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The Mechanism of Autophagy Induction in Helicobacter
pylori Infection
Ik-Jung Kim, Prashant Jain, and Steven R. Blanke
Department of Microbiology, University of Illinois Urbana-Champaign, Urbana, Illinois
61801, US
During infection, pathogenic bacteria often usurp existing host cell processes to
remodel the host-pathogen interface. During infection of gastric epithelial cells, the
human gastric pathogen, Helicobacter pylori, was recently demonstrated to induce
autophagy, an ancient process that is broadly conserved among most eukaryotes as a
mechanism for degrading and recycling damaged intracellular components. The
vacuolating cytotoxin (VacA) was demonstrated to be both essential and sufficient for H.
pylori-mediated autophagy, but the mechanism by which VacA induces autophagic
signaling had not been identified. To evaluate the mechanism of VacA-dependent
autophagic signaling, we examined the relationship between temporal changes that
occur within VacA intoxicated cells. These studies revealed that upon entering gastric
epithelial cells, VacA localizes to mitochondria and induces mitochondrial fragmentation
and dysfunction within 30 min. Within 60 min, autophagosomes, as well as the
activation of the microtubule associated light chain protein 3 (LC3), the autophagic
marker, are evident in a VacA-dependent manner. Moreover, autophagosomeassociated mitochondria were identified, suggesting the possibility that
autophagosomes are formed in response to VacA-dependent mitochondrial damage by
a process called mitophagy. Consistent with this idea was the finding of significant
decrease in mitochondrial mass within cells intoxicated for 4 h with VacA. The
accumulation of impaired mitochondria was accompanied by a loss of cellular ATP, and
a concurrent rise in cytosolic calcium levels, leading us to hypothesize that these
cellular changes activate AMP-activated protein kinase (AMPK), leading ultimately to
the induction of autophagy. Taken together, these findings support the model that VacAmediated mitochondrial damage is the trigger for the induction of mitophagy in an
AMPK-dependent manner. This is the first example of mitophagic signaling triggered by
any microbial virulence factor, and we propose that mitophagy may limit the extent of
toxin-mediated mitochondrial damage.