figure 4. At least 12 spots appeared off- diagonal and were identified as heatmodifiable proteins. There was one set of protein spots which showed gel migration patterns which would be expected from oligomers (spots at positions 1, 2, and 3 which run left of the diagonal indicating that there was a multimeric complex which had dissociated into lower molecular mass subunits after heating). However, the apparent molecular masses of two of these prospective subunits (spots at position 1 and at position 2) were similar to the molecular masses of the urease subunits (Dunn et al, 1990), while the molecular mass of spot 3 was approximately 18 kDa, and was likely to be too small to be a porin (Benz, 1985, Hancock, 1986). Therefore, no further study was done on those particular proteins. The gel  67  Figure 4. Identification of heat modifiable proteins by two-dimensional (unheated x heated) SDS-PAGE stained with Coomassie blue. The arrows point to spots or regions where heat modifiable proteins can be seen. Spots 1, 2, and 3 appeared to have not entered the gel without heating and are assumed to be present as poorly soluble aggregates. Spots 1 and 2 (which was barely visible), had molecular masses similar to those of urease subunits which have been shown to form high molecular weight aggregates (Dunn et al, 1990) Spots designated by arrow number 6 were the original porin candidates which were to be purified. Molecular masses of standard proteins are indicated on the right.  68  also showed that there were a number of proteins showing migration above the diagonal, which suggested that they may be compact, stable, monomeric structures which only denatured and unfolded upon heating.  D) Purification of porin proteins 1) Selective solubilization A detergent solubilization scheme was developed in order to selectively separate the heat modifiable proteins from contaminating proteins. Twenty different detergents and different detergent concentrations were tested to determine which would solubilize the heat modifiable proteins and which would solubilize the contaminating proteins. A group of three heat modifiable proteins were chosen as potential porin candidates. Proteins migrating with molecular masses of 37, 38, and 39 kDa before heating and 48, 49, and 50 kDa after heating were targeted, as they possessed molecular masses that were in the range observed for porin proteins (although they are at the high end of the scale), and they appeared to be fairly prominent species in the outer membrane. After solubilizing membrane proteins in the various detergents, it was found that 1% Triton X-100 / 2 mM MgCl / 10 mM Tris HC1 pH 8.0 and 0.5% sodium lauryl sarcosinate 2  (Sarkosyl) /10 mM Tris HC1 pH 8.0 were the most effective detergents for solubilizing extraneous proteins and only solubilized small amounts of the 48, 49, and 50 kDa heat modifiable proteins. Conversely, 3% octylpolyoxyethylene (OPOE)/ 10 mM Tris HC1 pH 8.0  69  was able to best solubilize the heat modifiable proteins with minimal solubilization of contaminating proteins. After a sequential solubilization in Triton X-100, Sarkosyl, and OPOE, analysis by SDS-PAGE showed a sample highly enriched in the heat modifiable proteins of interest (Figure 5). It could be seen that along with the 37, 38, and 39 kDa proteins (apparent molecular mass prior to heating, hereafter known as HopA, HopB, and HopC respectively), proteins with apparent molecular masses of 28, 31, 32, 33, 35, 50, 55, and 62 kDa were also present, although only the 28, 38, 39, 50, and 55 kDa proteins were prominent species. Interestingly, the 28 and 55 kDa proteins in this sample (hereafter known as HopE and HopD respectively) were heat modifiable as well, and in each case the proteins migrated with higher apparent molecular masses after heating (31 and 67 kDa respectively). Before any further purification was performed on the OPOE solubilized sample, the sample was analyzed using a planar lipid bilayer model membrane system to exarnine whether or not any of the proteins in this sample actually possessed pore-forming activity. When the protein sample was added to this model membrane system, channels were observed, so it was concluded that a porin or porins were present. Thus, the proteins in the sample warranted further separation and purification to determine which specific proteins were functioning as porins. 2) Column chromatography To separate the proteins which were enriched for in the selective solubilization procedure, Fast Protein Liquid Chromatography (FPLC) was attempted. Originally, a  70  Figure 5. SDS-polyacrylamide gel of selectively solubilized, partially purified membrane proteins stained by Coomassie blue. Proteins were loaded onto gels after solubilization in SDS loading buffer at 23°C. Lanes: l)Total membrane proteins, 2) Triton X-100 soluble membrane proteins, 3) proteins soluble in Sarkosyl after Triton X-100 extraction, 4) proteins soluble in OPOE after Sarkosyl and Triton X-100 extractions, 5)partially purified proteins isolated after anion exchange chromatography. Molecular masses are indicated on the right.  71  MonoQ HR 5/5 anion exchange column was used, and although it provided a separation of some of the proteins, HopB, C, and D could not be separated from each other, even after using different detergent concentrations (0.08 to 3 %) in both the sample and column buffer, or after using different salt concentrations and salt gradients. Thus, attempts were made to separate these proteins using a MonoS cation exchange column as well as a MonoP chromatofocusing column. However, as with the MonoQ column, the HopB, C and D proteins could not be separated. The protein profile of the unheated samples obtained after MonoQ anion exchange chromatography can be seen in Figure 5. A number of proteins were eliminated, and only HopB, C, D, and a protein migrating with an apparent molecular mass of 50 kDa were major species in the partially purified sample. 3) Gel purification Since traditional techniques which had been commonly used to purify porin proteins were not successful in purifying and separating the H. pylori porins, preparative SDS-PAGE was used in an attempt to purify these proteins. HopB, C, and D and the 50 kDa non-heat modifiable protein were isolated by cutting protein bands out of an 11% SDS-PAGE gel. After eluting the proteins from gel shces, the resulting purified proteins were electrophoresed on an 11% gel, and the proteins were silver stained. Figure 6 shows the resulting pure proteins which were free from contaminants. The unheated samples showed faint bands that corresponded to the molecular masses of the heated samples, possibly due to the denaturation of a small percentage of the proteins during electrophoresis of the samples.  72  Figure 6. Silver stained SDS-polyacrylamide gel showing heat modifiabihty of gel purified porin proteins. Proteins were purified as described in the text with afinalstep of gel elution. Lanes: 1) HopB solubilized at 23 °C, 2) HopB solubilized at 95°C 3) HopC solubilized at 23 °C, 4) HopC solubilized at 95°C 5) HopD solubilized at 23 °C, 6) HopB solubilized at 95°C, 7) 50 kDa protein solubilized at 23 °C, 8) 50 kDa protein solubilized at 95°C. The HopB, C, and D proteins, with apparent molecular masses of 38, 39, and 55 kDa when solubilized at 23°C are seen with apparent molecular masses of 49, 50, and 67 kDa, respectively, when solubilized at 95°C. The 50 kDa protein was not heat modifiable. Molecular masses are indicated on the right.  73  E) N-terminal amino acid sequence analysis Purified HopB, C, and D, along with the 50 kDa non-heat modifiable protein, were prepared for N-terminal amino acid sequencing. Approximately 50 pM of each sample was sequenced. The N-terminal amino acid sequences are shown in Figure 7. Even though the HopB, C, and D proteins varied considerably in apparent molecular mass, they all show strikingly similar amino acid sequences. The 50 kDa protein showed no apparent homology to the other proteins. Also shown in Figure 7 are sequences of proteins purified by Dr. Peter Doig at the University of Victoria (Victoria, B.C.). He had purified a 48 kDa protein which migrated with an apparent molecular mass of 37 kDa prior to heating. This was similar to the molecular mass of a protein that had originally copurified with HopB, C, and D in the selective solubilization procedure and was designated HopA. It was concluded that the protein isolated by Dr. Doig was the same HopA protein. Dr. Peter Doig also isolated another heat modifiable protein which migrated with a molecular mass of 28 kDa prior to heating and 31 kDa after heating and which also possessed sequence similarity to the HopA, B, C, and D proteins, so this protein was named HopE. Interestingly, a protein with the same heat modification characteristics as HopE was also present in the sample after selective solubilizations (Figure 5).  74  HopA (48 kDa)  N D G  HopB (49 kDa)  E D G|  HP"1 S  i  HopC (50 kDa)  D N G  HopE (31 kDa)  G  D G  Ml  M T F G Y E  D G JGJJF F T V G  HopD (67 kDa)  50 kDa protein  v| G  P E V A A G  Q Q  K N  Q IJ|G Q | V IM Q D  Q N  Q D  IB  Y T G T N  V T Y E V H G D F I N F S  E  G  SS Q M V  G Q A R L N S N I  Y N  K V G F N H  Figure 7. N-terminal amino acid sequence comparisons. Identical residues are boxed in red and shaded grey. Positions in which two different sets of proteins share homology are shaded blue. The single letter amino acid code is utilized. Accession numbers for HopA-E respectively are as follows: 957284, 957285, 957286, 957287, and 1181899.  75  A comparison of HopA, B, C, and D sequences with known sequences by use of the basic local ahgnment search tool system (BLAST) (Altschul et al, 1990) showed no similarity to the sequences of other porin proteins or to any other proteins. Searches of GenPept, SWISS-PROT, and PIR data banks failed to reveal other homologs. However, HopE did show similarity to another porin protein, protein P2 from Haemophilus influenzae (Doig et al, 1995). Residues 3 through 17 of HopE had 71% identical or conserved residues compared with the corresponding P2 porin amino acid residues. Another feature of the sequence was that an amino acid at position 28 had an aberrant retention time, indicating that this residue might in some way be modified (data not shown). The possibility that there may be modifications to, or attached chemical constituents on these porin proteins was further suggested by an analysis of the porins from H. pylori CCUG strain 5284. This strain showed a different protein pattern to that of CCUG strain 17874, which was used for the protein purifications in this study, in that that the HopB and C porins from CCUG 5284 migrated on an SDS-PAGE gel with apparent molecular weights that were approximately 3 kDa greater than that of the counterparts from strain 17874 (Figure 8). An N-terminal amino, acid analysis was done on the presumed HopB and C from CCUG 5284. The 23 amino acid HopB and 20 amino acid HopC sequences obtained for strain CCUG 5284 were found to be identical to the sequences (Figure 7) from strain 17874. The different mobilities of these bands were consistent with differential modifications to the  76  Figure 8. SDS-polyacrylamide gel of proteins from different H. pylori strains. Proteins solubilized in 3% OPOE after the selective solubilization protocol were loaded without heating (Lanes 1 and 3) or with heating to 95°C for 20 min (Lanes 2 and 4). Lanes 1 and 2 were proteins isolated from H. pylori CCUG 17874, and lanes 3 and 4 were proteins isolated from H. pylori strain CCUG 5284. HopA, B, and C proteins (unheated) from CCUG 17874 are labeled. Corresponding proteins from strain CCUG 5284 are visualized at shghtly higher apparent molecular masses. Molecular masses are indicated on the right.  77  porin proteins. Alternatively, the altered apparent molecular mass could represent insertions or deletions in the porin genes of different strains.  F) Summary Two dimensional gels showed that H. pylori possessed a number of heat modifiable proteins, and these proteins were considered to be porin candidates. A selective solubilization scheme designed to extract a number of these heat modifiable proteins resulted in a sample which contained 5 different heat modifiable proteins that were named HopA, B, C, D, and E. When the entire sample was added to a model membrane system, pore forming activity was observed, indicating the presence of porins, so further steps were taken to isolate and purify individual proteins. AU five heat modifiable proteins were ultimately purified by elution from SDS-polyacrylamide gels (two having been obtained from Dr. Peter Doig at the University of Victoria). N-terminal amino acid sequence analysis showed that all five heat modifiable proteins possessed similar sequences, even though the apparent molecular masses differed by up to two fold. These five purified, homologous, heat modifiable proteins thus required further characterization to determine which, if any, were actually porins.  78  CHAPTER 3: Characterization of Porin Function  A) Introduction The proteins which were isolated as porin candidates (Chapter 2) were all heat modifiable proteins. However, not all known heat modifiable proteins are porins. Therefore, further study was required to assess whether or not these isolated proteins were indeed porins. Various techniques are available that are able to demonstrate porin function of a particular protein, and the most utilized has been the planar lipid bilayer system (Hancock, 1986). Planar lipid bilayer systems are very versatile, as they not only indicate the pore forming ability of a particular protein, but they also enable a characterization of the equivalent size, ion-selectivity, molecular specificity (if any), and voltage gating of the porin protein (Hancock, 1986). Thus, a model membrane system utilizing planar lipid bilayers was implemented to study the potential H. pylori porin proteins. The H. pylori proteins being examined were not present in the stable trimeric structures observed for the majority of porin proteins. Rather, they appeared to be heat modifiable monomeric units, and the studies in this chapter demonstrated this form of these proteins to have porin function. Since there was little precedent for the existence of functional monomeric porins, a number of novel potential porin proteins which appeared as monomeric units on SDS-polyacrylamide gels were obtained and studied to provide further evidence for the existence of a class of porins other than the classical trimeric porins, and to  79  probe the diversity of properties of such porins that function as monomers. This chapter describes the results of the experiments which demonstrated the porin function of the purified H. pylori proteins. This included a characterization of the proteins using a model membrane system which showed the channel forming functions of these proteins. In addition, the characterization of a number of porins from different bacteria was completed, and this showed that there appeared to be many porins, other than the H. pylori porins, which could function as monomers.  B) Single channel conductance measurements of HopA, B, C, D All of the heat-modifiable H. pylori proteins that were isolated showed porin activity in a lipid bilayer model membrane system. Stepwise increases in conductance across the planar lipid bilayer membrane, due to the incorporation of single channels, were seen only upon the addition of purified protein in 0.1% Triton X-100 solution and not with protein-free detergent solutions alone (Figure 9). Channels were observed when as little as 1 to 2 ng of pure protein was added to a chamber containing approximately 6 ml of salt solution. Single channel conductance measurements in all salt solutions were distributed about a single mean for each of the proteins (Figure 10), and HopA, B, C, and D had similar mean conductances that ranged from 0.24 to 0.36 nS in 1.0 M KC1 pH 7.0 (Table XII). In contrast, the 50 kDa protein, which was not heat modifiable, but which copurified with the porin proteins, showed  80  0.5 nS  Figure 9. Stepwise conductance increases for the HopB protein. Conductance increases were recorded upon addition of 10 ng of protein to the aqueous phase (l.M KC1 pH 7.0) bathing a planar lipid bilayer made from 1.5% oxidized cholesterol. The applied voltage was 50 mV. By analogy with other such studies, each stepwise increase in conductance represented the incorporation of a single pore-forming protein molecule into the bilayer.  81  60  0.1  0.2  0.3  0.4  0.5  0.6  0.7  0.8  Conductance (nS)  Figure 10a. Histogram of conductance increments for HopA. Porin activity assayed in a model membrane system using 1.0 M KC1 pH 7.0 as the aqueous salt solution. The number of channel insertions for each channel size was charted to enable a determination of the average single channel conductance.  82  0.1  0.2  0.3  0.4  0.5  0.6  0.7  0.8  Conductance (nS)  Figure 10b. Histogram of conductance increments for HopB. Porin activity assayed in a model membrane system using 1.0 M KC1 pH 7.0 as the aqueous salt solution. The number of channel insertions for each channel size was charted to enable a determination of the average single channel conductance.  83  100  0.1  0.2  0.3  0.4  0.5  0.6  0.7  0.8  Conductance (nS)  Figure 10c. Histogram of conductance increments for HopC. Porin activity assayed in a model membrane system using 1.0 M KC1 pH 7.0 as the aqueous salt solution. The number of channel insertions for each channel size was charted to enable a determination of the average single channel conductance.  84  100  0.1  0.2  0.3  0.4  0.5  0.6  0.7  0.8  Conductance (nS)  Figure lOd. Histogram of conductance increments for HopD. Porin activity assayed in a model membrane system using 1.0 M KC1 pH 7.0 as the aqueous salt solution. The number of channel insertions for each channel size was charted to enable a determination of the average single channel conductance.  85  50  0.6  0.8  1.0  1.2  1.4  1.6  1.8  2.0  C o n d u c t a n c e (nS)  Figure lOe. Histogram of conductance increments for HopE. Porin activity assayed in a model membrane system using 1.0 M KC1 pH 7.0 as the aqueous salt solution. The number of channel insertions for each channel size was charted to enable a determination of the average single channel conductance.  Table XII. Average single channel conductance measurements for H. pylori porin proteins in a variety of salt solutions. HopA Salt 0.3 M KC1 1.0MKC1 pH7.0 1.0MKC1 pH4.0 1.0MKC1 pH2.0 3.0 M KC1 1.0 M LiCI 1.0MKCFLCOO  HopB  G (nS)  n  0.36  128  HopC  HopE  HopD  G(nS)  n  G(nS)  n  G(nS)  n  G(nS)  n  0.12 0.36 0.23 0.10 0.68 0.20 0.11  98 265 106 66 104 97 90  0.11 0.32 0.31 0.20 0.64 0.24 0.13  105 210 127 42 194 158 158  0.09 0.24 0.25 0.24 0.66 0.27 0.09  172 198 149 36 182 128 136  0.45 1.50  88 129  2.95 0.86 0.65  90 89 103  G was the average single channel conductance. All measurements are in nS. HopA was only tested in 1.0 M KC1 as the amount of sample was limited, n represents the number of channels observed. The pH of the salt solutions was 7.0 unless otherwise noted.  87  no pore forming activity. The low conductances observed in all cases with KCH COO as the 3  mobile salt, compared to those for LiCl (Table XII), were consistent with a weak selectivity for anions over cations since K and CI" are much smaller than hydrated L i and CH COO" +  +  3  respectively. HopB and HopC showed marked decreases in single channel conductance at lower pH values, while HopD appeared to be unaffected (Table XII). HopB channels changed from a conductance of 0.36 nS at pH 7.0 to a conductance of 0.23 at pH 4.0, and a conductance of 0.10 at pH 2.0. HopC channels showed virtually the same conductance at pH 7.0 and pH 4.0 (0.32 and 0.31 nS respectively), but the conductance dropped to 0.20 nS at pH 2.0. HopA was tested in 1.0 M KC1 pH 7.0 and not in other salt solutions because only a limited amount of purified protein was available.  C) Single channel and zero current membrane potential measurements of HopE Purified HopE exhibited pore-forming ability in a planar lipid bilayer system upon the addition of approximately 10 ng of protein to the solution bathing a membrane composed of 1.5% oxidized cholesterol. Similar to the other Hop proteins, the single channel conductances observed for each salt solution were distributed about a single mean, and the conductances were found to be a linear function of the salt concentration. The average single channel conductance for the monomeric units was 1.5 nS, which was considerably larger than the conductance of HopA, B, C, and D. Zero current membrane potential measurements were taken to determine the ion selectivity (if any) of HopE. The ratio Pc/Pa for HopE, where Pc  88  is the permeability for cations and Pa is the permeability of anions, was calculated by the Goldman-Hodgkin-Katz equation to be 1.059 ± 0.001, which indicated that the protein showed virtually no selectivity for cations or anions. This was consistent with the observation that there were similar decreases in conductance when using either a larger cation (Li ) or a +  larger anion (CH COO) (Table XII). 3  D)  Model membrane analysis of functional monomeric porins from other bacteria Contrary to observations that nearly all porins that had been previously isolated were  functional as trimeric units, all of the H. pylori porins that were studied here were apparently functional in vitro as monomers [although there is evidence that HopE may be associated in trimers (Doig et al, 1995)]. To further investigate the possibility that porins functional as monomers may be more widespread that previously thought, a number of porin proteins from a variety of organisms, including 3 spirochetes (Blanco et al,  1995, Gherardini et. al,  unpublished results, Lutwyche et al, 1995 Shang et al, 1995, Forst et al, 1996), were examined to determine whether or not they could function as monomers . These porins were purified by others by using, as afinalstep, the gel purification and elution procedure which I had developed for purifying the H. pylori, porins. The porin proteins and the organisms that they were obtained from are listed in Table XIII. As can be seen, there were a large variety of organisms from which monomers, that I was subsequently able to demonstrate to be functional as porins, were isolated. There was significant variation  Table XIII. Characteristics and single channel conductances of porin proteins that function as monomers.  Organism / Protein  Monomer Moi. Wt. (kDA)  Evidence Conductance (nS) of of Monomer in Multimer 1.0MIC1  Reference  Treponema pallidum Trompl  31  yes  0.70  Blanco et al, 1995, this thesis  Treponema pallidum Tromp2  28  no  0.30  Champion et al, 1996, this thesis  Borrelia burgdorferi 39 kDa  39  yes  0.56  Gherardini et al, unpublished;this thesis  Leptospira kirschneri OmpLl  31  yes  1.10  Shang et al, 1995; this thesis  Aeromonas hydrophila 28 kDa  33  no  1.96  Lutwyche et al, 1995;this thesis  Xenorhabdus nematophilus OpnP 30  no  0.44  Forst etal, 1995; this thesis  Helicobacter pylori HopA  48  no  0.36  Exner et al, 1995, this thesis  Helicobacter pylori HopB  49  no  0.36  Exner etal, 1995, this thesis  Helicobacter pylori HopC  50  no  0.32  Exner et al, 1995, this thesis  Helicobacter pylori HopD  67  no  0.24  Exner et al, 1995, this thesis  Helicobacter pylori HopE  31  yes  1.50  Doig et al, 1995, this thesis  90  in the conductance and therefore the size of these channels. A more thorough analysis of each of these channels was performed by me and is included in the references listed in Table XIII.  E) Summary Five different heat modifiable proteins which were isolated and purified from H. pylori have been shown to function as porins. HopA, B, C, and D showed very similar pore forming characteristics; they appeared to function as monomers, and formed pores with single channel conductances in 1.0 M KC1 ranging from 0.24 to 0.36 nS. Two of the proteins (HopB and HopC) showed marked decreases in conductance at lower pH values. These four porins appeared to have a shght selectivity for anions over cations. HopE showed distinct pore forming characteristics from the other four porins, as it formed significantly larger channels with an average conductance of 1.5 nS. Zero current membrane potential measurements demonstrated that this porin showed virtually no selectivity for anions or cations. Since all five H. pylori porins were functional as monomers, they differed from the majority of porins isolated and characterized to date. Thus, studies were undertaken to examine whether or not monomeric functional porins could be isolated from other species. Six different monomeric porins from 5 different genera of bacteria were isolated by different laboratories and shown to be functional in these thesis studies. This showed that the H. pylori porins and previously described monomeric porins were not necessarily unique in their  91  structure.  92  CHAPTER 4: Growth of H. pylori in defined media, and examination of porin protein expression  After it had been shown that HopA, B, C, D, and E functioned as porins, studies were performed in hopes of elucidating whether or not there were specific functions for these porin proteins other than being general diffusion pores. The approach used was to grow H. pylori in defined media with various supplements and monitor porin protein expression. It was hoped that some differential expression of the porins would be observed under different growth conditions or in different media, and this would suggest specific roles for the porins. Prior to growing cells in defined media, experiments were undertaken to determine whether porin expression differed for cells grown on BHI supplemented with blood, hemoglobin, or cyclodextrin, and additionally, cells were grown for different lengths of time and in different atmospheres to see if those conditions altered expression. After isolating cells that had been grown in the various conditions, whole cell lysates, membrane preparations, and selectively solubilized proteins were all examined using SDS-PAGE. Protein profiles and levels of protein expression from cells grown on the different media were compared and analyzed. The initial results showed that there were minimal differences in protein expression with all of the solid media used (Figure 11). Growth in BHI/CD hquid medium  93  Figure 11. SDS-PAGE of membrane preparations from cells grown on different media and for different periods of time. Lane 1 was a series of molecular weight standard proteins. Lane 2 was from cells grown on BHI/5% blood for 3 d in a microaerophilic environment, lanes 3 and 4 were from cells grown for 3 d and 14 d respectively on BHI/5% blood in 10% C 0 , 2  lanes 5 and 6 were from cells grown for 3d and 30d respectively on BHI/Hb in 10% C 0 , and 2  lane 7 was from cells grown 3d in BHI/CD hquid medium in a microaerobic atmosphere. Molecular masses of standard proteins are indicated on the left, and proteins with increased expression in BHI/CD are indicated with arrows. The positions of the H. pylori porins is marked on the right.  94  (Figure 11, lane 7) resulted in an increase in the expression of HopA and B as compared to growth on the different solid media, along with increases in expression of proteins with apparent molecular masses of 100, 90, 65, 46, 28 and 19 kDa. The number of times a strain was subcultured and the atmosphere in which it was grown did not appear to affect porin expression. The length of time cells were incubated in culture only resulted in altered protein profiles when cells were grown for 30 days [cells grown 3 days and 14 days showed the same protein profiles (Figure 11, lanes 3 and 4)]. Cells grown for 30d had lower expression levels for virtually all of the proteins in the sample. Experiments were then continued using defined hquid media with different supplements (Tables VI and VII in materials and methods). No major increases or decreases in porin expression were seen. However, growth with different iron concentrations appeared to result in some alterations in expression of proteins with molecular masses corresponding to HopA, B, and C. Thus, growth with varying iron concentrations was examined in further detail. Continuing experiments using iron depleted medium or medium with excess iron showed that expression of HopA, B, and C was definitely influenced by the iron concentration in the medium. The outer membrane CHAPS solubilization procedure outlined by Worst et al. (1995) was used to isolate membrane proteins from cells grown in BHI-CD with different concentrations of 2,2-dipyridyl, which was used to chelate free iron. The use of chelators to create iron limitation is standard and is more effective than utilizing additions of different amounts of iron, as the iron present as a contaminant in medium supplements or  95  bound to the sides of growth containers may lead to improper calculations of iron concentration. Limiting the iron concentration in the defined media by using chelators resulted in low cell yields. Since BHI/CD media gave better cell yields than the defined media, BHI/CD was used for experiments using chelators. Membrane preparations derived from cells grown in iron depleted conditions (BHI-CD with 25.0 uM dipyridyl) showed increased expression of HopA, B, and C. In addition, 28, 36, and 50 kDa non-heat modifiable proteins appeared to be increased in expression levels relative to those under conditions of iron sufficiency (Figure 12, cf lanes 3,4 and 1,2). When less dipyridyl was added (25 um) resulting in a more modest iron deficiency, there was still an increase in the expression of the previously mentioned proteins, but to a lesser extent. After finding that the expression of certain H. pylori porin proteins was iron regulated, experiments were performed to determine whether porin expression levels had an effect on antibiotic susceptibility. It is known that some antibiotics use porin channels to enter a cell, and it has been proposed that pore forming proteins [e.g. OprM from Pseudomonas aeruginosa (Poole et al, 1993)] are involved in the efflux of antibiotics out of the cell. Thus, minimal inhibitory concentration assays (MIC's) were performed using a variety of antibiotics with cells grown under conditions that influenced porin expression. The results (Table XIV) indicated small but consistent decreases in MIC's for the p-lactam antibiotics ampicilhn and amoxicillin under conditions favorable to porin overexpression. In contrast, these same conditions  rendered the  cells less susceptible  to  tetracycline  and ciprofloxacin.  96  1  2  3  4  5  6  Figure 12. SDS-PAGE showing regulation of porin expression by iron. Samples grown in different media were solubilized using the CHAPS solubilization procedure (Worst et al, 1995). Samples were obtained from cells grown in BHI-CD supplemented with 100 um FeCl  3  (lanes 1 and 2), 250 um 2,2-dipyridyl (lanes 3 and 4), or 25 um 2,2-dipyridyl (lanes 5 and 6). Samples from lanes 1, 3 and 5 were solubilized at 23°C, while those from lanes 2, 4, and 6 were solubilized at 95°C. The positions for HopA, B, and C are seen on the left, and molecular masses are indicated on the right.  97  Table XIV. Minimal inhibitory concentrations for H. pylori grown with varying iron concentrations  Media  Ampicillin Amoxicillin Tetracycline Kanamycin Metronidazol Ciprofloxach  BHI-CD  0.25  0.016  0.06  0.50  1.0  0.06  Fe Deficient+Fe  0.12  0.016  0.06  0.50  0.50  0.06  Fe Deficient  0.06  0.008  0.25  0.50  1.0  0.13  BHI-CD is brain heart infusion broth supplemented with 0.1% cyclodextrin. Fe Deficient + Fe is BHI-CD + 100 um dipyridyl + 100 um Fe Citrate. Fe Deficient is BHI-CD with 100 um dipyridyl. All MIC values are in ug/ml.  98  The results from this chapter showed that some porin expression levels were increased under conditions of iron deprivation. Of the porin proteins, only HopA, B, and C appeared to be affected, but other proteins also showed increased expression under these same conditions. In addition, it was found that antibiotic susceptibility changes occurred coincidentaUy with these changes in protein expression. Those antibiotics which typically traverse porin channels [i.e. p-lactam antibiotics (Hancock and Bell, 1988, Livermore, 1988)] showed increases in susceptibility with higher levels of porin expression, while antibiotics for which bacteria have active efflux systems [i.e. tetracycline and ciprofloxacin (Hancock and Bell, 1988)] showed decreases in susceptibility with increased porin expression.  99  C H A P T E R 5: Cloning and D N A Sequence of Porin Proteins  A ) Introduction Once the 5 H. pylori porin proteins had been isolated and characterized with respect to pore-forming ability, steps were taken to clone one or more of the porin genes. The primary purpose for cloning these genes was simply to analyze the sequences and to determine if the similarity between the five H. pylori porins extended beyond the N-terrninal region. It would be interesting to map the porin genes to the H. pylori chromosome, and to discover whether or not the apparently related proteins are co-localized on the chromosome. In general, cloning of the genes would also allow for a multitude of further manipulations of the genes and proteins, and as a short term goal, the sequencing and localization of the genes on the chromosome would provide further information regarding porin structure and whether or not the porins were found in a regulon. This chapter describes the construction of a H. pylori gene bank, the identification of cosmid clones which encoded H. pylori HopA and HopB, and the hybridization of these clones to H. pylori chromosomal DNA.  B) Construction of H. pylori gene bank A gene bank of H. pylori chromosomal DNA was created by partially digesting chromosomal DNA with Sau3Al  and ligating 20 kilobase pah" size fractionated fragments  into the cosmid vector pLAFR3. The resulting cosmids were packaged into X phage heads,  100  and were then transfected into E. coli LE392, plated out, and ampicillin resistant transfectants were collected. It was determined that the library consisted of 5 x 10 colony 8  forming units per ml. Alkaline lysis minipreps were made using 30 randomly selected clones. The isolated cosmid DNA was then digested with EcoRI and with EcoRI /Hindlll. Because aU of the clones showed different digest patterns, it was assumed that the hbrary was likely to be representative of the entire chromosome, as no specific chromosomal DNA fragments predominated.  C) Construction of porin gene probes and D N A sequencing of probes To identify the porin genes in the cosmid hbrary, probes for the porin genes were required. Originally, the only sequences available which could be used as probes were the degenerate reverse translations of the N-terminal amino acid sequences. Degenerate ohgonucleotide probes were created using these sequences, and the oligonucleotides were then 3' end labeled using digoxigenin labeled dUTP (DIG-dUTP) according to the Boehringer Mannheim 3' end labeling kit protocol. The sequences used as probes for hop A, B, C, and D can be seen in Figure 13. These probes were used to screen colony blots and dot blots of cosmid DNA that had been isolated from a number of clones, but no positive clones were found, possibly due to the low sensitivity of the 3' end labeling and because only small amounts of DNA were present in each colony being examined.  HopA 5'  E  N  D  G  V  F  M  GAR A A Y G A Y GGN GTN TTY A T G  HopB  D  G  S  V  G  V  Q  I  G  G  GAR G A R G A Y G G N G G N T T Y A T G A C  HopC  Y  G  G  5'  D  N  A  V  Q  Q  V  G  GAR G A Y A A Y G G N C C N G A R G T N C G  Q  V  V  D  V  Q  Q  V  + 3'  G  Q  V  M 3'«  HopD  Q  —•3'  M  G  G  G  D  N  G  TAC G T Y CTR C A N G T Y TTR G G  G  M  3'  Figure 13. Oligonucleotides used for porin probes. The partial N-terminal amino acid protein sequences are presented in the single letter code, and reverse translated nucleotide sequences are boxed in red. For nucleotides, R =A or G, Y=C or T, and N=A or C or G or T  102  Since these methods proved unsuccessful, a new scheme to provide probes was developed. HopA, B, C, and D were purified, and the proteins were cleaved with CNBr, which cleaves after methionine residues (Lehninger, 1970). The cleavage pattern for these proteins is seen in Figure 14, and it shows that even though the proteins showed molecular mass differences of up to 19 kDa, protein bands with apparent molecular masses of 8, 10, 13, and 17 kDa were seen in corresponding positions  in more than one sample. Cleavage  products were isolated and sent to a protein micro-sequencing facility for N-terminal amino acid sequencing. Internal sequences were obtained for all four proteins, and the sequences can be seen in Figure 15. Sequences for HopA and HopC were obtained from 10 kDa peptides, and sequence ahgnment shows that there was some minimal similarities in these internal sequences. The sequence from HopB was from an 8 kDa peptide and the HopD sequence was obtained from an 11 kDa peptide, and the sequences again showed some slight similarity. When these proteins were aligned with HopA or C, no obvious similarity was detected. Using N-terminal and internal protein sequences, PCR primers were created such that the region from the N-terminus to the point at which the internal sequence was located could be amplified. An outline of the strategy used to create PCR products which encode portions ofthe porin genes is seen in Figure 16. The oligonucleotide primers that were used are shown in Figure 17. A large number of PCR reactions were performed, utilizing different annealing temperatures, different extension times, different templates, and different, MgCl , 2  dNTP, template, and primer concentrations. In all cases, controls using no template were  103  1 2  3  4  -20 kDa -17 kDa -13 kDa -11 kDa 10 kDa 8 kDa  Figure 14. Silver stained 15% SDS-polyacrylamide gel of peptide fragments generated by CNBr cleavage of HopA, B, C, and D. Lanes: 1) HopA; 2) HopB; 3) HopC; 4) HopD. Protein fragments were solubilized at 95_C for 20 min prior to loading. Molecular masses are indicated on the right. Positions where bands of similar molecular masses are seen in multiple lanes are indicated with arrows.  104  HopC (10 kDa)  NF G G N D G  HopA (10 kDa)  Q AEK D T  SNFl Q L Q Q T N  • • A A F Q K R SS G  Q Q A V TLNQS  DG  N E T L  HopD (12 kDa)  I P I  HopB (8 kDa)  G Y Fj L G Q V V Q Q V K N P G K I K A E  Figure 15. Internal amino acid sequences of CNBr digested HopA, B, C, and D peptide fragments. Identical amino acids are boxed, and " • " designates similar amino acids [using a cut off score = 9 with the Dayhoff similarity matrix (Dayhoff et al, 1983)]. The single letter amino acid code is utilized.  in o  COOH  NH2  3 j* COOH  NH2  M-'tsrrninal Sequence EDDFFMGGT  QDALKFP  Reverse Translate/ PC Ft  5'  I  3'  Figure 16. Schematic representation of strategy used to create probes to porin proteins.  3' 5'  HopA N-terminal Sequence E 5'  N  D  G  V  F  HopA Internal Sequence M  GAR A A Y G A Y G G N GTN TTY A T G  Q  5'  E  D  G  G  F  K  D  CTY  GTY C G N CTY TTY CTR TG  N  P  TTR  GGN CCN TTY TAD TTY C G  N  F  TTR  AAR C C N C C N TTR CTR C C  N  Q  TTR  GTY M K N TTR C T Y T G  HopB Internal Sequence M  G  K  I  K  A  GAR GAR GAY GGN GGN TTY ATG AC  3'  HopC N-terminal Sequence E  D  D  G  G  HopD N-terminal Sequence D  N  G  P  E  V  GAR G A Y A A Y GGN CCN GAR GTN CG  G  G  N  D  G  • 3' 3'  E  5'  HopC Internal Sequence  F  GAR G A Y G A Y G G N G G N T T Y TTY A C  5'  E  3'  HopB N-terminal Sequence E  A  5'  HopD Internal Sequence S N E T  -> 3' 5'  Figure 17. Reverse translated oligonucleotides used for PCR. The partial N-terminal and internal amino acid sequences are presented in the single letter code, and reverse translated nucleotide sequences are boxed in red. For nucleotides, R =A or G, Y=C or T, M =A or T, K =G or T, and N=A or C or G or T  107  included, as were controls using either the 5' or 3' primer alone, such that two-primer specific products could be identified apart from products produced from a single primer. It was found that PCR products were only produced when the MgCl concentrations were above 8 mM, 2  with the optimum concentration being 12 mM. This was a much higher concentration of MgCl than that used for most PCR reactions which tend to require 2-4 mM MgCl . When 12 2  2  mM MgCl was used, the concentrations of the primers, template, and dNTP's made little 2  difference to the resultant pattern of PCR products. The PCR products obtained under the optimized conditions are shown in Figure 18. There were a number of products produced in each reaction, although only a small number of products for both hopA and hopB were twoprimer specific as opposed to random products produced by a single primer. Products were obtained with HopC and HopD primers, but in neither case were there any prominent twoprimer specific products which could be isolated. Two-primer specific products obtained using hopA primers and hopB primers were isolated by gel purification using the Geneclean II kit and protocols (BIO 101, Vista, CA). The products were then reamplified and cloned into the pCRII vector (Invitrogen). The vector was then transformed into INVaF' cells, transformants containing inserts were identified, and the plasmid DNA from these, clones was isolated. These clones were then sequenced, and clones encoding the N-terminal region of HopA and HopB were identified by comparing the sequences with the reverse translated protein sequences which extended  108  Figure 18. PCR products using H, pylori chromosomal DNA and primers derived from reverse translations of N-terminal and internal protein sequences. Reactions using primers corresponding to sequences from HopA are seen in the first 3 lanes, while lanes 4 to 6 represent reactions using primers for HopB. Lanes 1 and 4 are reactions using both the 5' and 3' ohgonucleotide primers, 2 and 5 are reactions using only the 5' ohgonucleotide primer, and 3 and 6 are reactions using only the 3' ohgonucleotide primer. The size and position of standard DNA fragments are expressed as the number of base pairs and is indicated on the left.  109  beyond the sequence of the primers. This sequence comparison ensured that the correct products were present. In this manner, a 608 bp sequence encoding the N-terminal region of HopA and an 83 bp sequence encoding the N-terminal region of HopB were cloned. Sequence analysis using the BLAST program (Altschul et al, 1990) showed no strong homologies to any other DNA sequences or to protein sequences derived from the translated nucleotide sequence. Partial sequences and sequence comparisons are shown in Figure 19. These cloned DNA sequences were randomly labeled with digoxigenin and were then used as probes to identify cosmid clones which contained the hopA and hopB genes.  D) Identification of positive cosmid clones The H. pylori chromosomal DNA cosmid hbrary was screened with probes in order to identify clones which contained the H. pylori porin genes. Initially, colony blots were performed on approximately 2000 colonies which had been plated out on 20 agar plates. The colonies were blotted onto positively charged nylon membranes and were then hybridized at 42°C with the degenerate ohgonucleotide gene probes that had been 3' end labeled with digoxigenin. As was previously noted, after the post-hybridization washes and the detection procedure, no positive clones were identified.  110  54  hopA GAG III  hopB  A A T GACGGG GTATTC ATGAGCGTGGGG TAT CAA ATC GGTGAAGCGGTT C A A I II I I I I II I I I I I I I 11 111 I I I III I I I I I I 11  GAG GAG GATGGG GGG TTT A T G A C C T T T GGG T A T G A A TTA G G T C A T G T G G T C C A A 108  hopA C A A G T G A A A  AAC ACC GGCGAA ATC C A A A A A G T C T C C A A C G C T T A C G A A A A T T G G III III III III II I I I II I II I hopB C A A G T G A A A AACCCC GGCAAA ATC A A G GC 162  hopA A A C A A T CTG TTA ACC CGC TAT AAC GAA  CTC A A A C A A A C G G C C T C T A G C A C T G A T 216  TC A AGC ACC GAT CAAGCGATT GAC AAT CTA A A A G A A A G T G C T A G C A G A T T A A A A 270  A C G A C C C C C A A Y A G C G C Y A A Y C A A G C C G T A T C C T C A G C G C T C AGCTCT G T G G T G 324  GGC ATC T G G C A A G T A A T A C C C TCT AAT TTA GCC A AT A A A TCG CTA CCA ACT AGT 378  G A A TAC AGC A A A ATC AAT GCG ATT TCT C A A T T G CTC C A A AAC ACC T T A GAA A A T 432  A A A A A C A A T G A T C T C ACGATT GCAGATGGCTAC GATCAGCTT T T A ACT CAAGCC 486  A G C A C C A T T ATT A A T A C C C T T CAAAGCCAATGC CCAGGA A T A GCC GGG GGC A A T 540  GGC A A A CCATGGGGCATT A A T G C A A G C G G G AATGCATGC AAT ATT TTT GGC AAC 594  ACC TTT AGCGCT ATT ACT AGC ATG ATT GAT AGCGCT A A A A A A GCC GCC GAG C A A GCC GAA A A A GAT AC  HopA E N D G V F M S V G Y Q I G E A V Q Q V K N T G E I Q K V S N A Y E HopB  I I I II I I I I I I I I I I I E E D G G F M T F G Y E L G Q V V Q Q V K N P G K I K A E E L  Figure 19. D N A and protein sequence comparisons of HopA and HopB. Bars represent identity between the sequences. The entire nucleotide sequences of P C R products encoding portions of the hopA and hopB genes are shown.  Ill  Efforts were later turned to using the hopA and hopB gene probes which were created by PCR and were randomly labeled with digoxigenin. 580 individual clones from the cosmid hbrary were each inoculated into 200 ul of TYGPN in the wells of a 96 well microtitre plate. Minipreps of cosmid DNA were performed, and 5 ul of each miniprep was spotted directly onto a positively charged nylon membrane. After hybridization with the probes at 68°C, two positive clones were detected with the hopA probe, and two positive clones were detected with the hopB probe. Further analysis showed that one clone (clone 321) was identified by both probes. Thus, three clones were isolated: clone 321, which was identified with both the hopA and hopB probes, clone 322, which was identified by only the hopA probe, and clone 451, which was identified by only the hopB probe. When the positive clones were analyzed by Southern blotting (Figure 20), it was evident that the hopB probe also hybridized with clone 322 (Figure 20, lanes 5 to 8 of hopB probed blot), even though it did not originally appear to hybridize with that particular clone. In addition, the hopB probe hybridized with the same fragments as the hopA probe. The hopA probe did not show any reaction with clone 451 (lanes 9 to 12 in Figure 20). Chromosomal DNA from two different H. pylori strains (CCUG 17874 and 5284) was isolated and digested with BamHI or EcoRI, and hybridizations were done using the PCR generated hopA and hopB probes. The resulting blots showed hybridization patterns that were similar in both strains, which suggested that the porin genes are conserved. However, two faint bands appearing at 13 kb and 1.5 kb in EcoRI digested samples were  112  HopA Probe kb  1 2 3 4  5 6 7 8  910 11 12  HopB Probe 1 2 3 4  5 6 7 8 910 1112  20 12  •  *  #4  *  -  0.5-  Figure 20. Southern blots of digested cosmid clones. The blots were probed with the hopA or hopB probes (as labeled) that were created using PCR. Lanes 1 to 4 are digests of clone 321, lanes 5 to 8 are digests of clone 322, and lanes 9 to 12 are digests of clone 451. Lanes 1, 5, and 9 are BamUl digests, lanes 2, 6, and 10 are EcoRI digests, lanes 3,7, and 11 are Hindlll digests, and lanes 4, 8, and 12 are double digests using BamHl and EcoRI. The number of base pairs of the fragments (in kilobases) is indicated on the left.  113  present on the hopB probed blot of strain 5284 DNA (Figure 21, lane 4), while these bands were not detectable from strain 17874 (Figure 21 lane 2). Thus, there may be some differences between strains. The hopB probe hybridized with a 10 kb and a 12 kb band for EcoRI digested DNA, but the hybridization with the 12 kb band may have been a nonspecific reaction with the fragment containing the hopA gene, as the hopA probed blot showed intense bands at 12 kb. The bands that appeared at 20 kb for the hopB probed samples may also have been a result of non-specific binding.  E) Summary A cosmid library ofH. pylori chromosomal DNA was created, and it was screened in order to identify clones encoding the H. pylori porin genes. Oligonucleotides that were 3' end labeled with DIG-ddUTP did not reveal any positive clones, so new probes were created. Nterminal amino acid sequences and internal amino acid sequences of the H. pylori porin proteins were obtained, and oligonucleotides were created as PCR primers after reverse translating the protein sequences. PCR reactions produced products which encoded portions of the hopA and hopB genes. These sequences were then used to screen the cosmid library. Screening with the hopA probe revealed two positive clones, as did screening with the hopB probe. One of the hopA clones was the same as one of the hopB clones, and the hopB probe crosshybridized with the both hopA clones. The hopA DNA probe did not hybridize with  114  HopA kb  HopB  1 2 3 4 1 2 3 4  20 12  2  —  Figure 21. Southern blots of H, pylori chromosomal DNA. The panel labeled HopA was probed with the hopA probe created by PCR, and the panel labeled HopB was probed with the hopB probe created by PCR. In each panel lanes 1 and 2 are DNA from strain 17874, while lanes 3 and 4 are from strain 5284. Lanes 1 and 3 represent DNA digested with BamHl, and lanes 2 and 4 are digests using £coRI. Base pairs (kilobases) are indicated on the left.  115  hopB clone that was not similar to the hopA clones. DNA sequence analysis of the amplified regions of the hopA and hopB genes showed sequence homology along the entire sequence, although only 83 bp of the HopB sequenced was obtained.  116  D I S C U S S I O N  A ) Large scale growth and novel techniques and methods for manipulation of H. pylori  To isolate sufficient quantities of proteins which would allow for porin protein identification and purification, large masses of H. pylori  cells were required. When these  studies were initiated, a number of different media types were in use, and all of them generally utilized a rich medium that was supplemented with either blood or serum. Cells were typically grown under nucroaerophihc conditions which could be provided by sealed jars containing gas-generating packets. Growth in both hquid and solid media had been described, but large scale growth had not been documented. Since the production of large volumes of blood-supplemented media along with growing cells in sealed jars was rather inconvenient, experiments were undertaken to try to establish a more suitable system for growing larger batches of H. pylori  cells.  Media supplemented with powdered hemoglobin proved to be effective for culturing  H. pylori,  and cells remained cultureable on this medium longer than they did on blood or  serum supplemented media. In addition, H.  pylori  grew better on this medium in a 10% C 0  atmosphere than they did in microaerobic conditions, even though the level of oxygen in the C 0 incubator would be near atmospheric levels, which would be weU above what would be 2  2  117  considered microaerobic. However, since it has been shown that H. pylori can be conditioned to grow aerobically (Xia et al., 1994, Tompkins et al., 1994), growth in a C 0 incubator did 2  not seem extraordinary. It is possible that the use of hemoglobin allowed cells to remain cultureable for longer periods of time because the high hemoglobin content (1%) resulted in high iron content. Iron is required for growth, and the hemoglobin could provide a long lasting source of iron. The ability to condition H. pylori strains to grow under certain growth conditions is evident when one considers that some H. pylori strains have been conditioned to grow aerobically without elevated C 0 levels, while other strains do not normally grow under these 2  conditions. It is worth noting that the H. pylori strains which were originally grown on blood-containing medium under microaerobic conditions immediately showed vigorous growth when subcultured and grown on the hemoglobin supplemented medium in a 10% C 0  2  incubator; thus, growth on hemoglobin medium in 10% C 0 was not simply due to 2  conditioning organisms to grow under those conditions. The hemoglobin supplemented medium could easily be produced in large volumes, and it was much cheaper than other media supplements. Hemoglobin supplementation costs approximately $1.10 per litre of medium, whereas bovine serum would cost $5.00 per litre, bovine serum albumin would cost $45.00 per litre, and cyclodextrin would cost $51.60 per litre (prices quoted from Sigma, Mississauga, ON). Thus, this medium was not only more effective for growing H. pylori, but it was also very inexpensive.  118  H. pylori cells did not grow on media supplemented with different protein or amino acid supplements including skim milk powder, tryptone, or casamino acids. Thus, growth of cells in media containing BSA or hemoglobin was not enhanced simply due to a high protein concentration. It. originally appeared that some type of blood product was specifically required for growth, as cells grew on media supplemented with blood, serum, hemoglobin, or bovine serum albumin. However, it has been shown that H. pylori can be cultured on media devoid of blood products, including rich base media supplemented with cyclodextrins (Olivieri et al., 1993). Thus, it would appear that the role played by the cyclodextrins also duphcates some component of blood. Possible roles for these media additives may be to interfere with the action of oxygen radicals or of peroxidated fatty acids (HazeU and Graham, 1990). In this study, hquid cultures did not grow enough cells to permit me to efficiently carry out protein isolations and purifications. Cells grown in tissue culture flasks in shallow depths of hquid, showed superior growth to cells grown in greater depths of hquid (i.e. 600 ml of hquid in a 2 1 flask). It is possible that the shallow hquid depths allowed for a more efficient exchange of atmospheric gases into the medium. Growth in agitated cultures produced better results than in non-agitated cultures, but only small volumes of hquid could be used. A variable atmosphere incubator was not available, so aU agitated cultures had to be maintained in sealed jars (agitated cultures did not grow in a 10% C 0 incubator). The 2  increased growth with the agitated cultures may also be due to greater amounts of gases  119  being dissolved into the medium. In any case, aU hquid growth attempts resulted in relatively low cell densities. Recently, studies have shown that efficient large scale growth can be achieved in hquid cultures and in fermentors (Ohvieri et al, 1993, Deshpande et al, 1995). Nonetheless, the methods used do not always produce results for all strains oiH. pylori, and in most cases, a very large inoculum of cells is required for any growth. In addition, a fermentor with adaptable gas concentrations is required, and these are not available to all laboratories.  B) Identification of a putative family of porin proteins For many Gram-negative bacteria, prospective porin proteins can be identified relatively easily by examining their outer membrane protein profiles. Porins are often among the most prominent protein species present, and they generaUy show a typical heat modification pattern: trimeric structures denature into monomeric subunits after heating the sample, and this can be visualized using SDS-PAGE. In the case of H. pylori, it was not easy to identify prospective porin proteins. No distinct major bands were present in membrane preparations other than bands corresponding to the urease subunits, and there were a large number of proteins present, unlike outer membrane preparations from typical Gram-negative bacteria such as E. coli (Figure 22). The large number of proteins in the H. pylori membrane sample may have been due, in part, to the fact that the inner and outer membranes could not be easily separated from each other, thus leaving a number of inner membrane proteins in the  120  1 2  3  4  Figure 22. Comparison of E. coli outer membrane profile with H. pylori membrane profile. No major bands are seen in the H. pylori membrane preparations as they are in the E. coli outer membrane preparation. Lanes: 1) E. coli outer membrane preparation solubilized at 23°C, 2) E. coli outer membrane preparation solubilized at 95°C, 3) H, pylori membrane preparation solubilized at 23°C, 4) H, pylori membrane preparation solubilized at 95°C.  121  outer membrane samples, and vice versa. Sucrose gradient centrifugation, which can produce outer membranes that are relatively free of inner membrane proteins, did not give good separations with H. pylori membranes. In fact, it was found that the porin proteins that were eventually purified were actually found largely in what would normally be the inner membrane fraction (the less dense fraction) after centrifugation. Moreover, the less dense fraction possessed fewer different proteins, and the proteins were generally expressed at greater levels than the proteins from the more dense fraction (Figure 3). This type of profile is what would be expected for an outer membrane sample. An explanation for this phenomenon is that the density of the outer membrane must have been lower than that of gram-negative bacteria such as E. coli. This, in turn, may be the result of the absence of highly expressed major outer membrane proteins that are present in E. coli, or it could be due to the unusual LPS composition. H. pylori porin proteins appear to be expressed at relatively low levels, and this may be due to their specialized gastric niche. For instance, lower numbers of diffusion channels could be a mechanism by which H. pylori could minimize the influx of protons during its residence in the stomach. Because of the inabihty to efficiently separate H. pylori inner and outer membrane proteins, whole membrane preparations were used instead of outer membrane preparations in all purification procedures. Since the H. pylori porins are not highly expressed and because they were present in membrane samples amongst many other proteins, it not only made it difficult to identify the porins, but it made purification of the porins extremely difficult.  122  To look for prospective porins, SDS-PAGE was used in an attempt to identify trimeric complexes that denatured into monomeric subunits after heating, but none of the membrane proteins seemed to possess these characteristics. The knowledge that porins are stable p-barrel structures was then exploited to help in identifying which proteins were prospective porins. Such structures are resistant to denaturation by SDS, and only upon heating or boiling in SDS will the proteins denature and unfold from their tightly structured conformation. By examining SDS-PAGE gels of heated and unheated samples, potential pbarrel structures, which in turn would be potential porins, could be identified by looking for proteins which showed increases in apparent molecular masses after heating. Although one would normally expect the porins to be in trimeric forms that would denature into monomers after heating, porins isolated from Pseudomonas and Campylobacter species showed an alternate form of heat modification in which the monomeric P-barrels unfold (similar to the heat modifiable properties of OmpA from E. coli.) (Hancock and Carey, 1979, Saravolac et al., 1991, Page et al., 1989). Thus, it was considered that H. pylori may also possess porins which could be identified by observing the denaturation of monomeric units rather than the denaturation of the trimeric units. At least 12 different heat modifiable proteins were identified, and some of these proteins showed the appearance of a multimeric complex which had broken down into subunits. However, it appeared that the multimer broke down into three subunits with different molecular masses, and the molecular masses of two of the subunits corresponded to  123  those of the urease subunits, while the other was approximately 18 kDa which was likely too small to be a porin. It was therefore assumed that this multimeric complex did not represent a porin. The rest of the heat modifiable proteins showed the OmpA type of heat modification, and these proteins varied in molecular mass from approximately 20 kDa to 70 kDa. All of these were potential porin candidates, but since there were three prominent proteins with molecular masses of 48 to 50 kDa, which were similar to the molecular masses of the porins isolated from Campylobacter species (Page et al., 1989), and since Campylobacter species are related to H. pylori, these proteins were targeted as the most likely porin candidates. Therefore, purification procedures concentrated on the isolation of these three proteins. Porin purifications often involve sequential solubilizations using a single detergent at different concentrations and with additions of salt or EDTA. However, these purifications normally use a starting material consisting of relatively pure outer membranes. These procedures did not allow for a good separation of H. pylori heat modifiable proteins (porin candidates) from other proteins, and this was possibly due to the fact that whole membranes were being used instead of only outer membranes. Thus, a new solubilization scheme had to be developed. After doing a number of trial solubilizations with different detergents, it was found that 1% Triton X-100 / 2 mM MgCl and 0.5% Sarkosyl best solubilized extraneous 2  proteins, and they solubilized only minimal amounts of the proteins of interest. This was predicted, considering that these two detergents are routinely used to solubilize inner membrane proteins. Conversely, 3% OPOE was found to be the most efficient detergent at  124  solubilizing the prospective porin proteins apart from other proteins. The final solubilized sample contained the HopA, B, C, D, and E proteins, with only minimal contamination from other proteins. Following selective solubilizations of porins, hquid chromatography often enables the complete purification of the protein of interest, providing that the protein has sufficiently distinct physical and chemical properties. With H. pylori porins, this again was not the case. A number of porin proteins cofractionated after hquid chromatography purification attempts (HopB, C, and D), and gel purification was therefore required to separate these proteins. HopA did not appear to cofractionate with HopB, C, and D, but since it was in much lower concentration after solubilization, it simply may not have been visible in samples after anion exchange chromatography. HopE was able to be separated from HopB, C, and D, but it was not one of the proteins that was originally targeted as a porin, so it was not immediately analyzed. Given the similar molecular masses and N-terminal amino acid sequences of HopB, C, and D, it does not seem unreasonable that these proteins would have similar purification properties, and this may explain why traditional purification methods could not separate them. The N-terminal sequences of ah of the porin proteins isolated from H. pylori CCUG 1  17874 were similar, and there were a number of residues that were conserved in all instances (Figure 7). Even HopE which showed a different heat modification pattern and different pore forming characteristics from the other H. pylori porins, maintained these conserved residues.  125  It appeared that the sequence homology stretched beyond the N-terminus, as some homology was seen with internal sequences that were obtained (Figure 15). Protein sequence analysis also showed that at least part of these • sequences were conserved in porins from other H. pylori strains. N-terminal sequences from HopB and HopC from strain CCUG 5284 were identical to those from strain 17874, although the proteins from strain 5284 showed a 2 to 3 kDa greater apparent molecular mass when observed on SDS-PAGE. It is possible that there were some protein modifications that accounted for this. Consistent with this interpretation, some amino acid residues showed aberrant retention times when subjected to HPLC during protein sequencing. There also is a possibility that the H. pylori porin genes have undergone recombination, which could explain in principle why there were so many similar porin species within a single strain, and why there were molecular mass differences between strains. It is known that H. pylori is naturally competent for transformation with H. pylori DNA, and that the organism has a variably arranged chromosome ( Haas et al, 1993, Logan and Berg, 1996). This supports the plausibility that the porin diversity is caused by genetic recombination. The expression of a number of homologous porin proteins in a single organism is a feature that appears to be unique to H. pylori. Other bacterial species have homologous porins (i.e. OmpF, OmpC, and PhoE of E. coli), but they are not usually expressed together, except for OmpF and OmpC which are inversely regulated (Mizuno and Mizushima, 1990). Neisseria species express different aUeles of a particular porin, but again, they are not co-  126  expressed (Gill et al, 1994). In addition, neither E. coli, Neisseria species, or any other bacterium are known to possess 5 homologous porins. It was unclear why H. pylori possessed this apparent family of porins, or whether or not each porin had a different function. It is possible that they are selectively expressed in vivo but that was not addressed in this study due to the lack of a relevant animal model available to me. All of the heat modifiable proteins that were purified were shown to have porin activity. HopA, B, C, and D, formed relatively small channels with similar single channel conductances, while HopE formed relatively large channels. HopA, B, C, and D had very similar N-terminal sequences along with similar heat modification properties, so the similarity in conductances was not surprising. HopE showed less sequence homology to the other porins, and it showed only shght modification after heating, (a change in apparent molecular mass of 3 kDa was observed, instead of the 11 or 12 kDa difference with HopA, B, C, and D). In addition, there is evidence that HopE could be associated as a trimer (Doig et al, 1995). Thus, these observations are consistent with the fact that HopE formed channels that were quite different from those formed by the other H. pylori porins. It is quite possible that HopE has a significantly different structure than HopA, B, C, and D; nonetheless, when HopE was isolated, it was functional as a monomer. HopE may be the same protein isolated by Tufano and co-workers (1994). They reported immunobiological activities of a 31 kDa porin (the same molecular mass as HopE), although they did not show that the protein they isolated actually functioned as a porin.  127  The single channel conductances of HopA, B, C, and D (0.25-0.36 nS in 1 M KC1) appeared to be quite low, although since these porins were functional as monomers, the conductances would range from 0.75-1.08 nS if they were assembled into trimers like other characterized porins. This is still in the low range when compared to other general diffusion porins that have been isolated, which often are in the range of 1.3 to 2.4 nS (Hancock, 1986). On the other hand, HopE showed a conductance of 1.5 nS, and this corresponds to a conductance of 4.5 nS for a trimer, which would make it a rather large channel in comparison to even OmpF trimers from E. coli which have a conductance of 1.8 nS. This could indicate that HopE is the major general diffusion pore in H. pylori, while the other porins may be substrate-specific, as most specific porins tend to have higher molecular masses and lower single channel conductances (Hancock, 1986). HopA, B, and C had very similar apparent molecular masses (48, 49, and 50 kDa respectively) while HopD had an apparent molecular mass of 67 kDa. Nonetheless, these porins still shared sequence homology and similar channel forming properties. However, HopD did have a lower channel conductance than HopA, B, and C, and the greater molecular mass might explain this. It is known that porins often have rather variable sized external loops which may fold into the pore (Cowan et al. 1992, Schirmer et al., 1995). It is possible that HopD may have larger external loops than HopA, B, and C. These loops may either constrict the entrance to the pore, or they may fold into the channel to form a constriction or even a binding site, and this could explain the lower conductances observed for HopD.  128  HopD was also different from HopB and C in that its single channel conductance did not appear to be affected by a lower pH (HopA was not tested due to a lack of sufficient amounts of purified protein). The reason for the change in conductance at lower pH values is unknown at present, although it could be extremely significant considering that H. pylori is found in a gastric environment. However, it is also possible that the lower pH values simply caused a change in protein conformation or a change in the charge of acidic residues lining the channel, which would in turn lead to different channel forming characteristics. Conductance measurements for HopB, C, D, and E were performed using different salt concentrations and with different salt solutions. The conductances measured for different concentrations of KC1 were roughly proportional to the salt concentration. That is, the conductance in 1.0 M KC1 was approximately 1/3 of that in 3.0 M KC1. This indicated that the channels were not being saturated by higher ion concentrations, and therefore that the ions were passing through the aqueous channel relatively unhindered by interactions with the channel lumen. This was also shown when LiCI and KCH COO were used as the aqueous 3  solutions. L i is a cation that carries a large hydration shell, and CH COO" is a large anion, +  3  compared to K and CI" respectively. When using the larger anions and cations, one would +  expect a decrease in conductance for one of the above salts, when compared to the conductance in KC1, if there was a pronounced selectivity for anions or cations respectively. A decrease in conductance when using a large cation would indicate a selectivity for cations (i.e. K or L i carrying the current), while a decrease in conductance while using a large anion +  +  129  would indicate a selectivity for anions (i.e. CI" or CH COO" carrying the current). A 3  comparison of conductance values in different salt solutions can only be done when conductance is corrected for by using the rj value for a particular salt solution. The a value represents the specific conductivity of a particular aqueous solution, and by dividing the measured conductance (G) by the a value, one obtains a ratio. The ratios of G/a for different salt solutions can be directly compared. The values in Table X V indicated that for HopB, C, D, and E there was a 40 to 50% decrease in the G/a ratio for KCH3COO as compared to KC1 and LiCI, and this implied that there might be a slight selectivity for anions over cations. These differences may seem significant, but not when one compares the results to those obtained for a truly selective porin, such as OprP from Pseudomonas aeruginosa, which shows G/a ratio differences of greater than 100 fold for salts with large anions (Hancock et al,  1982). To more directly assess ion selectivity, zero current membrane potential  experiments were done using the HopE protein. These results showed that the calculated permeability of cations through the porin channels was virtually identical to the conductance of anions, and unequivocally showed that there was no ion selectivity for this protein.  C) Evidence for new classes of porin proteins The hterature which describes porin proteins has generally depicted them as trimeric structures which are composed of three identical protein subunits. There had been few exceptions to this rule. OprF and OprB of Pseudomonas aeruginosa, and OmpA from  130  Table XV. G/o ratios for H . pylori porin proteins in different salt solutions HopB Salt  (mS/cm)  G/o(nm)  HopC G/o(nm)  0.3 M KC1 1.0MKCl(pH7.0) 3.0 M KC1 l.OMLiCl I.OMKCH3COO  34 112 250 71 68  0.35 0.32 0.27 0.26 0.16  0.32 0.29 0.26 0.33 0.19  HopD G/a(nra)  HopE G/a(nm)  0.26 0.21 0.26 0.33 0.13  1.32 1.34 1.18 1.19 0.96  a is the specific conductivity for the particular salt solution. G/a is the ratio of average single channel conductance (G) to specific conductivity (a).  131  Escherichia coli have shown pore forming ability as monomeric units (Saint et ai, 1993, Benz and Hancock, 1981, Saravolac et al, 1991), and other pubhshed examples include porins isolated from Campylobacter species [Campylobacter jejuni, Campylobacter coli, and  Campylobacter rectus (formerly Wolinella recta) (Page et al., 1989, Kennell et al, 1992)]. AU of these monomeric porins showed the same type of heat modifiability as did the identified Helicobacter pylori porins, in that after heating they appeared to denature from what was likely a tightly bound P-barrel structure. This resulted in an increase in apparent molecular mass when measured using SDS-PAGE. This form of heat modification may suggest that the H. pylori porins were OmpA or OprF-like, but no apparent sequence homology was observed between OmpA or OprF and the H. pylori porins. Since functional monomeric porins such as those from Helicobacter pylori had been rarely observed in other organisms, a question arose as to whether these porins were anomalous, or whether there were similar types of porins in other bacteria. The identification of functional monomeric porins from several other organisms has shown that these may be a novel class of porins different from the stable trimeric forms such as those described for the Enterobacteriaceae (Benz, 1985, Hancock, 1986). It is interesting to note that four of the six functional monomeric porins identified in this study (not including the H, pylori porins) were found in Spirochetes. In addition, another of the porins was isolated from Aeromonas salmonicida, which belongs to the famUy Vibrionaceae, which are generaUy curved shaped organisms. Campylobacters and Helicobacters are curved to spiral organisms, suggesting  132  that all of these spiral shaped organisms may have evolved their porins independently from organisms such as the Enterobacteriaceae. This may not be entirely true, however, considering that Xenorhabdus nematophilus and other non-spiral organisms possess proteins that form channels as monomers. X. nematophilus is a member of the Enterobacteriaceae, and the porin, OpnP, that was isolated and characterized from this organism had a high degree of sequence similarity with OmpF from E. coli (Forst et al, 1995). OmpF forms trimers and functions as a classical trimeric porin, and because of the sequence similarity between OmpF and OpnP, it is perhaps surprising that there was no evidence indicating that OpnP from X. nematophilus could form trimers. However, the crystal structure of OmpF from E. coli (Cowan et al, 1992) shows that each monomeric unit of the trimer forms its own pore. Thus, the basic monomeric structures of these porins may be quite similar, except for differences in the composition or orientation of amino acid residues which would normally be involved in interactions with adjacent monomer subunits. Even though the H. pylori porins and the porins from Treponema pallidum, Leptospira kirschneri, Borrelia burgdorferi, Aeromonas salmonicida, and Xenorhabdus nematophilus were isolated as monomers, it is still possible that they form trimers in vivo. There is evidence obtained by SDS-PAGE analysis of porin proteins using lower concentrations of SDS that Trompl from T. pallidum., OmpLl from Leptospira kirschneri, and the 39 kDa protein from B. burgdorferi formed trimeric structures, even though the monomers were still functional by themselves (Blanco et al,  1995, Shang et al, 1995,  133  Gherardini et. al, unpublished results). The same holds true for HopE from H. pylori, as shown by chemical crosslinking studies (Doig et al, 1995). However, for the rest of the porins that I studied, there is as of yet no evidence for the formation of multimeric complexes. The possibility exists that all of these porins still do function only as trimers, and that when used in the model membrane system, the monomeric units assemble into trimeric units before forming functional channels. The spontaneous folding of denatured porin proteins as well as the formation of trimers from monomers in the presence of membranes and detergent has been demonstrated (Van Gelder et. al, 1994). Since the H. pylori porins were eluted from SDS-PAGE gels into a mild detergent and solubilized in mild, non-ionic detergents prior to lipid bilayer studies (compared with the strong ionic detergent SDS used in polyacrylamide gel electrophoresis), they may have been associating into trimers, but no direct evidence was present. Chemical crosslinking could possibly determine whether reassembly was occurring, but these experiments were not done. In any case, it was the monomers which were purified from SDS-PAGE in all instances, meaning that unlike the stable trimeric porins, these porins would at best appear to form less stable trimers that readily dissociate into monomers. Because stable trimers require harsh conditions (i.e. heating in SDS) to denature them into monomers, it is not surprising that the monomers of the stable trimeric porins have usuaUy been found to be non-functional. Distinct from the classical stable trimeric porins, it therefore appears that there may be other types of porins, including trimers  134  that possess only loose associations between monomer subunits, and/or porins which may function in vivo as monomers.  D) Possible functions for H. pylori porins It is known that many porin proteins show altered expression levels when subjected to different media conditions (Brass, 1986). Thus, an attempt to identify possible H. pylori porin functions was made by growing the cells on numerous different media and observing whether porin expression would be changed. Initial studies using cells grown on brain heart infusion agar supplemented with either hemoglobin or blood showed differences in protein expression only with cells grown for extended periods of time. Differences in expression were also observed between cells grown on sohd media and those grown in BHI/CD hquid medium. Cells grown for 3 d or 14 d showed similar protein profiles, although cells grown for 30 d showed a different profile. Cultures grown less than 3 days were not harvested because growth was not dense prior to 3 days, so the effects of log phase or early stages of growth on expression were not monitored. In membranes from 30 d cultures, fewer protein bands were visible, and the visible protein bands were less intense than those observed with samples from 3d and 14d cultures. It does not seem likely that there is actually a genuine switch in protein expression patterns at this time. Nearly all cells at 14 d were in the coccoid form and remained coccoid to 30 d. If transition from rod to cocci or a change to a stationary growth phase corresponded with a change in protein expression, it would be expected to be visible at  135  14 d as well. Since equal masses of cells were used in all preparations, it is possible that the different protein profile observed in 30d cultures was due to the degradation of cells and proteins after this extended time period. Cells grown in the BHI/CD hquid medium showed increases in the expression of HopA, B, and C, and a number of other proteins. The increase in expression may have be due to the lower amounts of iron that would be present in this medium, as compared to medium supplemented with blood or hemoglobin, since iron deficiency has been shown to increase the expression of certain H. pylori proteins (Worst et al, 1995). The overexpressed proteins observed by Worst et al. (1995), with molecular masses of 89, 50, 48, and 27 kDa, might have been the same as the HopA, HopC (48 and 50 kDa), 90 kDa, and 28 kDa proteins that showed increased expression after growth in BHI/CD media. After examining growth on complex media, growth and protein expression on a defined medium based on a formulation provided by Reynolds and Penn (1994) was studied. Altering concentrations of components that had previously been shown to alter porin expression in other organisms (i.e. NaCl, Mg , phosphate, glucose) resulted in no changes in 2+  porin expression for H. pylori, but changing the concentration of iron in the medium did influence porin expression. The results obtained from growth in defined media were not conclusive, however, since the membrane preparations contained numerous proteins that would make it difficult to clearly identify which proteins were the porins, and since the cell  136  densities and amounts of proteins obtained were too low to do efficient selective solubilizations. Because iron can be chelated by 2,2-dipyridyl, a complex medium, BHI/CD medium, which would allow higher densities of ceUs to grow was used, and instead of varying the amount of iron added to a sample, the amount of chelator added was varied. Increasing the concentration of 2,2-dipyridyl in the medium was associated with increased levels of HopA, B, and C in membrane preparations. Amongst other proteins showing increased expression was a protein with an apparent molecular mass of 28 kDa (the same molecular mass as HopE unheated), but this protein did not show any apparent heat modification properties. The HopA, B, and C proteins likely corresponded to the proteins in the 48 to 50 kDa range that Worst and coworkers (1995) also observed to have increased expression under conditions of iron deprivation. Although it is not common for porins to have their expression regulated by the availabihty of iron, porins have been identified as being involved with iron uptake or iron binding. For instance, OmpF and OmpC from E. coli have been shown to bind lactoferrin (Erdei et al, 1994), the P2 porin from Haemophilus influenzae has been implicated in the uptake of iron from hemopexin (Wong et al,  1995), and OprF from Pseudomonas  aeruginosa appears to be involved in uptake of certain siderophore-iron complexes (Meyer, 1992). The latter two examples are especiaUy relevant considering that one of the H. pylori porins (HopE) possessed sequence homology to the P2 porin, and because the H. pylori  137  porins formed pores as a monomer, as does OprF. It is known that H. pylori can utilize lactoferrin as an iron source (Husson et al, 1993), and that H. pylori possesses ferritin-like proteins (Doig et al, 1993), but it is unknown if or how the H. pylori porin proteins are involved in the binding, uptake, or sequestering of iron. It should be noted that although the H. pylori HopA, B, and C porins appeared to be upregulated by iron deficient conditions, the porins were still expressed in the presence of iron. It has been estimated that enteric bacteria require approximately 1 uM of iron for growth (Payne, 1988). Because in vivo concentrations of free iron are typically in the order of 10" M (Griffiths, 1987), the iron concentration in the dipyridyl-containing medium, which 18  supported growth, must have been well above in vivo concentrations. Growth in this medium resulted in increased porin expression, so considering that in vivo iron concentrations would be lower than in this medium, the H, pylori porins would be expected to be expressed at high levels in vivo. Thus, the porins may play important roles in virulence and infection. Since H. pylori porins were regulated by iron, this provided a means to examine the influence of the different expression levels of porin proteins on antibiotic activity against H. pylori. A panel of different antibiotics were used, including those which could normally be expected to traverse the membrane through porins [ampicillin, amoxicillin, (Hancock and Bell, 1988)], those that are often effluxed out ofthe cell [ciprofloxacin and tetracycline (Li et al, 1995)] and kanamycin, which likely enters the cells through what is termed a "self promoted uptake" mechanism (Hancock and Bell, 1988). It was interesting that increased  138  porin expression led to slightly increased susceptibility to the P-lactam antibiotics; it is well known that P-lactams are taken up through porins, and this study is consistent with the interpretation that these antibiotics might be taken up through HopA, B, or C. Furthermore, increased porin expression also resulted in a decrease in susceptibility to tetracycline and ciprofloxacin. This could be an indication that one or more of these porin proteins was involved in some sort of efflux system (Li et al, 1995), or alternatively that an efflux system involved one of the other proteins that was observed to be overexpressed in iron deficient conditions. The change in antibiotic susceptibility with increased porin expression was not large, as MIC's for ampicillin and amoxicillin increased two fold, while MIC's decreased two fold for ciprofloxacin, and four fold for tetracycline. Porin-deficient mutants of other bacteria may show as little as a two fold greater MIC for ampicillin and a 4 fold greater MIC for tetracycline(Hancock and Bell, 1988), consistent with the magnitude ofthe differences shown for H. pylori. Since HopA, B, and C all showed increased expression under iron deficient conditions, it was not possible to determine which, if any, were specifically involved in antibiotic uptake or efflux. One cannot overlook the possibility that the different iron concentrations affected the growth rates of cells and that the expression of porins may not be directly related to antibiotic susceptibility. Further studies, possibly involving mutations or deletions of one or more of the porin genes would be required to determine if the porins were direcdy involved in antibiotic uptake or efflux.  139  E) Cloning and Genetic organization of H. pylori porin proteins Attempts were made to clone and sequence the H. pylori porin genes to gain further knowledge regarding the overall gene structure and homology between the porins, and to determine the organization of porin genes on the H. pylori chromosome. The primers for the PCR reactions intended to create porin probes were designed from reverse translated Nterminal and internal protein sequences. The internal protein sequences were derived from peptide fragments that were obtained after CNBr cleavage of the H. pylori porin proteins. The cleavage patterns showed similarities between the different porins, and this indicated that the sequences may be similar beyond that seen in the N-terminal sequences. Furthermore, sequence derived from 10 kDa bands (10 kDa bands from HopA and HopC) showed that some residues appeared to be conserved, and this again suggests that the porins are similar beyond the N-terminus. The sequence from the 8 kDa band from HopB and the 18 kDa band from HopD also showed some sequence ahgnment, but the minimal ahgnment may simply be coincidental. Thefirstset of probes used in an attempt to identify porin genes were 3' end-labeled degenerate ohgonucleotides, and they did not reveal any positive clones in the cosmid hbrary of H. pylori chromosomal DNA. The degeneracy of these sequences meant that only a small portion of the correct sequence would be labeled, and this coupled with the relative insensitivity of 3' end labeling with DIG-ddUTP was likely the reason for the negative results. Probes made from DNA fragments created by PCR reactions with H. pylori chromosomal  140  DNA proved to be much more successful. Not only was there no sequence degeneracy, but the longer length of the DNA sequences meant that the probes could be labeled to a higher specific activity. A PCR product encoding 608 bp of the hopA gene and another encoding 83 bp of the hopB gene were used to probe the cosmid hbrary as well as digests of H. pylori chromosomal DNA. Both probes identified two cosmid clones, although they both identified an identical clone (clone 321). Thus, it appeared that one clone contained hopA sequences (clone 322), one contained hopB sequences (clone 451), and one contained sequences for both genes (clone 321). However, Southern blots with digested cosmid DNA indicated that the hopB probe hybridized with all isolated positive clones. Since the hopA and hopB sequences are at least partly similar, it is likely that the hopB probe was cross-hybridizing with the hopA genes. On the other hand, the hopA probe did not hybridize with the hopB specific clones (clone 451), which could be interpreted as indicating that cross hybridization was not occurring. However, the hopB probe encoded only 83 bp of sequence, and the entire sequence was very similar to that of hopA. Thus, it could be expected that the hopB probe would be more likely to cross hybridize unless the entire gene sequences shared the same degree of similarity. Southern blots probing H. pylori chromosomal DNA gave further evidence that the porins may be at different chromosomal loci, as the hopB probe hybridized to different chromosomal DNA bands than the ones to which the hopA probe hybridized.  141  Southern blots of the chromosomal DNA from two different H. pylori strains gave similar hybridization patterns when probed with the hopA probe, but the EcoRI digested chromosomal DNA from strain 5284 showed hybridization with 12 kb and 1.5 kb bands that were not observed in a hybridization with strain 17874 DNA. It is possible that strain 5284 possessed a gene duplication, or that it possessed another porin which was similar to HopB such that the hopB probe would hybridize with the gene encoding that protein. In any case, it appeared that homologous genes were present in both strains. The presence of the porin genes in different strains, as well as the expression of porin proteins in different strains (Figure 8) is evidence that H. pylori porins are not strain specific. However, when monoclonal antibodies were raised to H. pylori surface proteins (Doig and Trust, 1994) monoclonal antibodies to HopA from strain CCUG 17874 did not cross react with proteins from other strains tested, although HopE did appear to be conserved in all strains (Doig et al., 1995). Strain CCUG 5284, was not tested. It is thus possible that not all of the porins are expressed in all strains. On the other hand, it is also possible that the porin proteins are similar but not identical in aU strains (evidenced by the different molecular masses of porins from the two strains examined in this study). This apparent protein variability could explain why monoclonal antibodies did not detect HopA homologs in different strains. In addition, the porin genes may be present in all strains, but they might not always be expressed, and this would not be detected by monoclonal antibodies.  142  F) Conclusions The work done in this study has shown that Helicobacter pylori possesses at least 5 proteins that function as porins. These porin proteins all have similar N-terminal protein sequences, and it suggests that they form a family of related porins. Four of the proteins, HopA, B, C, and D had similar channel forming characteristics, forming relatively smaU channels, and were isolated as monomers. HopE, on the other hand, formed relatively large channels. It was also isolated as a monomer, but there is evidence that it may form trimers. A number of porin proteins were isolated and characterized from other bacteria. They also showed channel activity as monomers, providing evidence for the existence of a class of monomeric porin proteins. Certain H. pylori porin proteins showed increased expression under conditions of iron deprivation, and they may therefore function in iron uptake. Cosmid clones encoding at least two of the porin genes were identified, and further manipulations of the porin genes may enable a better characterization of these porins' functions in iron uptake. To date, nucleotide and protein sequences that have been obtained have shown no homology to porins from other organisms, but further sequence data should allow for a better characterization of the gene structure and protein structure of these porins. It is hoped that further studies into the porin sequences, the positions of the genes on the chromosome, and their regulation may enable a complete elucidation of the reasons why this family of porins exists in H. pylori and how each porin functions.  143  REFERENCES  Altschul, S.F., W. Gish, W. Miller, E.W. Myers, and D.J. Lipman. (1990) Basic local alignment search tool. J. Moi. Biol. 215:403-410. Appelmelk, B.J., I. Simoons-Smit, R. Negrini, A.P. Moran, G.O. Aspinall, J.G. Forte, T. De Vries, H. Quan, T. Verboom, JJ. Maaskant, P. Ghiara, E. J. Kuipers, E. Bloemena, T.M. Tadema, R.R. Townsend, K. Tyagarajan, J.M. Crothers Jr., M.A. Monteiro, A. Savio, and J. De Graaff. (1996) Potential role of molecular mimicry between Helicobacter pylori hpopolysaccharide and host Lewis blood group antigens in autoimmunity. Infect. Immun. 64:2031-2040. Aronoff, S.C. (1988) Outer membrane permeability in Pseudomonas cepacia: diminished porin content in a beta-lactam-resistant  mutant and in resistant cystic fibrosis isolates.  Antimicrob. Agents Chemother. 32:1636-1639. Aspinall, G.O., M.A. Monteiro, H. Pang, E.J. Walsh, and A.P. Moran. (1996) Lipopolysaccharide of the Helicobacter pylori type strain NCTC 11637 (ATCC 43504): structure of the O antigen chain and core oligosaccharide regions. Biochem. 35:2489-2497. Ausubel, F.M., R. Brent, R.E. Kingston, D.D. Noore, J.G. Seidman, J.A. Smith, and K. Struhl. (1987) Current protocols in molecular biology. John Wiley & Sons, Toronto. Benz, R. (1985) Porin from bacterial and mitochondrial outer membranes. Critical Reviews in Biochemistry 19:145-190. Benz, R., and R.E.W. Hancock. (1981) Properties ofthe large ion-permeable pores formed from protein F of Pseudomonas aeruginosa in hpid bilayer membranes. Biochim. Biophys. Acta. 646:298-308. Benz R., K. Janko, and P. Lauger. (1979) Ionic selectivity of pores formed by the matrix protein (porin) of Escherichia coli. Biochim. Biophys. Acta. 551:238-247.  144 Benz, R., A. Schmid and R.E.W. Hancock. (1985) Ion selectivity of gram-negative bacterial porins. J. Bac'teriol. 162:722-727. Blanco, D.R., C.I. Champion, M. M. Exner, H. Erdjument-Bromage, R.E.W. Hancock, P. Tempst, J.N. Miller, and M.A. Lovett. (1995) Porin activity and sequence analysis of a 31 kilodalton Treponema pallidum subsp. pallidum rare outer membrane protein (Trompl). J. Bacteriol. 177:3556-3562. Brass, J.M. (1986) The cell envelope of gram-negative bacteria: new aspects of its function in transport and chemotaxis. Current Topics in Microbiology and Immunology. 129:1-92. Braun, V. (1975) Covalent lipoprotein from the outer membrane of Escherichia coli. Biochim. Biophys. Acta 415:335-377. Buck, G.E., W.K. Gourley, W.K. Lee, K. Subramanyam, J.M. Latimer, and R.A. DiNuzzo. (1986) Relationship of Campylobacter pyloridis to gastric and peptic ulcer. J. Infect. Dis. 153:664-669. Champion, C.I., D.R. Blanco, M.M. Exner, H. Erdjument-Bromage, R.E.W. Hancock, P. Tempst. J.N. Miller, and M.A. Lovett. Submitted. Cover, T.L. and M.J. Blaser. (1992) Purification and characterization of the vacuolating toxin from Helicobacter pylori. J. Biol. Chem. 267:10570-10575. Cowan, S.W., T. Schirmer, G. Rummel, M. Steiert, R. Ghosh, R.A. Pauptit, J.N. Jansonius, and LP. Rosenbusch. (1992) Crystal structures explain functional properties of two E. coli porins. Nature (London) 358:727-733. Cronan Jr., J.E. (1979) Phospholipid synthesis and assembly. In: Bacterial outer membranes. John Wiley and Sons, Toronto, p. 35-66. Davies, J.K., and P. Reeves. (1975) Genetics of resistance to colicins in Escherichia coli K-12: cross resistance among colicins of group A. J. Bacteriol. 123:102-117.  145 Dayhoff, M.O., W. C. Barker, and L.T. Hunt. (1983) Estabhshing homologies in proteins. Methods Enzymol. 91:524-545. de Cock, H., R.T. Hendriks, T. de Vrije, and J. Tommassen. (1990) Assembly of an in vitro synthesized Escherichia coli outer membrane porin into its stable trimeric configuration. J.Biol. Chem. 265:4646-4651. Deltenre, M., C. Jonas, J. Otero, A. Cozzoli, P. Denis, A. Burette, and E. de Koster. (1996) Strategies for Helicobacter pylori eradication in 1995: a review of international and Belgian experience. J. Physiology & Pharmacology. 47:59-69. Desai, H.G., H.H. Gill, K. Shankaran, P.R. Mehta, and S.R. Prabhu. (1991) Dental plaque: a permanent reservoir of Helicobacter pylori? Scand. J. Gastroenterol 26:1205-1208. Deshpande, M., E. Calenoff and L. Daniels. (1995) Rapid large-scale growth of Helicobacter pylori in flasks and fermentors. Appl. Environ. Microbiol. 61:2431-2435. Doig, P., and T.J. Trust. (1994) Identification of surface exposed outer membrane antigens of Helicobacter pylori. Infect. Immun. 62:4526-4533. Doig, P., J.W. Austin, and T.J. Trust. (1993) The Helicobacter pylori 19.6 kDa protein is an ironcontaining protein resembling ferritin. J. Bacteriol. 175:557-560. Doig, P., M.M. Exner, R.E.W. Hancock, and T.J. Trust. (1995) Isolation and characterization of a conserved porin protein from Helicobacter pylori. J. Bacteriol. 177:5447-5452. Dunn, B.E., G.P. Campbell, G. Perez-Perez, and M J . Blaser. (1990) Purification and characterization of urease from Helicobacter pylori. J. Biol. Chem. 265:9464-9469. Dunn, B.E., G.I. Perez-Perez, and M.J. Blaser. (1989) Two-dimensional gel electrophoresis and immunoblotting of Campylobacter pylori proteins. Infect. Immun. 57:1825-1833.  146 Eaton, K.A., C.L. Brooks, D.R. Morgan, and S. Krakowa. (1991) Essential role of urease in pathogenesis of gastritis induced by Helicobacter pylori in gnotobiotic piglets. Infect. Immun. 59:2470-2475. Eaton, K.A., D.R. Morgan, and S. Krakowal. (1989) Campylobacter pylori virulence factors in gnotobiotic piglets. Infect. Immun. 57:1119-1125. Evans, DJ. Jr., D.G. Evans, S.S. Kirkpatrick, and D.Y. Graham. (1991) Characterization of the Helicobacter pylori urease and purification of its subunts. Microb. Pathogenesis. 10:15-26. Evans, D.G., D.J. Evans, J.J. Moulds, and D.Y. Graham. (1988) N-acetymeruaminyUactosebinding fibrillar hemagglutinin of Campylobacter pylori: a putative colonization factor antigen. Infect. Immun. 57:1119-1125. Erdei, J., A. Forsgren, and A.S. Naidu. (1994) Lactoferrin binds to porins OmpF and OmpC in Escherichia coli. Infect. Immun. 62:1236-1240. Exner, M.M., P. Doig, T.J. Trust, and R.E.W. Hancock, (1995) Isolation and characterization of a family of porin proteins from Helicobacter pylori. Infect. Immun. 63:1567-1572. Ferrero, R.L., and A. Lee. (1991) The importance of urease in acid protection for the gastriccolonizing bacteria Helicobacter pylori and Helicobacter felis sp.nov. Microb. Ecol. Health. Dis. 4:121-134. Forst, S J. Waukau, G. Leisman, M. Exner, and R.E.W. Hancock. (1995) Functional and regulatory analysis of the OmpF-like porin, OpnP, of the symbiotic bacterium Xenorhabdus nematophilus. Moi Microbiol. 18:779-789. Fox, J.G., P. Correa, N.S. Taylor, D. Zavala, E. Fontham, F. Janney, E. Rodriguez, P. Hunter, and S. Diavolitsis. (1989) Campylobacter py/on'-associated gastritis and immune response in a population at increased risk of gastric carcinoma. Am. J. Gastroenterol. 84:775. Freedberg, A.S., and L.E. Barron. (1940) The presence of spirochaetes in human gastric mucosa. A m i . Dig.Dis. 7:443.  147 Gasbarrini G., S. Pretolani, F. Bonvicini, M.R. Gatto, E. Tonelli, F. Megraud, K. Mayo, G. Ghironzi, G. Giulianelli, and M. Grassi. (1995) A population based study of Helicobacter pylori infection in a European country: the San Marino Study. Relations with gastrointestinal diseases. Gut 36:838-844. Geis, G., H. Leying, S. Suerbaum, and W. Opferkuch. (1990) Unusual fatty acid substitution in lipids and lipopolysaccharides oi Helicobacter pylori. J. Clin Microbiol. 28:930-932. Gherardini, F., S.-Y. Liu, M.M. Exner, and R.E.W. Hancock. Unpublished results. Ghiara, P, M. Marchetti, M J . Blaser, M.K.R. Tummuru, T.L. Cover, E D . Segal, L.S. Tompkins, and R. Rappuoh. (1995) Role of the Helicobacter pylori virulence factors vacuolating cytotoxin, CagA, and urease in a mouse model of disease. Infect. Immun. 63:4154-4160. Gill, M.J., J. Jayamohan, M.P. Lessing, and C A . Ison. (1994) Naturally occurring PIA/PIB hybrids oi Neisseria gonorrhoeae. FEMS Microbiol. Letts. 119:161-166. Glupczynski, Y., and A. Burette. (1990) Drug Therapy for Helicobacter pylori infection: problems and pitfalls. Am. J. Gastroenterol. 85:1545-1551. Glupczynski, Y., M. Labbe, M.P. Van der Linden, J.F. Nyst, and A. Burette. (1989) Lack of antibiotic comphance in patients treated for Campylobacter py/on'-associated gastritis. Am. J. Gastroenterol. 84:1126. Goodwin, C.S., and B.W. Worsley (eds.). (1993). Helicobacter pylori biology and clinical practice. CRC Press Inc., Boca Raton Florida. Goodwin, C.S., J.A. Armstrong, T. Chilvers, M. Peters, M.D. Collins, L. Sly, W. McConnell, and W.E.S. Harper. (1989) Transfer of C.pyloridis and C. mustelae to Helicobacter gen. nov. as Helicobacter pylori comb. nov. and Helicobacter mustelae comb. nov. respectively. International Journal of Systematic Bacteriology 39:397-405. Goodwin, C.S., J.A. Armstrong, and B.J. Marshall. (1987) Campylobacter pyloridis, gastritis, and peptic ulceration. J. Clin. Pathol. 39:353-365.  148 Goodwin, C.S., P. Blake, and E. Blincow. (1986) The minimum inhibitory and bactericidal concentrations of antibiotics and anti-ulcer agents against Campylobacter pyloridis. J. Antimicrob. Chemother. 17:309-314. Graham, D.Y. (1989) Campylobacter pylori and peptic ulcer disease. Gastroenterology. 96:615625. Griffiths, E. (1987) The iron-uptake systems of pathogenic bacteria, p 69-138, in J.J. Bullen and E. Griffiths (ed.), "Iron and infection: molecular, physiological and clinical aspects." John Wiley & Sons, Chichester, United Kingdom. Haas, R., T.F. Meyer, and J.P. van Putten. (1993) Aflagellated mutants of Helicobacter pylori generated by genetic transformation of naturally competent strains using transposon shuttle mutagenesis. Moi. Microbiol. 8:753-760. Haas, C.E., D.E. Nix, and JJ. Schentag. (1990) In vitro selection of resistant Helicobacter pylori . Antimicrob. Agents Chemother. 34:1637-1641. Hancock, R.E.W. (1987) Role of porins in outer membrane permeability. J. Bacteriol. 169:929933. Hancock, R.E.W. (1986) Model membrane studies of porin function. In Bacterial outer membrane as model systems (Inouye, M., ed.) pp 187-225. John Wiley and Sons. Hancock, R.E.W. and A. Bell. (1988) Antibiotic uptake into gram-negative bacteria. Eur. J. Clin. Microbiol. Infect. Dis. 7:713-720. Hancock, R.E.W. and A.M. Carey. (1979) Outer membrane of Pseudomonas aeruginosa: heat-2mercaptoethanol-modifiable proteins. J. Bacteriol. 140:902-910. Hancock, R.E.W., and H. Nikaido. (1978) Outer membranes of gram-negative bacteria. XIX. Isolation from Pseudomonas aeruginosa PAOl and use in reconstitution and definition of the permeability barrier. J. Bacteriol. 136:381-390.  149 Hancock, R.E.W., K. Poole, and R. Benz. (1982) Outer memrane protein P of Pseudomonas aeruginosa: regulation by phosphate deficiency and formation of small anion-specific channels in lipid bilayer membranes. J. Bacteriol. 150:730-738. Hancock, R.E.W., D.N. Karunaratne, and C. Bernegger-Egli. (1994) Molecular organization and structural role of outer membrane macromolecules. In "Bacterial Cell Wall" J.M. Ghuysen and R. Hakenbeck eds. Elsevier Science. Haque, M., Y. Hirai, K. Yokota, and K. Oguma.(1995) Steryl glycosides: a characteristic feature of the Helicobacter spp.? J. Bacteriol. 177:5334-5337. Hashizume, T., M. Sanada, S. Nakagawa, and N. Tanaka. (1993) Alteration in expression of Serratia marcescens porins associated with decreased outer membrane permeability. J. Antimicrob. Chemother. 31:21-28. Hazell, S.L., D. Evans, and D.Y. Graham. (1991) Helicobacter pylori catalase. J. Gen. Micribiol. 137:57-61. Hazell, S.L., and D.Y. Graham. (1990) Unsaturated fatty acids and viability of Helicobacter (Campylobacter) pylori. J. Clin. Microbiol. 28:1060-1061. Hazell, S.L., and A. Lee. (1986) Campylobacter pyloridis, urease, hydrogen ion back diffusion, and gastric ulcers. Lancet 2:15-17. Hirai, Y., M. Haque, T. Yoshida, K. Yokota, T. Yasuda, and K. Oguma. (1995) Unique cholesteryl glucosides in Helicobacter pylori: composition and structural analysis. J. Bacteriol. 177:5327-5333. Hofstra H , and J. Dankert.(1979) Antigenic cross-reactivity of major outer membrane proteins in enterobacteriaceae species. J. Gen. Microbiol. 111:293-302. Hopkins, R., P. Vial, C. Ferreccio, R. Russell, and J.G. Morris Jr. (1992) Increased Helicobacter pylori seropositivity among Chilean children who consume uncooked vegetables: support for a water-borne mode of transmission. Clinical Research 40:240A.  150 Husson, M., D. Legrand, G. Spik, and H. LeClerc. (1993) Iron acquisition by Helicobacter pylori: importance of human lactoferrin. Infect. Immun. 61:2694-2697. Jeanteur, D., J.H. Lakey, and F. Pattus. (1991) The bacterial porin superfamily: sequence alignment and structure prediction. Moi. Microbiol. 5:2153-2164. Kasahara, M. and Y. Anraku. (1974) Succinate dehydrogenase of Escherichia coli membrane vesicles: activation and properties of the enzyme. J. Biochem. 76:959-966. Kelly, S.M., M.C. Pitcher, S.M. Farmery, and G.R. Gibson. (1994) Isolation of Helicobacter pylori from feces of patients with dyspepsia in the United Kingdom. Gastroenterology 107:1671-1674. Kennell, W.L., C. Egli, R.E.W. Hancock, and S.C. Holt. (1992) Pore-forming ablility of major outer membrane proteins from Wolinella recta ATCC 33238. Infect. Immun. 60:380-384. Kobayashi, Y., K. Okazaki, and K. Murakami. (1993) Adhesion of Helicobacter pylori to gastric epithelial cells in primary cultures obtained from stomachs of various animals. Infect. Immun. 61:4058-4063. Laemmli, U.K. (1970) Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature (London) 227:680-685. Lambert, T., F. Megraud, G. Gerbaud, and P. Courvalin. (1986) Susceptibility of Campylobacter pyloridis to 20 antimicrobial agents. Antimicrob. Agents Chemother. 30:510-511. Lazzaroni J.C., and R. Portalier. (1992) The excC gene of Escherichia coli K-12 required for cell envelope integrity encodes the peptidoglycan-associated  lipoprotein (PAL). Moi.  Microbiol. 6:735-742. Lehninger, A. L. (1970) Biochemistry. Worth Publishers Inc. Leunk, R.D., P.T. Johnson, B.C. David, W.G. Kraft, and D.R. Morgan. (1988) Cytotoxic activity in broth culture filtrates of C.pylori. J. Med. Microbiol. 26:93-99.  151 Lelwala-Guruge, J., F. Ascencio, A. S. Kreger, and A. Ljungh. (1993) Isolation of a sialic acidspecific surface haemagglutinin of Helicobacter pylori strain NCTC 11637. Int. J. Med. Microbiol. Virol. Parisitol. and Inf. Dis. 280:93-106. Li, X.Z., H. Nikaido, and K. Poole. (1995) Role of mexA-mexB-oprM in antibiotic efflux in Pseudomonas aeruginosa. Antimicrob. Agents Chemother. 39:1948-1953. Livermore, D.M. (1988) Permeation of beta-lactam antibiotics into Escherichia coli, Pseudomonas aeruginosa, and other gram-negative bacteria. Reviews of Infectious Diseases. 10:691-698. Logan, R.P., and D.E. Berg. (1996) Genetic diversity of Helicobacter pylori. Lancet. 348:14621463. Lugtenberg, B., and L. Van Alphen. (1983) Molecular architecture and functioning of the outer membrane of Escherichia coli and other gram-negative bacteria. Biochim. Biophys. Acta. 737:51-115. Lutwyche, P., M.M. Exner, R.E.W. Hancock, and T.J. Trust. (1995) A conserved Aeromonas salmonicida porin provides protective immunity to rainbow trout. Infect. Immun. 63:31373142. Majewski, S.I.H., and S. Goodwin. (1988) Restriction endonuclease analysis of the genome of Campylobacter pylori with a rapid extraction method: evidence for considerable genomic variation. J. Inf. Dis. 157:465-471. Marshall, B.J. (1990) Campylobacter pylori: its link to gastritis and peptic ulcer disease. Reviews of infectious diseases. 12:S87-S93. Marshall, B.J., J.A. Armstrong, D.B. McGechie, and R.J. Glancy. (1985) Attempt to fulfil Koch's postulates for pyloric Campylobacter. Med. J. Aust. 142:436-439.  152 Marshall B.J., L J . Barrett, C. Prakash, R.W. McCallum, and R.L. Guerrant. (1990) Urea protects Helicobacter (Campylobacter) pylori from the bactericidal effect of acid. Gastroenterology. 99:697-702. Marshall, B.J., C.S. Goodwin, J.R.Warren , R. Murray, E.D. Blincow, S.J. Blackbourn, M. Philhps, T.E. Waters, and C.R. Sanderson. (1988) Prospective double-blind trial of duodenal ulcer relapse after eradication of Campylobacter pylori. Lancet ii. 7-10. Marshall, B.J., D.L Royce, J. W. Annear, J.R. Pearman, J.R. Warren, and J.A. Armstrong. (1984) Original isolation of C. pyloridis from human gastric mucosa. Microbios Letts. 25:83-88. Martin-de Argila, C , D. Boixeda, R. Canton, J.P. Gisbert, and A. Fuertes. (1995) High seroprevalence of Helicobacter pylori infection in coronary heart disease. Lancet. 346:310. Matsudaira, P.T., (1993) A practical guide to protein and peptide purification for microsequencing (2nd ed.). Academic Press, San Diego. Mattsby-Baltzer, I., Z. Mielniczuk, L. Larsson, K. Lindgren, and S. Goodwin. (1992) Lipid A in Helicobacter pylori. Infect. Immun. 60:4383-4387. McNulty, C.A.M., J. Dent, and R. Wise. (1985) Susceptibility of clinical isolates of Campylobacter pyloridis to 11 antimicrobial agents. Antimicrob. Agents Chemother. 28:837-838. Megraud, F. F. Bonnet, M. Gamier, and H. Lamouliatte. (1985) Characterization of Campylobacter pyloridis by culture, enzymatic profile,, and protein content. J. Clin. Microbiol. 22:1007-1010. Megraud, F., V. Neman-Simha, and D. Brugmann. (1992) Further evidence of the toxic effect of ammonia produced by Helicobacter pylori urease on human epithelial cells. Infect. Immun. 60:1858-1863. Meyer, J.M. (1992) Exogenous siderophore-mediated iron uptake in Pseudomonas aeruginosa: possible involvement of porin OprF in iron translocation. J. Gen. Microbiol. 138:951-958.  153 Miederer, S.E., and P. Grubel. (1996). Profound increase of Helicobacter pylori urease activity in gastric antral mucosa at low pH. Digest. Dis. Sciences. 41:944-949. Mizuno, T. (1979) A novel peptidoglycan-associated lipoprotein found in the cell envelope of Pseudomonas aeruginosa and Escherichia coli. J. Biochem. 86:991-1000. Mizuno, T., and S. Mizushima. (1990) Signal transduction and gene regulation through the phosphorylation of two regulatory components: the molecular basis for the osmotic regulation of the porin genes. Moi. Microbiol. 4:1077-1082. Mobley, H.L.T., M.J. Cortesia, L.E. Rosenthal, and B.D. Jones. (1988) Characterization of urease from Campylobacter pylori. J. Clin. Microbiol. 26:831-836. Mobley, H.L.T., L.T. Hu, and P. A. Foxall. (1991) Helicobacter pylori urease: properties and role in pathogenesis. Scand. J. Gastroenetol. 187:39-46. Moran, A.P. (1996) The role of hpopolysaccharide in Helicobacter pylori pathogenesis. Aliment. Pharmacol. Therapeutics. 10 (Suppl. l):39-50. Morgan, D.R., R. Freedman, C E . Depew, and W.G. Kraft. (1987) Growth of Campylobacter pylori in liquid media. J. Clin. Microbiol. 25:2123-2125. Morona, R., M. Klose, and U. Henning. (1984) Escherichia coli K-12 outer membrane protein (OmpA) as a bacteriophage receptor: analysis of mutant genes expressing altered proteins. J. Bacteriol. 159:570-578. Morris, A., and G. Nicholson. (1987) Ingestion of Campylobacter pylori causes gastritis and raised gastric pH. Am. J. Gastroenterol. 82:192-199. Muotiala, A.I., N. Helander, L. Pyhala, T.U. Kosunen, and A.P. Moran. (1992) Low biological activity of Helicobacter pylori hpopolysaccharide. Infect. Immun. 60:1714-1716. Nakae, T., (1975) Outer membrane of Salmonella typhimurium: reconstitution of sucrosepermeable membrane vesicles. Bioc. Biophys. Res. Commun. 64:1224-1230.  154 Neuwald, A. F., J.S. Liu, and C E . Lawrence. (1995) Gibbs motif sampling: detection of bacterial . outer membrane protein repeats. Protein Science 4:1618-1632. Newell, D.G. (1987) Identification of the outer membrane proteins of Campylobacter pyloridis and antigenic cross-reactivity between C. pyloridis and C. jejuni. J. Gen. Microbiol. 133:163-170. Nikaido, H. (1988) Bacterial resistance to antibiotics as a function of outer membrane permeability. J. Antimicrob. Chemother. 22 (Suppl. A):17-22. Nikaido, H. (1992) Porins and specific channels of bacterial outer membranes. Moi. Microbiol. 6:435-442. Nikaido H., and E.Y. Rosenberg. (1983) Porin channels in Escherichia coli: studies with liposomes reconstituted from purified proteins. J. Bacteriol. 153:241-252. Olivieri, R., M. Bugnoli, D. Armellini, S. Bianciardi, R. Rappuoli, P.F. Bayeli, L. Abate, E. Esposito, L. De Gregorio, J. Aziz, C. Basagni, and N. Figura. (1993). Growth of Helicobacter pylori in media containing cyclodextrins. J. Clin. Microbiol. 31:160-162. Ormand, J.E., and NJ. Talley. (1990) Helicobacter pylori: controversies and an approach to management. Mayo Clin. Proc. 65:414-426. Page, W.J., G. Huyer, M. Huyer, and E. Worobec. (1989) Characterization of the porins of Campylobacter jejuni and Campylobacter coli and implications for antibiotic susceptibility. Antimicrob. Agents Chemother. 31:121-123. Page, W.J., and D.E. Taylor. (1988) Comparison of methods used to separate the inner and outer membranes of cell envelopes of Campylobacter species. J. Gen. Microbiol. 134:2925-2932. Parsonnet, J., G.D. Friedman, D.P. Vandersteen, Y. Chang, J.H. Vogelman, N. Orentreich, and R.K. Sibley. (1991) Helicobacter pylori infection and risk of gastric cancer. N. Engl. J. Med. 325:1127-1131.  155 Patel, P., M.A. Mendall, D. Carrington, D.P. Strachan, E. Leatham, N. Nolineaux, J. Levy, C. Blakeston, C A . Seymour, A.J. Camm, and T . C Northfield. (1995) Association of Helicobacter pylori and Chlamydia pneumonia infections with coronary heart disease and cardiovascular risk factors. British Medical Journal 311:711-714. Payne, S.M. (1988) Iron and virulence in the family Enterobacteriaceae. Crit. Rev. Microbiol. 16:81-111. Perez-Perez, G.I., and M.J. Blaser. (1987) Conservation and diversity of Campylobacter pyloridis major antigens. Infect. Immun. 55:1256-1263. Perez-Perez G.I., A.Z. Ohvares, T.L. Cover, and M.J. Blaser. (1992) Characteristics of Helicobacter pylori variants selected for urease deficiency. Infect. Immun. 60:3658-3663. Peterson, G.L. (1977) A simplification of the protein assay method of Lowrey et al. which is more generally acceptable. Anal. Biochem. 83:346-356. Poole K., K. Krebes, C. McNally, and S. Neshat. (1993) Multiple antibiotic resistance in Pseudomonas aeruginosa: evidence for involvement of an efflux operon. J. Bacteriol. 175:7363-72. Rawling, E.G., N.L. Martin, and R.E.W. Hancock. (1995) Epitope mapping ofthe Pseudomonas aeruginosa major outer membrane protein OprF. Infect. Immun. 63:38-42. Reynolds, D.J., and C.W. Penn. (1994) Characteristics of Helicobacter pylori growth in a defined medium and determination if its amino acid requirements. Microbiology 140:2649-2656. Ricci, V., C. Ciacci, R. Zarilli, P. Sommi, M.K.R. Tummuru, C D . Blanco, C. B. Bruni, T.L. Cover, M.J. Blaser, and M. Romano. (1996) Effect of Helicobacter pylori on gastric epithelial cell migration and proliferation in vitro - role of VacA and CagA. Infect. Immun. 64:2829-2833.  156 Sabath, L.D., V.Lorian, D. Gerstein, P.B. Loder, and M. Finland. (1968) Enhancing effect of alkalinization of the medium on the activity of erythromycin against gram-negative bacteria. Appl. Microbiol. 16:1288-1292. Sambrook, J., E. F. Fritsch, and T. Maniatis. (1989) Molecular cloning: a laboratory manual, 2nd ed. Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y. Saravolac, E. G., N. F. Taylor, R. Benz, and R.E.W. Hancock. (1991) Purification of glucose inducible outer membrane protein OprB of Pseudomonas putida and reconstitution of glucose-specific pores. J. Bacteriol. 173:4970-4976. Saint, N., E. De, S. Juhen, N. Orange, and G. Molle. (1993) Ionophore properties of OmpA of Escherichia coli. Biochim. Biophys. Acta. 1145:119-123. Sarosiek, J.A., A. Slomiany, and B.L. Slomiany. (1988) Evidence of weakening of gastric mucus integrity by C.pylori. Scand. J. Gastroenterol. 23:585-590. Schirmer, T., T.A. Keller, Y.F. Wang, and J.P. Rosenbusch. (1995) Structural basis for sugar translocation through maltoporin channels at 3.1 A resolution. Science 267:512-514. Schulz, G.E. (1993) Bacterial porins: structure and function. Current Opinion in Cell Biology. 5:701-707. Seppala, K., M. Farkkila, H. Nuutinen, K. Kakala, H. Vaananen, H. Rautelin, and T.U. Kosunen. (1992) Triple therapy of Helicobacter pylori infection in peptic ulcer. A 12-month followup study of 93 patients. Scand. J. Gastroenterol. 27:973-976. Shahamat M., U. Mai, C. Paszko-Kolva, M. Kessel, and R.R. Colwell. (1993) Use of autoradiography to assess viability of Helicobacter pylori in water. Appl. Environ. Microbiol. 59:1231-1235. Shang, E.S., M.M. Exner, T.A. Summers, C. Marinich, C.I. Champion, R.E.W. Hancock, and D.A. Haake. (1995) The rare outer membrane protein, OmpLl of pathogenic Leptospira species is a heat modifiable porin. Infect. Immun. 63:3174-3181.  157 Singh, S.P., Y. Upshaw, T. Abdullah, S.R. Singh, and P.E. Klebba. (1992) Structural relatedness of enteric bacterial porins assessed with monoclonal antibodies to Salmonella typhimurium OmpD and OmpC. J. Bacteriol. 174:1965-1973. Sipponen, P., T. U. Kosunen, J. Valle, M. Riihla, and K. Seppala. (1992) Helicobacter pylori infection and chronic gastritis in gastric cancer. J. Clin. Pathol. 45:319-323. Sipponen, P., M. Siurala, and C.S. Goodwin. (1993) Histology and ultrastructure of Helicobacter pylori infections:gastritis,  duodenitis, and peptic ulceration, and their relevance as  precancerous conditions, in "Helicobacter pylori biology and clinical practice." C. S. Goodwin and B. W. Worsley eds. CRC Press Inc., Boca Raton, Florida pp37-62. Sipponen, P., K. Varis, O. Fraki, U.-M Korri, K. Seppala, and M. Siurala. (1990) Cumulative 10year risk of symptomatic duodenal and gastric ulcer in patients with or without chronic gastritis. A clinical follow-up study of 454 outpatients. Scand. J. Gastroenterol. 25:966973. Siurala, M., P. Sipponen, and M. Kekki. (1985) Chronic gastritis: dynamic and clinical aspects. Scand. J. Gastroenterol. 20(suppl.l09):69-76. Skurray, R.A., R.E.W. Hancock, and P. Reeves. (1974) Con"-mutants: class of mutants in Escherichia coli K-12 lacking a major cell wall protein and defective in conjugation and adsorption of a bacteriophage. J. Bacteriol. 119:726-735. Smoot, D.T., H.L.T. Mobley, G.R. Chippendale, J.F. Lewison, and J.H. Resau. (1990) Helicobacter pylori urease activity is toxic to human gastric epithelial cells. Infect. Immun. 58:1992-1994 Staskawicz B., D. Dahlbeck, N. Keen, and C. Napoli. (1987) Molecular characterization of cloned avirulence genes from race 0 and race 1 of Pseudomonas syringae pv. glycinea. J. Bacteriol. 169:5789-5794.  158 Sugawara, E. and H. Nikaido. (1992) Pore-forming activity of OmpA protein of Escherichia coli. J. Biol. Chem. 267:2507-2511. Tamassy K., L. Simon, and M. Francis. (1995) Epidemiology of Helicobacter pylori infection in Hungary (comparative sero-epidemiologic study). Orvosi Hetilap. 136:1387-1391. Tokunaga, M., H. Okunaga, and T.Nakae. (1979) The outer membrane permeability of Gramnegative bacteria: determination of permeability rate in reconstituted vesicle membranes. FEBS Lett. 106:85-88. Tompkins, D.S., J. Dave, and N.P. Mapstone. (1994) Adaptation of Helicobacter pylori to aerobic growth. Eur. J. Clin.MicrobioL Infect. Dis. 13:409-412. Trias, J., and H.Nikaido. (1990) Outer membrane protein D2 catalyzes facilitated diffusion of carbapenem and penem through the outer membrane of Pseudomonas aeruginosa; Antimicrob. Agents Chemother. 34:52-57. Tufano, M.A., F. Rossano, P. Catalanotti, G. Liguori, C. Capasso, M.T. Ceccarelh, and P. Marinelh. (1994) Immunobiological activities of  Helicobacter pylori porins. Infect.  Immun. 62:1392-1399. Tummuru, M.K.R., T.L. Cover, and M J . Blaser. (1993) Cloning and expression of a highmolecular-mass major antigen of Helicobacter pylori: evidence of linkage to cytotoxin production. Infect. Immun. 61:1799-1809. Van Gelder, P., H. de Cock, and J. Tommassen. (1994) Detergent-induced folding of the outermembrane protein PhoE, a pore protein induced by phosphate limitation. Eur. J. Biochem. 226:783-787. Veldhuyzen van Zanten, S.J.O., J. Goldie, J. Hollingsworth, C. SiUetti, H. Richardson, and R.H. Hunt. (1992) Secretion of intravenously administered antibiotics in gastric juice: implications for management of Helicobacter pylori. J. Clin. Pathol. 45:225-227.  159 Vogel., H., and F. Jahnig. (1986) Models for the structure of outer-membrane proteins of Escherichia coli derived from raman spectroscopy and prediction methods. J. Moi. Biol. 190:191-199. Weel, J.F.L., R.W.M. van der Hulst, Y. Gerrits, P. Roorda, M. Feller, J. Dankert, G.N.J. Tygat, and A. van der Ende. (1996) The interrelationship between cytotoxin-associated gene A, vacuolating cytotoxin, and Helicobacter py/on'-related diseases. J. Infect. Dis. 173:11711175. Weiss, M.S., and Schulz, G.E. (1992). Structure of porin refined at 1.8 A resolution. J. Moi. Biol. 227:493-509. Weissbach, A., and J. Hurwitz. (1958) The formation of 2-keto-3-deoxyheptonic acid in extracts of Escherichia coli B. J. Biol. Chem. 234:705-709. Wong, J.C., R. Patel, D. Kendall, P.W. Whitby, A. Smith, J. Holland, and P. Williams. Affinity, conservation, and surface exposure of hemopexin-binding proteins in Haemophilus influenzae. Infect. Immun. 63:2327-2333. Woodruff, W.A., and R.E.W. Hancock. (1989) Pseudomonas aeruginosa outer membrane protein F: structural role and relationship to the Escherichia coli OmpA protein. J. Bacteriol. 171:3304-3309. Worst, D.J., B.R. Otto, and J. DeGraaf. (1995) Iron-repressible outer membrane proteins of Helicobacter pylori involved in heme uptake. Infect. Immun. 63:4161-4165. Wray, W., T. Boulikas, V.P. Wray, and R. Hancock. (1981) Silver staining of proteins in polyacrylamide gels. Analyt. Biochem. 118:197-203. Xia, H. X., C.T. Keane, and C A . Morain. (1994) Culture of Helicobacter pylori under aerobic conditions on solid media. Eur. J. Clin.Microbiol. Infect. Dis. 13:406-409. Xiang, Z., S. Censini, B.F. Bayeli, J.L. Telford, N. Figura, R. Rappuoli, and A. Covacci. (1995) Analysis and expression of CagA and VacA virulence factors in 43 strains of Helicobacter  160 pylori reveals that clinical isolates can be divided into two major types and that CagA is not necessary for expression ofthe vacuolating cytotoxin. Infect. Immun. 63:94-98. Yanisch-Perron, C.J. Vieira, and J. Messing. (1985) Improved M13 phage cloning vectors and host strains: nucleotide sequences of the M13mpl8 and pUC19 vectors. Gene 33:103-119. Yoshimura F., and H. Nikaido. (1985) Diffusion of beta-lactam antibiotics through the porin channels of Escherichia coli K-12. Antimicrob. Agents Chemother. 27:84-92.  

Cite

Citation Scheme:

        

Citations by CSL (citeproc-js)

Usage Statistics

Share

Embed

Customize your widget with the following options, then copy and paste the code below into the HTML of your page to embed this item in your website.
                        
                            <div id="ubcOpenCollectionsWidgetDisplay">
                            <script id="ubcOpenCollectionsWidget"
                            src="{[{embed.src}]}"
                            data-item="{[{embed.item}]}"
                            data-collection="{[{embed.collection}]}"
                            data-metadata="{[{embed.showMetadata}]}"
                            data-width="{[{embed.width}]}"
                            async >
                            </script>
                            </div>
                        
                    
IIIF logo Our image viewer uses the IIIF 2.0 standard. To load this item in other compatible viewers, use this url:
http://iiif.library.ubc.ca/presentation/dsp.831.1-0088008/manifest

Comment

Related Items