The gastric pathogen Helicobacter pylori induces a strong inflammatory host response, yet the bacterium maintains long-term persistence in the host. H. pylori combats oxidative stress via a battery of diverse activities, some of which are unique or newly described. In addition to using the well-studied bacterial oxidative stress resistance
enzymes superoxide dismutase and
catalase, H. pylori depends on a family of
peroxiredoxins (
alkylhydroperoxide reductase,
bacterioferritin co-migratory
protein and a
thiol-
peroxidase) that function to detoxify organic
peroxides. Newly described
antioxidant proteins include a soluble
NADPH quinone reductase (MdaB) and an
iron sequestering
protein (NapA) that has dual roles - host
inflammation stimulation and minimizing
reactive oxygen species production within H. pylori. An H. pylori
arginase attenuates host
inflammation, a
thioredoxin required as a
reductant for many oxidative stress
enzymes is also a chaperon, and some novel properties of KatA and AhpC were discovered. To repair oxidative DNA damage, H. pylori uses an
endonuclease (Nth),
DNA recombination pathways and a newly described type of bacterial MutS2 that specifically recognizes
8-oxoguanine. A
methionine sulphoxide reductase (Msr) plays a role in reducing the overall oxidized
protein content of the cell, although it specifically targets oxidized Met residues. H. pylori possess few stress regulator
proteins, but the key roles of a ferric uptake regulator (Fur) and a post-transcriptional regulator CsrA in
antioxidant protein expression are described. The roles of all of these
antioxidant systems have been addressed by a targeted mutant analysis approach and almost all are shown to be important in host colonization. The described
antioxidant systems in H. pylori are expected to be relevant to many bacterial-associated diseases, as genes for most of the
enzymes carrying out the newly described roles are present in a number of pathogenic bacteria.