Abstract

The CagA protein of Helicobacter pylori is associated with increased virulence and gastric cancer risk. CagA is translocated into the host cell by a H. pylori type IV secretion system via mechanisms that are poorly understood. Translocated CagA interacts with numerous host factors, altering a variety of host signalling pathways. The recently determined crystal structure of C-terminally-truncated CagA indicated the presence of two domains: the smaller, flexible N-terminal domain and the larger, middle domain. In this study, we have investigated the conformation, oligomeric state and stability of the N-terminal, middle and glutamate-proline-isoleucine-tyrosine-alanine (EPIYA)-repeats domains. All three domains are monomeric, suggesting that the multimerisation of CagA observed in infected cells is likely to be mediated not by CagA itself but by its interacting partners. The middle and the C-terminal domains, but not the N-terminal domain, are capable of refolding spontaneously upon heat denaturation, lending support to the hypothesis that unfolded CagA is threaded C-terminus first through the type IV secretion channel with its N-terminal domain, which likely requires interactions with other domains to refold, being threaded last. Our findings also revealed that the C-terminal EPIYA-repeats domain of CagA exists in an intrinsically disordered premolten globule state with regions in PPII conformation - a feature that is shared by many scaffold proteins that bind multiple protein components of signalling pathways. Taken together, these results provide a deeper understanding of the physicochemical properties of CagA that underpin its complex cellular and oncogenic functions.

Highlights

  • Helicobacter pylori is a Gram negative pathogenic bacterium that infects the stomach tissue of approximately half the world’s population [1] and is associated with different gastric diseases ranging from gastritis and peptic ulcers to adenocarcinoma and mucosa-associated lymphoid tissue (MALT) lymphoma in humans [2,3,4]

  • Cytotoxin-associated gene product A (CagA)-N, CagA-M and CagA-R migrated on SDS–PAGE with an apparent molecular weight (MW) of 24, 58 and 10 kDa, respectively, which is close to the values calculated from the amino-acid sequence (25, 70 and 12 kDa)

  • CagA is a multifunctional effector protein that is translocated by H. pylori by means of its T4SS

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Summary

Introduction

Helicobacter pylori is a Gram negative pathogenic bacterium that infects the stomach tissue of approximately half the world’s population [1] and is associated with different gastric diseases ranging from gastritis and peptic ulcers to adenocarcinoma and mucosa-associated lymphoid tissue (MALT) lymphoma in humans [2,3,4]. The cagA gene belongs to a 40 kb genetic locus called the cytotoxin-associated gene pathogenicity island (cag-PAI). In addition to the cagA gene, cagPAI contains 28-30 genes that encode for the components of a type IV secretion system (T4SS) which is responsible for translocating CagA into the host gastric epithelial cells [6]. Both CagA and the H. pylori T4SS have been associated with the cellular changes that mark the pathological progression of gastric cancer [7,8,9,10].

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