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J Biol Chem, Vol. 275, Issue 7, 5081-5089, February 18, 2000
The Thioredoxin System of Helicobacter pylori*
Henry J.
Windle ,
Áine
Fox,
Déirdre
Ní
Eidhin, and
Dermot
Kelleher
From the Department of Clinical Medicine, Trinity College Dublin,
Trinity Centre for Health Sciences, St. James's Hospital,
Dublin 8, Ireland
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ABSTRACT |
This paper describes the purification of
thioredoxin reductase (TR) and the characterization, purification, and
cloning of thioredoxin (Trx) from Helicobacter pylori.
Purification, amino acid sequence analysis, and molecular cloning of
the gene encoding thioredoxin revealed that it is a 12-kDa protein
which possesses the conserved redox active motif CGPC. The gene
encoding Trx was amplified by polymerase chain reaction and inserted
into a pET expression vector and used to transform
Escherichia coli. Trx was overexpressed by
induction with isopropyl-1-thio- -D-galactopyranoside as
a decahistidine fusion protein and was recovered from the cytoplasm as
a soluble and active protein. The redox activity of this protein was
characterized using several mammalian proteins of different architecture but all containing disulfide bonds. H. pylori
thioredoxin efficiently reduced insulin, human immunoglobulins
(IgG/IgA/sIgA), and soluble mucin. Subcellular fractionation analysis
of H. pylori revealed that thioredoxin was associated
largely with the cytoplasm and inner membrane fractions of the cell in
addition to being recovered in the phosphate-buffered saline-soluble
fraction of freshly harvested cells. H. pylori TR was
purified to homogeneity by chromatography on DEAE-52, Cibacron blue
3GA, and 2',5'-ADP-agarose. Gel filtration revealed that the native TR
had a molecular mass of 70 kDa which represented a homodimer composed
of two 35-kDa subunits, as determined by SDS-polyacrylamide gel
electrophoresis. H. pylori TR (NADPH-dependent)
efficiently catalyzed the reduction of 5,5'-dithiobis(nitrobenzoic
acid) in the presence of either native or recombinant H. pylori Trx. H. pylori Trx behaved also as a stress
response element as broth grown bacteria secreted Trx in response to
chemical, biological, and environmental stresses. These observations
suggest that Trx may conceivably assist H. pylori in the
process of colonization by inducing focal disruption of the oligomeric
structure of mucin while rendering host antibody inactive through
catalytic reduction.
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INTRODUCTION |
Redox control of a broad range of biochemical and immunological
processes is now well documented to exercise a pivotal role in the
cellular activity of both eukaryotes and prokaryotes. To date the redox
properties of Helicobacter pylori have received little
attention. Accumulating evidence indicates that the redox status of
cells controls various cellular functions including cellular activation
and proliferation in addition to growth inhibition and apoptosis (for
reviews, see Refs. 1-5). Cellular redox status is maintained by
intracellular redox-regulating molecules, including thioredoxin
(Trx),1 glutaredoxin, and
protein disulfide isomerase, which catalyze the formation and reduction
of disulfide bonds in proteins.
The redox protein Trx and the associated enzyme thioredoxin reductase
(TR) constitute a thiol-dependent reduction-oxidation system that can catalyze the reduction of certain proteins by NADPH,
usually with high selectivity (1). In anaerobic bacteria, the
generation of low redox potential reductants, such as Trx, can be used
to assist electron flow to specific substrates. The capacity with which
a given Trx can participate in this process is governed largely by the
redox potential of the molecule. This in turn is directly associated
with the nature of the amino acid residues flanked by 2 redox active
vicinal cysteines in the active site. These cysteine residues
participate in various redox reactions resulting in the catalysis of
dithiol-disulfide exchange reactions. This CXXC motif has
been termed elegantly as a molecular rheostat (6), whereby the
resulting family of thiol-disulfide oxidoreductases vary greatly in
their redox potential and therefore their ability to assist electron
flow. Thioredoxin reductase catalyzes the reduction of oxidized
thioredoxin (Trx-S2) by NADPH, and reduced thioredoxin (Trx-(SH)2) is the disulfide reductase. Typically, enzymes
of this family contain 2 identical protein subunits, each subunit containing one redox-active disulfide, 1 mol of FAD per subunit, and
conserved FAD and NAD(P)H binding motifs. The flavin moiety mediates
the transfer of reducing equivalents from NADPH to the disulfide bond
of thioredoxin.
We sought to identify and characterize processes in the gastric
pathogen H. pylori which were susceptible to redox
regulation, with an overall view to exploring the effects of the
bacterium's redox environment on pathogenic mechanisms in addition to
studying the effects of host factors on the redox activity of the
bacterium. Initially we focused on members of the thioredoxin
superfamily and specifically the Trx system. Here we describe the
purification, overexpression, and characterization of the Trx system
from H. pylori.
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EXPERIMENTAL PROCEDURES |
Materials 2',5'-ADP-agarose, Cibacron blue 3GA,
iminodiacetic acid-Sepharose 6B, -aminobenzamidine-agarose, bovine
insulin, bovine submaxillary gland mucin, DTT
(1,4-dithio-DL-threitol) and Escherichia coli
thioredoxin, and anti-E. coli thioredoxin were obtained from
Sigma, Poole, Dorset, United Kingdom. Sephacryl S-300 was obtained from
Amersham Pharmacia Biotech.
Isopropyl- -D-thiogalactoside, NADPH, NADP+,
and NADH were obtained from Roche Molecular Biochemicals, Bell Lane,
Lewes, East Sussex, U.K. DEAE-52 was purchased from Whatman (Maidstone,
UK). Factor Xa was purchased from New England Biolabs, Hertfordshire,
U.K. Polyclonal human IgG, secretory IgA, and IgA1 were
obtained from Calbiochem, Beeston, Nottingham, U.K. Anti-IgG subclass
antibodies (anti-IgG1, IgG2, IgG3,
IgG4) were purchased from The Binding Site Ltd.,
Birmingham, U.K. Anti-IgA and anti-secretory component antibodies were
from Dako Ltd. All buffer reagents for SDS-PAGE were prepared in
deionized water (Elga Prima reverse osmosis; water quality 1.2 µS/cm). All other chemicals were of analytical reagent grade.
Western Blotting and SDS-PAGE--
Discontinuous SDS-PAGE was
performed essentially as described previously (7). Proteins from
SDS-PAGE gels were electroblotted (0.9 mA/cm2 for 1 h)
to polyvinylidene difluoride membrane (Gelman) using a semi-dry
blotting apparatus (Amersham Pharmacia Biotech), essentially as
described by Towbin et al. (8). Immunoblots were processed and developed by enhanced chemiluminescence as described previously (9). For NH2-terminal sequencing the protein was
electroblotted to ProBlott and stained briefly with freshly prepared
Amido Black. Two-dimensional SDS-PAGE was performed essentially as
described (54). Briefly, pellets of cells (~100 µg of protein)
obtained from broth cultures of H. pylori were resuspended
in isoelectric focussing (IEF) sample buffer and subjected to
isoelectric focussing for 16 h at 300 V and for an additional
1 h 15 min at 800 V. Following IEF, the gels were equilibrated in
SDS-PAGE sample buffer for 30 min prior to electrophoresis in the
second dimension on 15% acrylamide gels. Broad range carrier
ampholytes (pH 3-10) were used in the IEF gels.
Protein Measurements--
Protein was measured by the method of
Markwell et al. (10) with bovine serum albumin as the
protein standard.
Bacterial Strain and Growth Conditions--
The reference strain
of H. pylori used in this study (NCTC 11638, VacA+ and CagA+) was obtained from the National
Collection of Type Cultures, Public Health Laboratory, London, U.K. All
components for H. pylori culture media were obtained from
Oxoid, Unipath Ltd., Basingstoke, Hampshire, U.K. H. pylori
was grown under microaerobic conditions (Oxoid Campylobacter system,
5% O2, 10% CO2) for 4 days on 7% lysed horse
blood Columbia agar at 37 °C. Cells were harvested into ice-cold
phosphate-buffered saline (pH 7.5). The cells were washed twice by
centrifugation (10,000 × g, 5 min, 4 °C) in the appropriate buffer before use. Liquid cultures of H. pylori
were grown in broth medium (10 ml) containing brain heart infusion, horse serum (5%, v/v), and yeast extract (0.25%, w/v) as described previously (55). The broth was supplemented with vancomycin (6 mg/liter), nalidixic acid (20 mg/liter), and amphotericin B (4 mg/liter) and incubated for 2 h at 37 °C in 5%
CO2. The flasks were then sealed and incubated with
constant agitation (120 rpm) for a further 72 h at 37 °C.
Cultures were examined by a rapid urease test (phenol red) and by
subculture to solid media (Columbia blood agar and Brain Heart infusion
agar) with appropriate incubation to confirm the identity and purity of
the broth cultures. In some experiments bovine anti-H.
pylori IgG (0.1 mg/ml) was added to the broth culture. Samples
(0.5 ml) of the broth culture were taken before and at various periods
of time after the addition of antibody. H. pylori was
removed by centrifugation (10,000 × g, 3 min) and both
the pellet of cells and the supernatant were retained and stored at
25 °C until required for analysis.
Purification of Thioredoxin Reductase (TR)--
Agar-grown
H. pylori was suspended in buffer A (20 mM
Tris-HCl, pH 7.5) and subjected to sonication (4 × 1 min bursts)
on ice using a Branson sonifier 450. After centrifugation to remove intact cells and cellular debris (12,000 × g, 10 min,
4 °C) the resulting supernatant was applied to a DEAE-cellulose
column (3.5 × 16 cm) equilibrated in buffer A. Thioredoxin
reductase activity was eluted with a gradient (300 ml) of KCl (0-0.35
M) in buffer A. Active fractions were pooled, dialyzed
against buffer B (50 mM Tris-HCl, pH 7.5), and applied to a
Cibacron blue 3GA column (1 × 3 cm). TR was eluted with a
gradient of KCl (0-0.4 M). Active fractions were pooled,
dialyzed against buffer B, and applied to a small 2',5'-ADP-agarose
column (1 ml). Thioredoxin reductase was eluted upon application of 0.2 M KCl. The ion exchange and dye affinity chromatography
steps were performed at room temperature and the ADP-Sepharose step was
done at 4 °C.
Gel Filtration Chromatography--
A sonicate of H. pylori was prepared as described above and 0.5 ml (~10 mg of
protein/ml) of the material was applied to a column (diameter 1.5 cm;
height 29.7 cm) of Sephacryl S-300 superfine (Amersham Pharmacia
Biotech) equilibrated with phosphate-buffered saline (pH 7.5)
containing NaN3 (0.02%, w/v). The protein was eluted with
this same buffer (8.5 cm/h) and the collected fractions were assayed
for both TR activity and total protein. The column was first calibrated
with proteins of known molecular size (Amersham Pharmacia Biotech). Gel
filtration over Sephadex G-50 (Amersham Pharmacia Biotech) was
performed also in PBS.
Measurement of Thioredoxin Reductase Activity--
Thioredoxin
reductase activity was assayed at 25 °C in 0.1 M
potassium phosphate buffer (pH 7.5) containing EDTA (1 mM),
5,5'-dithiobis(2-nitrobenzoic acid) (5 mM), and NADPH (0.2 mM) in a final volume of 1.0 ml. The reaction was initiated
by the addition of enzyme and the progress of the reaction was
monitored by the increase in absorbance at 412 nm in a Pye Unicam 5625 spectrophotometer. One unit of enzyme activity is defined as the amount
of enzyme required to oxidize 1 µmol of NADPH/min at 25 °C (pH
7.5). Activity was calculated as micromole of NADPH oxidized/min in
accordance with the relationship A412/(13.6 × 2). Thioredoxin reductase
activity was assayed also using a minor modification of the insulin
reduction assay (11). The reaction mixture consisted of 0.1 M potassium phosphate buffer (pH 7.0) containing EDTA (1 mM), insulin (0.1 mg/ml), NADPH (0.2 mM), and
H. pylori histidine-tagged Trx (2 µM) in a
final volume of 1 ml. The reaction was initiated by the addition the
enzyme to the mixture at 25 °C and the oxidation of NADPH was
monitored at 340 nm. The amount of NADPH oxidized was determined from
the relationship A340/6.2.
Purification of Native H. pylori Trx--
Thioredoxin was
purified by a combination of ion exchange chromatography on DEAE
cellulose and gel filtration over Sephadex G-50. Fractions containing
Trx were identified using the spectrophotometric insulin reduction
assay (11).
Fluorescence Spectroscopy--
Fluorescence emission spectra of
Trx were determined with a Jasco FP 750 spectrofluorimeter by
excitation at 280 nm and emission was recorded from 290 to 390 nm. All
measurements were performed in Tris-HCl (50 mM, pH 7.3)
containing EDTA (1 mM) and Trx (15 µg/ml) at 25 °C. To
prevent oxidation of Trx, all solutions were sparged with
N2. Complete reduction of Trx was achieved by the addition
of DTT (1 mM).
Expression and Purification of Recombinant H. pylori
Trx--
Transformants of E. coli BL21(DE3)pLysS with
plasmid pET-16b (Novagen) containing the Trx gene (HP 824)
were grown at 37 °C in LB broth supplemented with ampicillin (100 µg/ml) and chloramphenicol (30 µg/ml). H. pylori Trx was
expressed as an NH2-terminal decahistidine fusion protein
in E. coli. The gene coding for Trx was amplified by
polymerase chain reaction using ExpandTM (Roche Molecular
Biochemicals), using the amplification conditions recommended by the
manufacturer. Under these conditions a single product was obtained and
this was cloned into the expression plasmid via the BamHI
and NdeI restriction sites. The following primers were used:
forward primer, 5'-CGCCATATGAGTCACTATATTGAATTAAC-3'; reverse primer
5'-CGCGGATCCGCCTAAGAGTTTGTTCAATTG-3'. Overexpression of the fusion
protein was induced by adding 1 mM
isopropyl- -D-thiogalactoside at exponential phase and
the incubation continued for 3 h at 37 °C. The induced cells
were harvested by centrifugation (10,000 × g, 15 min,
4 °C), washed once with 50 mM Tris-HCl (pH 7.5), and
subjected to sonication (3 × 1 min). The soluble fusion protein was purified to homogeneity by metal chelate chromatography on a
Ni2+ column (3 ml) according to the manufacturer's
instructions. The protein was eluted with 0.4 M imidazole
in 20 mM Tris-HCl (pH 7.5) containing 0.5 M
NaCl. Typically, 2-3 mg of homogenous Trx/100 ml of culture was
obtained by this procedure. Both the histidine-tagged fusion protein
and the recombinant Trx obtained after cleavage of the histidine tail
by Factor Xa were indistinguishable in their spectroscopic properties
and redox behavior.
Antiserum--
Hyperimmune bovine anti-H. pylori
antiserum was raised in cows immunized with a sonicate prepared from
agar grown H. pylori. The IgG fraction was obtained by
purification on Protein G (Amersham Pharmacia Biotech) using standard
procedures. Anti-H. pylori thioredoxin antiserum was
obtained from rabbits hyperimmunized with purified recombinant H. pylori thioredoxin using standard procedures. Anti-E. coli thioredoxin antiserum was obtained commercially (Sigma).
Reduction of Immunoglobulins and Mucin by the Trx
System--
Proteins (soluble porcine submaxillary gland mucin and
immunoglobulins) to be reduced by the H. pylori Trx system
were suspended in 50 mM Tris-HCl (pH 7.5) containing EDTA
(1 mM). The reaction was performed at room temperature.
After various periods of incubation the reaction mixture was subjected
to alkylation by the addition of 4-fold molar excess iodoacetamide (in
N2-sparged 0.2 M Tris-HCl (pH 8.8)) over
sulfhydryls to the sample. The mixture was left to incubate for 15 min
under N2 in the dark after which time an equal volume of
double strength nonreducing sample buffer was added and the mixture
boiled for 5 min prior to SDS-PAGE on 5-20% acrylamide gradient gels.
The actual amounts and concentrations of the various components of the
reaction are given in the figure legends where appropriate. Typically,
the reaction was initiated by the addition of 3 µM
immunoglobulin (Ig) to a mixture of recombinant H. pylori
Trx (3-fold molar excess over Ig), TR (0.1 µM), and NADPH
(400 µM). Samples of the reaction mixture (10 µl) were
withdrawn at the times indicated in the figure legends and processed as described above. Gels were stained either with Coomassie Brilliant Blue
or processed for Western blotting. Reduction of porcine submaxillary gland mucin was performed in a similar manner to that described for Igs
and the reaction was monitored both spectrophotometrically (NADPH
consumption) and by SDS-PAGE.
Subcellular Fractionation of H. pylori--
Weakly
cell-associated or soluble proteins were obtained by gently mixing a
suspension of freshly harvested cells in PBS prior to centrifugation
(10,000 × g, 10 min, 4 °C) to remove whole cells. The resulting supernatant was sterile filtered (0.2 µm Acrodisc, low
protein binding) and stored at 70 °C. Membrane and cytosolic protein fractions were prepared essentially as described previously (9).
Measurement of Urease Activity--
Urease activity was measured
spectrophotometrically exactly as described previously (75).
Thioredoxin ELISA--
Thioredoxin was detected in broth culture
supernatants by coating ELISA plates (Nunc Maxisorp) with 50 µl of
broth medium (concentrated 4-fold) overnight at 4 °C. Following
washing (PBS) and blocking (3% BSA in PBS), bound thioredoxin was
specifically detected by incubating the appropriate wells with
polyclonal anti-H. pylori thioredoxin antiserum (1/1000) for
2 h at room temperature in a humidified atmosphere. After
incubation with swine anti-rabbit IgG (1/1000; peroxidase conjugated)
for 1 h at room temperature the bound conjugate was incubated with
the substrate 3',3',5',5'-tetramethylbenzidine according to the
manufacturer's instructions (Sigma).
Sequence Analysis--
Multiple sequence alignments were made
with the Clustal program. Amino-terminal sequence analysis of purified
H. pylori Trx and TR was performed by Aine Healy
at the National Food Biotechnology Center, University College Cork,
using an Applied Biosystems automated sequencer.
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RESULTS |
Purification, Subcellular Distribution, and Properties of Native
Trx from H. pylori--
Thioredoxin from H. pylori was
purified to homogeneity in a two-step procedure which involved ion
exchange on DEAE-cellulose followed by gel filtration over Sephadex
G-50. An SDS-PAGE analysis of a sample taken from each step in the
purification procedure is shown in Fig. 1
(panel A). Detection of Trx during its purification was
based on its ability to reduce insulin disulfides, as described under
"Experimental Procedures." Thioredoxin from H. pylori
exists as a monomer with an apparent molecular mass of 12 kDa as
determined by SDS-PAGE under reducing and nonreducing conditions. The
NH2-terminal 20 amino acid residues for Trx were found to
be MSHYIELTEEXFESTIKKGV, where X represents an
unidentified residue. A search of the protein data bases confirmed that
we had purified Trx, entry HP 0824 in the H. pylori genome
data base (12). Subcellular distribution studies demonstrated that Trx
from H. pylori is largely a cytoplasmic protein (Fig. 1,
panel C) with a small proportion of the total protein
associated with the inner membrane fraction of the cell (not shown).
Interestingly, Trx was detected in the soluble extracellular fraction
which was obtained by briefly suspending the bacteria in PBS to remove
loosely cell-associated material (Fig. 1, panel C, lane
4).

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Fig. 1.
SDS-PAGE analysis of Trx and TR purification
and subcellular distribution of Trx. Panel A shows a
Coomassie Blue-stained SDS-PAGE (15% acrylamide) electrophoretogram of
samples from each stage of the purification of Trx; starting material
(lane 1), DEAE-cellulose (lane 2), Sephadex G-50
(0.5 µg, lane 3), and Sephadex G-50 (1 µg, lane
4). Panel B shows an SDS-PAGE electrophoretogram
stained with Coomassie Blue of samples from each step in the
purification of TR; starting material (lane 1), DEAE column
(lane 2), Cibacron blue (lane 3), and
2',5'-ADP-agarose (lane 4). Panel C shows a
Western blot of the subcellular localization of Trx in H. pylori; lanes 1-5 represent whole H. pylori, cytoplasmic fraction, membrane fraction, PBS wash, and
recombinant Trx, respectively, probed with anti-Trx antibodies affinity
purified from hyperimmune bovine serum. The molecular weight marker
proteins used were bovine serum albumin (Mr = 66,000), ovalbumin (Mr = 45,000),
glyceraldehyde-3-phosphate dehydrogenase (Mr = 36,000), carbonic anhydrase (Mr = 29,000),
trypsinogen (Mr = 24,000), and soybean trypsin
inhibitor (Mr = 20,100), and lactalbumin
(Mr = 14,200).
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Overexpression of Trx in E. coli--
Routinely, 2-3 mg of
recombinant Trx was obtained per 100 ml of broth culture and the
protein was expressed exclusively as a soluble cytoplasmic protein in
E. coli. Removal of the His-tag from the purified material
was achieved by digestion with Factor Xa (25 µg/mg protein) for
16 h at room temperature. To terminate the reaction the Factor Xa
was removed from the mixture by passage through a small (1 ml)
benzamidine-agarose column followed by purification of the recombinant
protein (minus His-tag) on a Ni2+ column. Removal of the
histidine tag resulted in a 2-kDa decrease in the molecular mass of the protein.
Spectral Properties--
The fluorescence emission spectra of the
native and recombinant Trxs were determined for both the reduced and
oxidized forms of the protein. The spectral characteristics of the
reduced forms of the native and recombinant protein (+His-tag) were
identical as were those of their oxidized forms (not shown). The
reduction of the recombinant H. pylori Trx by DTT (1 mM) resulted in a 1.8-fold increase in the tryptophan
fluorescence intensity at 343 nm following excitation at 280 nm (Fig.
2). It has been demonstrated previously that thioredoxin from E. coli shows a larger increase in
fluorescence intensity (3.5-fold) upon reduction of the active site
cysteines due to the quenching effect of the active site disulfide on
the fluorescence of an adjacent tryptophan (13).

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Fig. 2.
Fluorescence emission spectrum of reduced and
oxidized forms of thioredoxin from H. pylori.
Thioredoxin (15 µg/ml) was reduced ( ) or oxidized (- - - - -)
by the addition of DTT (1 mM) or diamide (15 µM) to the sample, respectively, in 50 mM
Tris-HCl (pH 7.3) containing EDTA (1 mM) for 10 min at
25 °C in a final volume of 2 ml prior to excitation of the samples
at 280 nm using a light path of 1 cm. Fluorescence emission was
recorded between 300 and 390 nm.
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Reduction of Insulin--
The ability of H. pylori Trx
to catalyze the reduction of insulin by DTT was determined. Insulin
reduction can be measured spectrophotometrically as an increase in
turbidity due to precipitation of the free insulin B chain (88). We
have compared the rates of porcine insulin reduction by DTT in the
presence of H. pylori and E. coli Trxs. Both Trxs
show activity as disulfide reductases with insulin as substrate (Fig.
3, panel A). Interestingly,
Trx from H. pylori was approximately four times as efficient
at reducing insulin than equivalent amounts of E. coli Trx
when incubated with DTT (Fig. 3). In addition, the initial rate of
insulin reduction was greater with H. pylori Trx compared
with Trx from E. coli. These observed redox activities (Fig.
3) and the differential spectral properties of reduced and oxidized Trx
(Fig. 2) enabled us to examine the oxidation of fully reduced Trx by
insulin and to assay the process continuously using a fluorimeter.
Fluorescence spectroscopy of reduced thioredoxin re-oxidation by
insulin demonstrated that the process occurred rapidly upon addition of
an equal amount of insulin (Fig. 3, panel B) and that the
thioredoxin was oxidized within 2 min of the initiation of the
reaction. Taken together, these data indicate that we had a functional
recombinant molecule which behaved in a manner identical to the
purified native Trx.

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Fig. 3.
Reduction of insulin catalyzed by thioredoxin
from H. pylori and E. coli.
Panel A shows the time course of insulin reduction in the
presence of either Trx from H. pylori ( , 10 µM; , 5 µM) or E. coli ( ,
10 µM; , 5 µM). Panel B shows
the fluorimeter tracing of reduced Trx oxidation by insulin. Using an
excitation wavelength of 280 nm, the time course of fluorescence
emission at 343 nm of H. pylori Trx (15 µg/ml) in 50 mM Tris-HCl (pH 7.3) containing EDTA (1 mM) was
recorded in the absence and presence of added insulin. The
arrow indicates the addition of insulin.
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Purification and Properties of TR from H. pylori--
Thioredoxin
reductase was purified to homogeneity using a three-step purification
procedure involving ion-exchange chromatography over DEAE-cellulose,
Cibacron blue 3GA, and affinity purification over 2'-5'-ADP-agarose.
During purification the activity of TR was monitored by its ability to
catalyze NADPH-dependent reduction of the disulfide bond in
5,5'-dithiobis(2-nitrobenzoic acid) as described previously (11).
Thioredoxin reductase activity eluted as a distinct sharp peak from
DEAE-cellulose upon the application of a salt gradient. Active
fractions were pooled, dialyzed, and applied to a small column of
Cibacron blue 3GA and eluted in a highly purified form with KCl.
Finally, the enzyme was purified to homogeneity by affinity
chromatography over 2',5'-ADP-agarose. An SDS-PAGE electrophoretic
profile of each step in the purification procedure is shown in Fig. 1
(panel B). A native molecular mass of approximately 70,000 Da was determined for TR on a calibrated column of Sephacryl S-300
(results not shown). The apparent molecular mass determined by
analytical reducing SDS-PAGE of the purified activity was 35 kDa (Fig.
1, panel B, lane 4) thus indicating that the H. pylori enzyme consists of two identical or similar subunits held
together by a disulfide bond. NH2-terminal amino acid
analysis of this peptide yielded the sequence
MIDXAIIGGGPAGLXAGLYA, where X
represents an unidentified residue. This sequence corresponds to entry
HP 825 in the H. pylori genome data base. The pure enzyme (TR) obtained after affinity chromatography on 2',5'-ADP-agarose showed
absorption maxima at 290, 350, and 420 nm (not shown). Thioredoxin
reductase from H. pylori was strictly dependent on NADPH and
was inactive in the presence of NADH (not shown), a feature common to
most thioredoxin reductases described to date. In addition, the
thioredoxin reductase reaction (Trx-S2 + NADPH + H+ Trx-(SH)2 + NADP+) was
reversible by addition of excess NADP+ (not shown).
Comparisons with Other Thioredoxins and Thioredoxin
Reductases--
The alignment of the deduced amino acid sequences
encoded by the trxB gene from H. pylori and other
selected species is shown in Fig.
4A. Greatest homology (>51%)
between H. pylori Trx and Trx from other species is seen
with Bacillus subtilis, Saccharomyces aureus,
Anabaena sp., and the red alga Cyanidium
caldarium. The redox-active site CGPC of Trx is highly conserved.
Interestingly, Trx shares good homology to Trx from B. subtilis, recently shown to be an essential protein for the
organism which is induced by multiple stresses (87). On the other hand
H. pylori TR is most homologous (44%) to TR from
Clostridium litorale (not shown). In addition, the H. pylori enzyme possesses 2 conserved motifs responsible for binding
of FAD near the NH2 terminus (GXGXXG) and NADPH near the middle of the protein (GGGDXA) as well as
a redox active center (CATC). There is a fourth conserved domain with
no homology to known motifs, located at the COOH terminus of the
protein (GXFAAGD) (not shown).

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Fig. 4.
Amino acid sequence alignment of thioredoxin
and thioredoxin reductase. Multiple alignment of Trx (HP 824) from
H. pylori and other species is shown in panel A. Panel
B shows the paired alignment of the two species of Trx from
H. pylori (HP 824, lower; HP 1458, upper). Panel C shows the homology between the
two species of TR from H. pylori (HP 825, top; HP
1164, lower). The vertical bars indicate
conservative substitutions/regions of strong similarity as opposed to
identity and the dots indicate identical residues.
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Reduction of Human Polyclonal IgG by the Trx System of H. pylori--
In order to study the patterns of reduction of human Igs,
samples were reduced and alkylated over various periods of time and
analyzed by both SDS-PAGE and Western blotting. Fig.
5 (panel A) shows the results
obtained when human polyclonal IgG was reduced by the Trx system of
H. pylori. Overall the SDS-PAGE analysis demonstrated that
IgG was reduced almost to completion with time. In addition to the
intact immunoglobulin (H2L2,
Mr: 146,000-170,000) and the major fragments of
heavy (H, Mr: 51,000-60,000) and light (L,
Mr: 22,000-25,000) chains, the small number of
minor bands, which appear transiently, presumably represent the
formation of mixed disulfides (e.g. H2L,
Mr: 124,000-145,000; H2,
Mr: 102,000-120,000; HL, 73,000-85,000) and
these are identified in the margins of the figures, where appropriate.
It is clear that human IgG is an efficient substrate for this system.
IgG was completely reduced after a 3-h incubation (at room temperature)
using equimolar amounts of Trx and Ig in the presence of TR and NADPH.
Similarly, an identical cleavage pattern of IgG was observed when the
reaction was monitored by Western blotting and probed and developed
with anti-human IgG and ECL, respectively (not shown). The reduction of
Ig was dependent on reduced thioredoxin as neither oxidized thioredoxin
nor thioredoxin reductase alone was able to reduce IgG (not shown).
Furthermore, analysis of the subclass specificity of the reduction
process revealed that thioredoxin could efficiently reduce
IgG1, IgG2, IgG3, and
IgG4 as shown by Western blotting with antisera raised against purified IgG subclasses (Fig. 5, panels B-E). The
Western blotting data demonstrated that the interchain disulfide bonds of different subclasses of IgG were reduced in a
time-dependent manner by the Trx system but with
significant kinetic differences. IgG1 was reduced rapidly
to H and L chains (by 10-20 min). Transient appearance of mixed
disulfides (H2L, H2, and HL) was seen also and
these are indicated in Fig. 5 (panel B). Clearly the 4 interchain disulfides of IgG1 are readily reduced, whereas
the remaining subclasses were less susceptible to reduction in the
following preferential order; IgG3 > IgG4 > IgG2. Almost complete reduction of IgG3 (Fig.
5D) and IgG4 (Fig. 5E) was seen by 40-60 and
60-90 min, respectively. IgG2 (Fig. 5C) was the
subclass most resistant to reduction although reduced H chains were
apparent after only 5 min of incubation. In addition, fewer
intermediate mixed disulfides were seen with IgG2 as
substrate compared with the other subclasses. The kinetic differences
observed in cleavage patterns are most likely due to structural
differences in the Igs where steric constraints will effect both the
accessibility and interaction of Trx with sulfhydryls in addition to
altering the susceptibility of these thiols to reduction. Finally, it
appears from our data that H. pylori Trx is unable to reduce
the intrachain disulfide bonds of the heavy (H) and light (L) chains.
Only when the alkylated Trx-reduced H and L chains were subjected to
complete reduction by 2-mercaptoethanol or DTT were the fully reduced H
and L chains observed (data not shown). Cleland (14) has shown that
DTT, because of its low redox potential, is capable of maintaining monothiols completely in the reduced state and of reducing disulfides quantitatively.

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Fig. 5.
Reduction of polyclonal human IgG by the Trx
system of H. pylori. Panel A shows a time course of
the reduction of human polyclonal IgG by the Trx system. After boiling
for 5 min 20 µl of each sample was loaded into the wells of a
gradient (4-20%) SDS-polyacrylamide gel. Proteins were detected in
the gel by staining with Coomassie Brilliant Blue. The reduction of the
four subclasses of human IgG (IgG1, IgG2,
IgG3, and IgG4) was examined by Western
blotting and the results are shown in panels B-E,
respectively. The molecular weight markers used were the same as used
in Fig. 1, with the exception of myosin (Mr = 205,000), -galactosidase (Mr = 116,000), and
phosphorylase b (Mr = 97,400).
|
|
Reduction of IgA--
The reduction of IgA1 and the
secretory component (SC) of sIgA was performed and monitored exactly as
described for IgG. The cleavage patterns of IgA1 and the
secretory component are shown in Fig. 6.
Monomeric nonsecretory IgA1 was readily reduced by the Trx
system as can be seen from the appearance of the expected cleavage
fragments with time (Fig. 6, panel A). The anti-IgA antibody only weakly recognized the L chain of IgA and this was only seen upon
overexposure of the blot (not shown). The Trx-mediated reduction of
dimeric sIgA proceeded more slowly than reduction of IgG, monomeric non-secretory IgA or polymeric IgA (not shown) presumably due to steric
hindrance imparted by the SC and J-chain. Similarly, reduction of the
SC of dimeric sIgA was observed using anti-SC antiserum (Fig. 6,
panel B). The fragment appearing at 183 kDa most likely
represents SC bound to monomeric sIgA (H2L2) as
opposed to SC bound to the dimeric sIgA
([H2L2]2) as indicated in the figure. Free SC (68 kDa) is released from 5 min of incubation. From our
data it appears that removal of the secretory component may represent a
rate-limiting step in the reduction of sIgA, as a considerable amount
of the molecule remained bound to the dimeric sIgA even after 80 min of
incubation. Presumably, however, the rate of reduction would be much
greater if the reaction was performed at 37 °C rather than room
temperature (21 °C) as described.

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Fig. 6.
Reduction of human IgA by the Trx system of
H. pylori. Panels A and B show Western
blots of the time course of Trx-mediated reduction of human
IgA1 and human sIgA, respectively. Reduction of
IgA1 and secretory component were monitored by developing
the blots with peroxidase-conjugated anti-IgA ( -chains) and
anti-secretory component antibody, respectively. The molecular weight
markers used were identical to those described in the legend to Fig.
5.
|
|
Reduction of Mucin--
Upon reduction of soluble porcine
submaxillary gland mucin by the Trx system the apparent molecular
weight of the mucin was increased as demonstrated by analytical
SDS-PAGE (Fig. 7A). This observed anomalous increase in the molecular mass of mucin upon Trx-mediated reduction (Fig. 7A, lane 2) is interpreted as
the presence of residual intact intrachain disulfides which give the partially linearized mucin an electrophoretic mobility less than that
of the nonreduced material (Fig. 7A, lane 1). Similarly, upon complete reduction of the mucin by 2-mercaptoethanol the electrophoretic mobility of the material is decreased yet further due
to complete linearization of the mucin structure (Fig. 7A, lane
3). Fig. 7B shows the time course of mucin reduction by
the Trx system and the associated gradual decrease in electrophoretic mobility. Similar anomalous electrophoretic mobilities have been found
for the partially and fully reduced forms of IgG H and L chains. This
behavior is thought to be due to the loss of domain compactness induced
by reduction (15, 39).

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Fig. 7.
Reduction of mucin by the Trx system of
H. pylori. Reduction of porcine submaxillary gland mucin by
the Trx system of H. pylori was examined by SDS-PAGE.
Panel A shows the results obtained after a 2-h incubation of
mucin with the Trx system (lane 1, untreated mucin;
lane 2, Trx-treated mucin; lane 3,
2-mercaptoethanol-treated mucin). Panel B shows the time
course of mucin reduction by Trx (0.5-60 min). Also shown is the
untreated starting material after the 60-min incubation
(Con.) and the fully reduced protein (Red.). The
molecular weight markers used are described in the legend to Fig.
1.
|
|
Two-dimensional SDS-PAGE Analysis of Thioredoxin Expression by H. pylori--
Broth cultures of H. pylori were incubated in
the absence or presence of bovine anti-H. pylori IgG for
various periods of time. Fig.
8A shows a two-dimensional
SDS-PAGE analysis/Western blot analysis of the time course of
expression of intracellular thioredoxin before, and for various periods
of time after the addition of antibody. Interestingly, the expression
of intracellular thioredoxin exhibits a biphasic response with time
with the basal level rapidly decreasing 15 min after the addition of
antibody followed by a transient increase observed at 30 min. After
this time intracellular thioredoxin decreased to almost undetectable levels by 2-4 h of incubation with antibody. Subsequent analysis of
the broth culture supernatant for the presence of thioredoxin using an
ELISA developed with anti-H. pylori thioredoxin IgG revealed that the apparent disappearance of intracellular thioredoxin was in
fact due to secretion of the protein from the cell in response to
incubation with anti-H. pylori IgG. It is clear from Fig.
8B that thioredoxin accumulated in the extracellular medium
with time after exposure of the cells to anti-H. pylori
antiserum. Importantly, it appears that the accumulation of thioredoxin
in the medium is due to specific secretion rather than lysis of the bacteria as the extracellular levels of urease activity remained essentially constant throughout the duration of the experiment (Fig.
8B). In support of this view, Western blotting, developed with hyperimmune anti-H. pylori antiserum, demonstrated that
there was no apparent time-dependent accumulation of
multiple H. pylori antigens in the broth culture supernatant
over the duration of the experiment (not shown). Furthermore, the
viability of the bacteria was unaffected by the presence of
anti-H. pylori IgG as assessed by subculture of the organism
after completion of the experiment. Moreover, a control experiment
demonstrated that urease activity was unaffected by the polyclonal
anti-H. pylori IgG used, therefore the detectable urease
activity in the broth supernatant represented active urease enzyme
rather than residual activity as a consequence of antibody-mediated
inhibition. In addition, low levels of thioredoxin reductase activity
(0.3 ± 0.08 nmol/NADPH oxidized/min/50 µl of broth supernatant)
were detected in the broth culture supernatant. Unlike thioredoxin, however, extracellular levels of thioredoxin reductase remained constant and did not increase with time upon exposure of the bacteria to antibody.

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Fig. 8.
Thioredoxin expression in response to
stress. Panel A shows the time course of thioredoxin
expression in broth grown H. pylori in response to
exogenously added bovine anti-H. pylori IgG (0.1 mg/ml). The
suspension of bacteria was incubated at 37 °C and at various periods
of time after the addition of antibody 0.5-ml samples of the suspension
were removed and immediately centrifuged (10,000 × g,
4 min) to pellet the bacteria. After removal of the supernatant
the pellet of cells was solubilized in IEF sample buffer and subjected
to two-dimensional SDS-PAGE followed by Western blotting. Thioredoxin
was detected by incubating the blots with polyclonal anti-E.
coli thioredoxin IgG which cross-reacts with H. pylori
thioredoxin. The position of thioredoxin is indicated by the
arrow. The numbers in each frame indicate the
time (min) at which samples were removed from the incubation with
antibody. Panel B shows the time course of the accumulation
of thioredoxin (filled symbols) and urease (open
symbols) in the broth culture supernatant in response to the
addition of polyclonal anti-H. pylori IgG to broth grown
H. pylori. The presence of thioredoxin in the broth culture
medium was detected by ELISA as described under "Experimental
Procedures."
|
|
 |
DISCUSSION |
This paper describes the isolation and characterization of
electrophoretically pure thioredoxin (HP 824) and thioredoxin reductase (HP 825) from the gastric pathogen H. pylori and the cloning
and overexpression of thioredoxin in E. coli. This is the
first reported characterization of a functional thioredoxin system in a
gastric pathogen. The results show that the Trx system can specifically reduce interchain disulfides in insulin, mucin, IgG, and IgA. Of
particular note is the finding that, in response to a variety of
applied extracellular stresses, the expression of intracellular Trx is
dramatically altered by H. pylori, an observation which suggests that Trx behaves as a stress response element in this organism. Importantly, the accumulation of Trx in the medium of broth
grown bacteria in response to physical, chemical, or biological insults
suggests that this molecule has the ability to protect the bacterium by
initiating the process of catalytic reduction of susceptible target
proteins. This suggestion is supported by the detection of measurable
amounts of thioredoxin reductase activity also in broth culture
supernatants thus equipping the bacterium with a functional
extracellular thioredoxin system.
Interestingly, while there was an increase in the amount of thioredoxin
secreted in response to stress there was no detectable increase in the
extracellular levels of TR over the time course of the experiments. The
significance of the quantitative changes in secretion observed for Trx
but not for TR remain to be established, however, the induction and
secretion of Trx alone would increase the capacity of the bacterium to
react to stress. Differential expression of Trx, TR, and other redox
active proteins in response to various stressors has been observed in
eukaryotic and mammalian cells (81-84) and, paradoxically, oxidative
stress has been shown to result in the down-regulation of TR activity
but to increase Trx activity in epithelial cells (85). Differential
expression of Trx and TR by H. pylori may occur. Clearly a
portion of such an adaptive response would be regulated at the
transcriptional level, however, the transcription factor(s) that
regulates the expression of Trx/TR in H. pylori have yet to
be identified. Alternatively, induction of Trx synthesis under
conditions of stress may result in transient feedback inhibition of a
putative redox-sensitive transcription factor which, subsequently, may
be reactivated by a transient imbalance in the redox status of the cell
in a manner analogous to the regulation of the OxyR transcription
factor in E. coli (86). Such an imbalance would likely occur
upon secretion of intracellular Trx in response to stress inducing
stimuli. Yet another possibility is that Trx and TR from H. pylori are under the control of different promoters and as such
these promoters may show a differential response to various stimuli as
has been documented for Trx expression in B. subtilis (87).
Clearly, identification of such factors would aid our understanding of redox control mechanisms in H. pylori.
Thioredoxin-mediated catalytic reduction of host immunoglobulins would
clearly facilitate immune evasion. This may very well account for the
observation that there is little or no host antibody deposition on
H. pylori in vivo (e.g. Ref. 32). Moreover, it is
well documented that even partial chemical reduction of human and rat
immunoglobulin results in loss of its biological activity (33-35). The
basis of many of the effects of mild chemical reduction on the various
effector functions of IgG are explained largely by the reduction of the
single disulfide bond between heavy chains in the hinge region of IgG
resulting in destabilization of the CH2 region of the molecule and
consequent modification of the quaternary structure. For example,
initiation of complement activation requires the presence of the
inter-H chain disulfide bonds in the hinge region (36). Chemical
reduction has been shown also to be inimical to the interaction between
IgG and various cells, including monocytes (37), neutrophils (38),
B-cells (49), and macrophages (50). Similarly, reduction of IgA would
be expected to compromise its biological activity. The importance of
IgA in mucosal secretions is well established and recognized generally to play a key role as an initial barrier to infection. Reduction of
proteins imparts enhanced susceptibility to proteolysis due to loss of
structure and consequent unfolding. In this regard, reduction and
removal of the heavily glycosylated, cysteine-rich protective SC from
sIgA, which increases the resistance of sIgA to proteolysis (51), would
undermine its crucial function in external secretions.
With respect to H. pylori, however, the effector functions
of IgA appear to be less well defined. Contrasting data from several groups have demonstrated the presence of widely varying IgA/sIgA titers
in different populations of H. pylori infected subjects (e.g. Refs. 76 and 78). Indeed, it has been demonstrated
that antibody-independent mechanisms of immunity can protect against Helicobacter infection (77, 79), whereas others hold the
view that specific mucosal antibodies may prevent overgrowth of
H. pylori thereby reducing the risk of gastric malignancies
(80), observations which suggest that there is a tenuous relationship between specific mucosal antibody and protection from infection. The
experimental approach adopted in many of these studies (ELISA) to
determine antibody levels, however, would not discriminate between
active and inactive antibody species. Therefore, it is not
inconceivable that the fraction of mucosal antibody which comes into
contact with H. pylori is partially or completely
inactivated via complete or incomplete catalytic reduction and that
this fraction represents only a small percentage of the total antibody
present in the gastric lumen. We propose that gross modification to
antibody structure would be an unlikely occurrence. Rather, catalytic
reduction would only conceivably occur in the immediate
microenvironment of the bacterium where it is required. Also, the
thioredoxin system could only remain functional so long as the
respective components of the system were in close proximity to one another.
H. pylori has been shown by several laboratories to
adversely affect the physical and chemical properties of gastric mucins (26-29, 57, 58) and that eradication of the bacterium results in
restoration of the viscoelastic and hydrophobic protective properties
of mucus (30, 31, 56). Although still a controversial and disputed
issue (see Refs. 59-61) the weight of experimental evidence greatly
favors H. pylori-mediated alterations to mucin structure/function. Moreover, it has been well documented that H. pylori inhabits the adherent (water insoluble) mucous gel layer in
addition to the more soluble viscous mucin of the lumen. So how does
H. pylori gain access to the adherent mucus gel, a substance known to be impermeable to proteins with a molecular size greater than
17,000 Da (67)? As the motility of H. pylori is affected by
the viscosity of the medium it inhabits (25) focal disruption of the
mucus barrier would clearly facilitate rapid passage of the bacterium.
Studies in vitro suggest that loss of gel structure may
arise due to H. pylori-mediated proteolytic or phospholipase activity, alterations in local pH (62, 63), or reversible modifications
to patterns of gastric mucin glycosylation (64). Although this
contentious issue has yet to be resolved unequivocally, we propose an
alternative mechanism. Conceivably, based on the data presented in this
paper, H. pylori could gain access to the impenetrable
adherent mucous layer by inducing focal disruption to the barrier by
catalytically reducing the disulfide bonds present in the cysteine-rich
regions responsible for cross-linking mucin monomers (19, 65, 66).
These cysteine-rich domains are susceptible to both proteolytic attack
and thiol agents (67). In addition, thioredoxin would represent an
ideal candidate molecule to fulfil this task given its small size (12 kDa) and reducing capacity. Clearly, reduction of mucin disulfides
would thus facilitate the process of colonization as a direct
consequence of the loss of gel-forming properties of polymeric mucin
which provide protection for the exposed delicate surfaces of the
gastric epithelia from microbial and physical insults (18-24).
Clearly, any reductive redox activity mediated by Trx in the vicinity
of antibodies and/or mucin could result in complete or partial
catalytic reduction of the disulfides present in these molecules. It is
clear that human Igs and mucin are reduced readily by the Trx system of
H. pylori. Interestingly, all four subclasses of IgG are
reduced by the Trx system of H. pylori in contrast to the
reported inability of the Trx system from E. coli to reduce human IgG2 (39). Of course, if such a reductive process
were to occur in vivo it would require that the Trx system
be capable of exerting its effects extracellularly. We have shown that
Trx is present in the PBS-soluble extracellular (water soluble)
fraction from freshly harvested H. pylori in addition to
being secreted in an apparently specific manner when the bacteria are
subjected to a variety of stresses and therefore reasonably speculate
that Trx may be secreted from the cell or remain surface-associated, as
required. The mechanism of Trx secretion from the bacterium is not
clear at present. Although Trx lacks a typical signal sequence there
are a number of ways in which it could be released from the cell.
Principal among these are specific secretion pathways (52, 73), a
potential type IV secretory mechanism (74), spontaneous autolysis (53,
71), and the shedding of membrane vesicles (68-70, 73) some of which
have been shown to account for the extracellular localization of
several cytoplasmic H. pylori proteins (e.g.
Refs. 68 and 70). These in vitro observations of potential
mechanisms for shedding/releasing H. pylori antigens are
given credence by the localization in vivo of various
H. pylori proteins, such as urease and HspB (53, 72) in the
lamina propia of infected individuals. Moreover, it has been suggested
that the extracellular release of H. pylori antigens may
serve as a means of evading the host immune response and, with the
presence of an extracellular functional thioredoxin system, a mechanism to incapacitate host antibody.
It is likely that the Trx system of H. pylori has an
important function in this bacterium particularly in view of the fact that it possesses limited means for manipulating and maintaining a
reducing intracellular environment with the exception of superoxide dismutase and catalase. H. pylori is a microaerophile and
lives in an environment of low oxygen tension. Such an environment
encourages optimal conditions for reductive reactions although it is
likely that the bacterium has the ability to adapt to conditions of
variable oxygen tension (16). Unlike many other prokaryotes, H. pylori does not appear to possess the enzymes to generate
glutathione nor does it possess other thiol reductants such as
glutaredoxin. Accumulating evidence indicates that Trxs from several
species have multifunctional roles, however, the precise functions of Trxs have yet to be established unequivocally. One difficulty in
assigning specific in vivo functions to Trx will be
compounded by its many proposed regulatory functions (41-48) and the
wide variety of substrates with which it interacts (e.g.
Ref. 40). Despite the similarities of the conserved CXXC
motif among Trxs from different species, the various members differ
strongly in their redox potentials ( 122 to 270 mV). Determination
of the redox potential of H. pylori Trx will give an
indication of the redox capacity of the molecule and enable us to
investigate further its functions in vivo.
 |
FOOTNOTES |
*
The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
The nucleotide sequence(s) reported in this paper has been submitted to the GenBankTM/EMBL Data Bank with accession number(s) AE000594.
To whom correspondence should be addressed: Dept. of Clinical
Medicine, Trinity Centre for Health Sciences, St. James's Hospital, Dublin 8, Ireland. Tel.: 353-1-608-2115; Fax: 353-1-454-2043; E-mail:
hjwindle@tcd.ie.
 |
ABBREVIATIONS |
The abbreviations used are:
Trx, thioredoxin;
TR, thioredoxin reductase;
2', 5'-ADP-agarose, adenosine
2',5'-bisphosphate linked to agarose through a 6-aminohexyl group;
Trx-S2 and Trx-(SH)2, oxidized and reduced thioredoxin, respectively;
DTT, 1,4-dithio-DL-threitol;
TR, thioredoxin reductase;
redox, reduction/oxidation;
Ig, immunoglobulin;
H2L2, intact Ig;
H2L, partially
reduced Ig HL, heavy-light chain monomer;
H, reduced heavy chain;
L, reduced light chain;
PAGE, polyacrylamide gel electrophoresis;
PBS, phosphate-buffered saline;
ELISA, enzyme-linked immunosorbent assay;
SC, secretory component.
 |
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