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The Journal of Immunology, 2002, 168: 4692-4700.
Copyright © 2002 by The American Association of Immunologists

Helicobacter pylori Induces Macrophage Apoptosis by Activation of Arginase II1

Alain P. Gobert*, Yulan Cheng*, Jian-Ying Wang{dagger},{ddagger}, Jean-Luc Boucher||, Ramaswamy K. Iyer#,**, Stephen D. Cederbaum**,{dagger}{dagger},*, Robert A. Casero, Jr.*, Jamie C. Newton* and Keith T. Wilson2,*,§

* Department of Medicine, Division of Gastroenterology, Departments of {dagger} Surgery and {ddagger} Pathology, and § Greenebaum Cancer Center, University of Maryland School of Medicine, and Veterans Affairs Maryland Health Care System, Baltimore, MD 21201; || Laboratoire de Chimie et Biochimie Pharmacologiques, Unité Mixte de Recherche 8601, Centre National de la Recherche Scientifique, Université René Descartes, Paris, France; # Department of Pathology and Laboratory Medicine, ** Mental Retardation Research Center, Departments of {dagger}{dagger} Psychiatry and * Pediatrics, University of California School of Medicine, Los Angeles, CA 90024; and * Department of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD 21231

Helicobacter pylori infection induces innate immune responses in macrophages, contributing to mucosal inflammation and damage. Macrophage apoptosis is important in the pathogenesis of mucosal infections but has not been studied with H. pylori. NO derived from inducible NO synthase (iNOS) can activate macrophage apoptosis. Arginase competes with iNOS by converting L-arginine to L-ornithine. Since we reported that H. pylori induces iNOS in macrophages, we now determined whether this bacterium induces arginase and the effect of this activation on apoptosis. NF-{kappa}B-dependent induction of arginase II, but not arginase I, was observed in RAW 264.7 macrophages cocultured with H. pylori. The time course of apoptosis matched those of both arginase and iNOS activities. Surprisingly, apoptosis was blocked by the arginase inhibitors N{omega}-hydroxy-L-arginine or N{omega}-hydroxy-nor-L-arginine, but not by the iNOS inhibitor N-iminoethyl-L-lysine. These findings were confirmed in peritoneal macrophages from iNOS-deficient mice and were not dependent on bacterial-macrophage contact. Ornithine decarboxylase (ODC), which metabolizes L-ornithine to polyamines, was also induced in H. pylori-stimulated macrophages. Apoptosis was abolished by inhibition of ODC and was restored by the polyamines spermidine and spermine. We also demonstrate that arginase II expression is up-regulated in both murine and human H. pylori gastritis tissues, indicating the likely in vivo relevance of our findings. Therefore, we describe arginase- and ODC-dependent macrophage apoptosis, which implicates polyamines in the pathophysiology of H. pylori infection.




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