Approximately 50 percent of the world's population are infected with the bacterium Helicobacter pylori, the most important risk factor for gastric cancer. It colonizes the gastric epithelium and can cause DNA damage in epithelial cells. As the majority of affected cells are short-lived and replaced within a matter of days, such damage is unlikely to have serious consequences. However, the effects can be much more severe if the bacterium attacks the stem cells, which have a much longer lifespan. They are located deep inside the gastric gland and produce daughter cells destined to replace the mucosal cells at the surface. If the DNA of these stem cells is damaged by H. pylori, it may lead to the development of gastric cancer.
The researchers working on this new study were able to show that gastric stem cells employ active measures to fend off the bacteria. "Our animal model enabled us to observe that stem cells release a protein known as intelectin 1 into their surroundings," explains the study's first author, Dr. Michael Sigal, a BIH Charité Clinician Scientist based at the Medical Department, Division of Hepatology and Gastroenterology on Campus Charité Mitte. "Intelectin 1 binds to the surface of Helicobacter pylori, causing the bacteria to clump together. This stops them from entering the gastric gland cavity and damaging the stem cells located there."
The production of intelectin 1 is triggered by R-spondin 3, a signaling molecule which was previously shown to stimulate stem cell proliferation. R-spondin 3 secretion increases as soon as the body recognizes damage such as that caused by H. pylori. Summarizing the researchers' findings, the study's last author, Prof. Dr. Thomas Meyer, Director of the Max Planck Institute for Infection Biology, says: "The body responds to Helicobacter pylori infection by releasing a signaling molecule that stimulates the proliferation of gastric stem cells and promotes tissue regeneration. The same messenger molecule also causes neighboring gastric stem cells to release antibacterial proteins that actively protect the stem cell niche against the invasion of pathogens. This mechanism enables the body to prevent the more serious consequences of infection, such as gastric ulcers and gastric cancer."
"We hope to use our findings to identify those Helicobacter pylori-infected patients in whom this protective mechanism is out of balance," adds Dr. Sigal. "The idea is then to offer treatment options specifically to these people." The researchers suspect that these patients are at a particularly high risk of developing stomach cancer as a result of chronic Helicobacter infection. Therefore, they are planning to conduct further studies to investigate the link between stem cell-based protection mechanisms and cancer development - not just in the stomach, but throughout the gastrointestinal tract.
Michael Sigal, Maria del Mar Reinés, Stefanie Müllerke, Cornelius Fischer, Marta Kapalczynska, Hilmar Berger, Elvira RM Bakker, Hans-Joachim Mollenkopf, Michael E Rothenberg, Bertram Wiedenmann, Sascha Sauer, Thomas F Meyer
R-spondin-3 induces secretory, antimicrobial Lgr5+ cells in the stomach.
Nat Cell Biol. 2019 Jun 24. doi: 10.1038/s41556-019-0339-9.