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Originally published In Press as doi:10.1074/jbc.M509404200 on January 25, 2006

J. Biol. Chem., Vol. 281, Issue 16, 11250-11259, April 21, 2006
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Helicobacter pylori Vacuolating Cytotoxin Induces Activation of the Proapoptotic Proteins Bax and Bak, Leading to Cytochrome c Release and Cell Death, Independent of Vacuolation*Formula

Eiki Yamasaki{ddagger}§, Akihiro Wada{ddagger}§1, Atsushi Kumatori, Ichiro Nakagawa||, Junko Funao||, Masaaki Nakayama§, Junzo Hisatsune§, Miyuki Kimura**, Joel Moss{ddagger}{ddagger}2, and Toshiya Hirayama§

From the {ddagger}PRESTO, Japan Science and Technology Corporation, Saitama 332-0012, Japan, the §Department of Bacteriology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan, the Division of Medical Science, Department of Disaster Prevention System, Faculty of Risk and Crisis Management, Chiba Institute of Science, Choshi, Chiba 288-0025, Japan, the ||Department of Oral and Molecular Microbiology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita-Osaka 565-0871, Japan, the **Department of Medical Technology, Faculty of Health Sciences, Okayama University Medical School, Okayama 700-8558, Japan, and the {ddagger}{ddagger}Pulmonary-Critical Care Medicine Branch, NHLBI, National Institutes of Health, Bethesda, Maryland 20892-1590

Helicobacter pylori vacuolating cytotoxin, VacA, which causes vacuolation of gastric epithelial cells and other types of cultured cells, is known to stimulate apoptosis via a mitochondria-dependent pathway. In the present study, we examined the mechanisms of VacA-induced mitochondrial damage. Intracellular VacA localization was monitored by immunostaining and confocal microscopy; in AZ-521 cells in which cytochrome c release was stimulated, most of VacA was localized to vacuoles rather than mitochondria. VacA reduced the membrane potential of isolated mitochondria without inducing cytochrome c release, suggesting that it did not act directly to induce cytochrome c release from mitochondria and that in intact cells, VacA-induced cytochrome c release involved apoptosis-related factor(s), such as a proapoptotic Bcl-2 family protein. In agreement, flow cyto-metric analyses using antibodies specific for activated Bax revealed that intracellular Bax was activated by VacA in a concentration- and time-dependent manner. Using active form-specific antibodies, we also observed that the Bcl-2 family protein, Bak, was activated. By confocal microscopy, Bax and Bak were activated in AZ-521 cells in which cyto-chrome c release was induced by VacA. In addition, small interfering RNA-induced silencing of the bax gene resulted in reduction of VacA-stimulated cytochrome c release, consistent with a contribution of VacA-induced Bax activation to cytochrome c release. NH4Cl enhanced both VacA-induced vacuolation and Bax activation, whereas Bax activation was not inhibited by bafilomycin A1, which inhibited vacuolation caused by VacA. These results suggest that VacA acts through different signaling pathways to induce apoptosis via Bax activation, independent of vacuolation.


Received for publication, August 25, 2005 , and in revised form, December 29, 2005.

* This work was supported by grants-in-aid for Scientific Research from the Ministry of Education, Science and Culture of Japan and from Institute of Tropical Medicine, Nagasaki University. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Formula The on-line version of this article (available at http://www.jbc.org) contains supplemental material.

2 Supported by the Intramural Research Program, NHLBI, National Institutes of Health.

1 To whom correspondence should be addressed: Dept. of Bacteriology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 8528523, Japan. Tel.: 81-95-849-7833; Fax: 81-95-849-7805; E-mail: a-wada{at}net.nagasaki-u.ac.jp.


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