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Functional adaptation of BabA, the H. pylori ABO blood group antigen binding adhesin
Authors:Aspholm-Hurtig Marina  Dailide Giedrius  Lahmann Martina  Kalia Awdhesh  Ilver Dag  Roche Niamh  Vikström Susanne  Sjöström Rolf  Lindén Sara  Bäckström Anna  Lundberg Carina  Arnqvist Anna  Mahdavi Jafar  Nilsson Ulf J  Velapatiño Billie  Gilman Robert H  Gerhard Markus  Alarcon Teresa  López-Brea Manuel  Nakazawa Teruko  Fox James G  Correa Pelayo  Dominguez-Bello Maria Gloria  Perez-Perez Guillermo I  Blaser Martin J  Normark Staffan  Carlstedt Ingemar  Oscarson Stefan  Teneberg Susann  Berg Douglas E  Borén Thomas
Institution:Department of Odontology, section of Oral Microbiology, Ume? University, SE-901 87 Ume?, Sweden.
Abstract:Adherence by Helicobacter pylori increases the risk of gastric disease. Here, we report that more than 95% of strains that bind fucosylated blood group antigen bind A, B, and O antigens (generalists), whereas 60% of adherent South American Amerindian strains bind blood group O antigens best (specialists). This specialization coincides with the unique predominance of blood group O in these Amerindians. Strains differed about 1500-fold in binding affinities, and diversifying selection was evident in babA sequences. We propose that cycles of selection for increased and decreased bacterial adherence contribute to babA diversity and that these cycles have led to gradual replacement of generalist binding by specialist binding in blood group O-dominant human populations.
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