The Journal of Experimental Medicine
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Published 15 December 2003. doi:10.1084/jem.20030621
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© Rockefeller University Press, 0022-1007/2003/12/1887 $5.00
The Journal of Experimental Medicine, Volume 198, Number 12, 1887-1897

The Helicobacter pylori Vacuolating Toxin Inhibits T Cell Activation by Two Independent Mechanisms

Marianna Boncristiano1, Silvia Rossi Paccani1, Silvia Barone2, Cristina Ulivieri1, Laura Patrussi1, Dag Ilver2, Amedeo Amedei3, Mario Milco D'Elios3, John L. Telford2 and Cosima T. Baldari1

1 Department of Evolutionary Biology, University of Siena, 53100 Siena, Italy
2 IRIS, Chiron Vaccines, 53100 Siena, Italy
3 Department of Internal Medicine and Immunoallergology, University of Florence, 50134 Florence, Italy

Address correspondence to John L. Telford, IRIS, Chiron Vaccines, Via Fiorentina 1, 53100 Siena, Italy. Phone: 39-0577-243470; Fax: 39-0577-243564; email: john_telford{at}chiron.it

Helicobacter pylori toxin, VacA, damages the gastric epithelium by erosion and loosening of tight junctions. Here we report that VacA also interferes with T cell activation by two different mechanisms. Formation of anion-specific channels by VacA prevents calcium influx from the extracellular milieu. The transcription factor NF-AT thus fails to translocate to the nucleus and activate key cytokine genes. A second, channel-independent mechanism involves activation of intracellular signaling through the mitogen-activated protein kinases MKK3/6 and p38 and the Rac-specific nucleotide exchange factor, Vav. As a consequence of aberrant Rac activation, disordered actin polymerization is stimulated. The resulting defects in T cell activation may help H. pylori to prevent an effective immune response leading to chronic colonization of its gastric niche.

Key Words: MAP kinase signaling cascades • immunosuppression • host–pathogen interactions • calcium signaling


M. Boncristiano and S. Rossi Paccani contributed equally to this work.

D. Ilver's present address is Institute of Medical Biochemistry, Göteborg University, 40530 Göteborg, Sweden.

Abbreviations used in this paper: COX, cyclooxygenase; MAPK, mitogen-activated protein kinase; NPPB, 5-nitro-2-(3-phenylpropylamino)-benzoic acid.


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