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* Division of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine, and the Department of
Veterans Affairs Medical Center, Nashville, Tennessee 37232-2605; In this study, we describe the ultrastructural
changes associated with acid activation of Helicobacter
pylori vacuolating cytotoxin (VacA). Purified VacA
molecules imaged by deep-etch electron microscopy
form ~30-nm hexagonal "flowers," each composed of
an ~15-nm central ring surrounded by six ~6-nm globular "petals." Upon exposure to acidic pH, these oligomeric flowers dissociate into collections of up to 12 teardrop-shaped subunits, each measuring ~6 × 14 nm.
Correspondingly, glycerol density gradient centrifugation shows that at neutral pH VacA sediments at ~22 S,
whereas at acidic pH it dissociates and sediments at ~5 S. Immunoblot and EM analysis of the 5-S material demonstrates that it represents ~90-kD monomers with 6 × 14-nm "teardrop" morphology. These data indicate
that the intact VacA oligomer consists of 12 ~90-kD
subunits assembled into two interlocked six-membered
arrays, overlap of which gives rise to the flower-like appearance. Support for this interpretation comes from
EM identification of small numbers of relatively "flat" oligomers composed of six teardrop-shaped subunits,
interpreted to be halves of the complete flower. These
flat forms adsorb to mica in two different orientations,
corresponding to hexameric surfaces that are either exposed or sandwiched inside the dodecamer, respectively. This view of VacA structure differs from a previous model in which the flowers were interpreted to be
single layers of six monomers and the flat forms were
thought to be proteolysed flowers. Since acidification
has been shown to potentiate the cytotoxic effects of
VacA, the present results suggest that physical disassembly of the VacA oligomer is an important feature of
its activation.
Department of Pharmacology, Yale University, New
Haven, Connecticut 06510; and § Department of Cell Biology, Washington University School of Medicine, St. Louis, Missouri
63110
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