Relationship between VacA Toxin and Host Cell Autophagy in Helicobacter pylori Infection of the Human Stomach: A Few Answers, Many Questions

Helicobacter pylori is a Gram-negative bacterium that colonizes the stomach of about half the global population and represents the greatest risk factor for gastric malignancy. The relevance of H. pylori for gastric cancer development is equivalent to that of tobacco smoking for lung cancer. VacA tox...

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Main Author: Vittorio Ricci
Format: Article
Language:English
Published: MDPI AG 2016-07-01
Series:Toxins
Subjects:
Online Access:http://www.mdpi.com/2072-6651/8/7/203
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author Vittorio Ricci
author_facet Vittorio Ricci
author_sort Vittorio Ricci
collection DOAJ
description Helicobacter pylori is a Gram-negative bacterium that colonizes the stomach of about half the global population and represents the greatest risk factor for gastric malignancy. The relevance of H. pylori for gastric cancer development is equivalent to that of tobacco smoking for lung cancer. VacA toxin seems to play a pivotal role in the overall strategy of H. pylori towards achieving persistent gastric colonization. This strategy appears to involve the modulation of host cell autophagy. After an overview of autophagy and its role in infection and carcinogenesis, I critically review current knowledge about the action of VacA on host cell autophagy during H. pylori infection of the human stomach. Although VacA is a key player in modulation of H. pylori-induced autophagy, a few discrepancies in the data are also evident and many questions remain to be answered. We are thus still far from a definitive understanding of the molecular mechanisms through which VacA affects autophagy and the consequences of this toxin action on the overall pathogenic activity of H. pylori.
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spelling doaj.art-011a07399d374bd586bf741061bdd74d2022-12-22T02:57:31ZengMDPI AGToxins2072-66512016-07-018720310.3390/toxins8070203toxins8070203Relationship between VacA Toxin and Host Cell Autophagy in Helicobacter pylori Infection of the Human Stomach: A Few Answers, Many QuestionsVittorio Ricci0Department of Molecular Medicine, Human Physiology Unit, University of Pavia Medical School, Via Forlanini 6, 27100 Pavia, ItalyHelicobacter pylori is a Gram-negative bacterium that colonizes the stomach of about half the global population and represents the greatest risk factor for gastric malignancy. The relevance of H. pylori for gastric cancer development is equivalent to that of tobacco smoking for lung cancer. VacA toxin seems to play a pivotal role in the overall strategy of H. pylori towards achieving persistent gastric colonization. This strategy appears to involve the modulation of host cell autophagy. After an overview of autophagy and its role in infection and carcinogenesis, I critically review current knowledge about the action of VacA on host cell autophagy during H. pylori infection of the human stomach. Although VacA is a key player in modulation of H. pylori-induced autophagy, a few discrepancies in the data are also evident and many questions remain to be answered. We are thus still far from a definitive understanding of the molecular mechanisms through which VacA affects autophagy and the consequences of this toxin action on the overall pathogenic activity of H. pylori.http://www.mdpi.com/2072-6651/8/7/203VacA vacuolating toxinautophagyHelicobacter pylorigastric cancer
spellingShingle Vittorio Ricci
Relationship between VacA Toxin and Host Cell Autophagy in Helicobacter pylori Infection of the Human Stomach: A Few Answers, Many Questions
Toxins
VacA vacuolating toxin
autophagy
Helicobacter pylori
gastric cancer
title Relationship between VacA Toxin and Host Cell Autophagy in Helicobacter pylori Infection of the Human Stomach: A Few Answers, Many Questions
title_full Relationship between VacA Toxin and Host Cell Autophagy in Helicobacter pylori Infection of the Human Stomach: A Few Answers, Many Questions
title_fullStr Relationship between VacA Toxin and Host Cell Autophagy in Helicobacter pylori Infection of the Human Stomach: A Few Answers, Many Questions
title_full_unstemmed Relationship between VacA Toxin and Host Cell Autophagy in Helicobacter pylori Infection of the Human Stomach: A Few Answers, Many Questions
title_short Relationship between VacA Toxin and Host Cell Autophagy in Helicobacter pylori Infection of the Human Stomach: A Few Answers, Many Questions
title_sort relationship between vaca toxin and host cell autophagy in helicobacter pylori infection of the human stomach a few answers many questions
topic VacA vacuolating toxin
autophagy
Helicobacter pylori
gastric cancer
url http://www.mdpi.com/2072-6651/8/7/203
work_keys_str_mv AT vittorioricci relationshipbetweenvacatoxinandhostcellautophagyinhelicobacterpyloriinfectionofthehumanstomachafewanswersmanyquestions