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Table 1 The 3 categories of H. pylori virulence factors and their functions

From: The impacts of H. pylori virulence factors on the development of gastroduodenal diseases

The three categories of virulence factors

Biological functions or associated diseases

Colonization

Biological functions

Urease

 Neutralize gastric acid

Flagella Chemotaxis system

 Bacterial movement to epithelial surface & deep gland

Adhesins

 Adherence to gastric epithelial cells

 • BabA

 

 • SabA

 

 • Lewis antigens

 

 • OipA

 

Immune escape

Biological functions

 LPS & Flagella

 Low immunogenicity

 Molecular mimicry

 Induce anti-inflammatory response

 CagA & T4SS

 Suppress phagocytosis

 Decrease antimicrobial peptide

 Induce tolerogenic dendritic cell

 Block effector T cell response

 VacA

 Suppress phagocytosis

 Induce tolerogenic dendritic cell

 Block effector T cell response

 Gamma-glutamyl transpeptidase

 Induce tolerogenic dendritic cell

 Block effector T cell response

 Cholesterol-α-glucosyltransferase

 Suppress phagocytosis

 Catalase Superoxide dismutase

 Suppress and ROS & NO

 Arginase

 Suppress ROS & NO

 Block effector T cell response

Disease induction

Associated diseases

 CagA & T4SS

 Gastric adenocarcinoma, MALToma & PUD

 VacA

 Gastric adenocarcinoma & PUD

 BabA

 Gastric adenocarcinoma & PUD

 HtrA

 Gastric adenocarcinoma

 DupA

 Duodenal ulcer

 IceA

 PUD

 OipA

 PUD

  1. LPS Lipopolysaccharide, T4SS type IV secretion system, ROS reactive oxygen species, NO nitric oxide, PUD peptic ulcer disease