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Mechanism determining H. pylori gastric cancer risk Binding affinity between oncoproteins is a key determinant of cancer risk

December 2, 2015

© 2015 Hatakeyama Lab., The University of TokyoCagA containing multiple EPIYA-C segments (Type II CagA) binds to both the N-SH2 and C-SH2 domain of SHP2, thereby forming a stable complex. On the other hand, CagA containing a single EPIYA-C segment (Type I CagA) cannot make bivalent interaction, so that the CagA-SHP2 complex is unstable. The difference between a single EPIYA-C segment and two or more EPIYA-C segments in the SHP2 binding activity provides the molecular basis underlying an increased risk of gastric cancer in individuals infected with H. pylori carrying type II CagA.

The relationship between SHP2 binding activity of CagA and gastric cancer risk
CagA containing multiple EPIYA-C segments (Type II CagA) binds to both the N-SH2 and C-SH2 domain of SHP2, thereby forming a stable complex. On the other hand, CagA containing a single EPIYA-C segment (Type I CagA) cannot make bivalent interaction, so that the CagA-SHP2 complex is unstable. The difference between a single EPIYA-C segment and two or more EPIYA-C segments in the SHP2 binding activity provides the molecular basis underlying an increased risk of gastric cancer in individuals infected with H. pylori carrying type II CagA.
© 2015 Hatakeyama Lab., The University of Tokyo

Researchers at the University of Tokyo found that gastric cancer risk is determined by the magnitude of interaction between the Helicobacter pylori CagA oncoprotein (cancer causing protein) and SHP2 phosphatase. This finding enables quantitative evaluation of gastric cancer risk and subsequent cancer prevention.

Infection with cagA-positive Helicobacter pylori is critically associated with the development of gastric cancer. The cagA gene-encoded CagA protein is delivered into gastric epithelial cells via a bacterial micro-syringe termed the type IV secretion system. Once inside the host cell, CagA is tethered to the inner plasma membrane, where it interacts with the cancer-causing protein tyrosine phosphatase SHP2 and thereby aberrantly activates the phosphatase activity. The SHP2 binding site of CagA, termed the EPIYA-C segment, variably duplicates (mostly one to three times) and recent epidemiological studies have shown that infection with H. pylori carrying CagA with multiple EPIYA-C segments is a distinct risk factor of gastric cancer. However, the molecular mechanism of this action remained unknown.

The research group led by Professor Masanori Hatakeyama at the University of Tokyo Graduate School of Medicine shows that duplication of the EPIYA-C segment from one to two or more increases SHP2 binding of CagA by more than one hundredfold. Based on the decisive difference in SHP2 binding, they divide CagA into two types: type I CagA carrying a single EPIYA-C segment and type II CagA carrying multiple EPIYA-C segments. Gastric epithelial cells expressing type II CagA acquire the ability to invade extracellular matrices (the external molecular scaffolding that supports cells), a malignant cellular trait associated with deregulated SHP2. Therefore, the researchers conclude that a big leap in SHP2 binding activity may provide the molecular basis that makes type II CagA a distinct gastric cancer risk.

"The segment of the CagA protein that binds with SHP2 has diverse forms, which are broadly classified as Western type, which circulates globally, and East Asia type. This research was carried out on the Western type of CagA," says Professor Hatakeyama. He continues, "We hope that the result will enable effective prevention of gastric cancer through active eradication of H. pylori carrying more oncogenic CagA."

Paper

Lisa Nagase, Takeru Hayashi, Toshiya Senda, and Masanori Hatakeyama, "Dramatic increase in SHP2 binding activity of Helicobacter pylori Western CagA by EPIYA-C duplication: its implications in gastric carcinogenesis", Scientific Reports 5:15749: 2015/10/28 (Japan time), doi: 10.1038/srep15749.
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Graduate School of Medicine

Department of Pathology, Immunology, and Microbiology, Graduate School of Medicine (Japanese)

Division of Microbiology, Graduate School of Medicine

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