The neutrophil-activating protein of Helicobacter pylori promotes Th1 immune responses

J Clin Invest. 2006 Apr;116(4):1092-101. doi: 10.1172/JCI27177. Epub 2006 Mar 16.

Abstract

The Helicobacter pylori neutrophil-activating protein (HP-NAP) is a virulence factor of H. pylori that stimulates in neutrophils high production of oxygen radicals and adhesion to endothelial cells. We report here that HP-NAP is a TLR2 agonist able to induce the expression of IL-12 and IL-23 by neutrophils and monocytes. Addition in culture of HP-NAP, as an immune modulator, to antigen-induced T cell lines resulted in a remarkable increase in the number of IFN-gamma-producing T cells and decrease of IL-4-secreting cells, thus shifting the cytokine profile of antigen-activated human T cells from Th2 to a Th1 cytotoxic phenotype. We also found that in vivo HP-NAP elicited an antigen-specific Th1-polarized T cell response in the gastric mucosa of H. pylori-infected patients. These data indicate HP-NAP as an important factor of H. pylori able to elicit cells of the innate immune system to produce IL-12 and IL-23, and they suggest it as a new tool for promoting Th1 immune responses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Allergens / metabolism
  • Allergens / pharmacology
  • Bacterial Proteins / metabolism*
  • Bacterial Proteins / pharmacology
  • CD4 Antigens / metabolism
  • Cells, Cultured
  • Dendritic Cells / metabolism
  • Female
  • Genes, MHC Class II
  • Granulocytes / metabolism
  • Helicobacter pylori / metabolism*
  • Humans
  • Immunity, Innate
  • Interferon-gamma / metabolism
  • Interleukin-12 / biosynthesis
  • Interleukin-23
  • Interleukin-23 Subunit p19
  • Interleukins / biosynthesis
  • Male
  • Middle Aged
  • Monocytes / metabolism
  • Neutrophils / metabolism
  • Phenotype
  • Th1 Cells / immunology*
  • Th1 Cells / metabolism
  • Time Factors
  • Toll-Like Receptor 2 / agonists
  • Toll-Like Receptor 2 / metabolism
  • Tumor Necrosis Factor-alpha / metabolism
  • Up-Regulation

Substances

  • Allergens
  • Bacterial Proteins
  • CD4 Antigens
  • IL23A protein, human
  • Interleukin-23
  • Interleukin-23 Subunit p19
  • Interleukins
  • TLR2 protein, human
  • Toll-Like Receptor 2
  • Tumor Necrosis Factor-alpha
  • neutrophil-activating protein A, Helicobacter pylori
  • Interleukin-12
  • Interferon-gamma