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The Journal of Immunology, 2002, 168: 2603-2607.
Copyright © 2002 by The American Association of Immunologists


Cutting Edge

Cutting Edge: VacA, a Vacuolating Cytotoxin of Helicobacter pylori, Directly Activates Mast Cells for Migration and Production of Proinflammatory Cytokines1

Volaluck Supajatura*,{ddagger}, Hiroko Ushio{ddagger}, Akihiro Wada§, Kinnosuke Yahiro§,||, Ko Okumura{dagger},{ddagger}, Hideoki Ogawa*,{ddagger}, Toshiya Hirayama§ and Chisei Ra2,#

Departments of * Dermatology, {dagger} Immunology, and {ddagger} Atopy (Allergy) Research Center, Juntendo University School of Medicine, Tokyo, Japan; Departments of § Bacteriology and Biochemistry, Institute of Tropical Medicine, and || Department of Applied Chemistry, Faculty of Engineering, Nagasaki University, Nagasaki, Japan; and # Department of Molecular Cell Immunology and Allergology, Advanced Medical Research Center, Nihon University School of Medicine, Tokyo, Japan

Mucosal mast cells strategically located at the optimal site interact with invading bacteria. Presence of VacA, the virulent Helicobacter pylori cytotoxin, is correlated with the severity of H. pylori-induced gastritis. To examine the mechanisms of inflammation in H. pylori-induced gastritis, we administered VacA to the mice. Inoculation of VacA resulted in epithelium vacuolization and marked infiltrations of mast cells and mononuclear cells into the mucosal epithelium within 24 h. In an in vitro study using bone marrow-derived mast cells, VacA directly bound and showed a chemotactic activity to the mast cell. In addition, VacA induced bone marrow-derived mast cells to produce proinflammatory cytokines, TNF-{alpha}, macrophage-inflammatory protein-1{alpha}, IL-1{beta}, IL-6, IL-10, and IL-13 in a dose-dependent manner without causing degranulation. The present study suggests that early activation of mast cells by VacA may be the host early response to clear the bacteria and also may contribute to the pathogenesis of H. pylori-induced gastritis.




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