In VivoSequence Variation in HopZ, a Phase-Variable Outer Membrane Protein of Helicobacter pylori
ABSTRACTTheHelicobacter pyloriouter membrane protein HopZ is regulated by a phase-variable CT repeat and occurs in two distinct allelic variants. Whole-genome comparisons of isolates from one human volunteer recently provided evidence forin vivoselection for thehopZON status. We explored the frequency of sequence variation inhopZduring acute and chronic human infection and studied the association ofhopZwith the phylogeographic population structure ofH. pylori. hopZON variants were cultured from 24 out of 33 volunteers challenged with thehopZOFF strain BCS 100. Transmission ofH. pyloriwithin families was also frequently associated with a status change ofhopZ. In contrast,hopZsequences obtained from 26 sets of sequential isolates from chronically infected individuals showed no changes of status, suggesting that thehopZstatus selected during early infection is subsequently stable. Mutations leading to amino acid changes in HopZ occurred more frequently in ON than in OFF status isolates during chronic infection, indicating that sequence changes are more likely the result of positive selection in ON isolates than of a loss of negative selection pressure in OFF isolates. Analysis of 63 isolates from chronically infected individuals revealed no significant correlation ofhopZstatus with chronic atrophic gastritis.hopZsequences were obtained from a globally representative collection of 54H. pyloristrains. AllH. pyloripopulations containedhopZ-positive isolates. The data suggest thathopZhas been acquired and split into the two variants before the human migration out of Africa.