Helicobacter pylori (H. pylori) is a major cause of gastritis and peptic ulcer. This bacterium has also been classified as a carcinogen in humans by the International Agency for Research on Cancer, part of the World Health Organization, in 1994. It has been estimated that the prevalence of H. pylori infection is 70% in the developing countries and 30-40% in the industrialized countries1. Even though the infection rate of H. pylori is decreasing in the industrialized countries, the infection rate of H. pylori in the developing countries is still high2. The standard treatment to eradicate H. pylori infection consists of the administration of a proton pump inhibitor, PPI, and two antibiotics, clarithromycin plus amoxicillin or metronidazole3. However, the rise of antibiotic resistance in H. pylori-related ulcer therapy urges the development of new strategies to prevent or cure the infection. Development of preventive and/or therapeutic vaccination against H. pylori could provide an alternative approach to control H. pylori infection.
Helicobacter pylori neutrophil-activating protein (HP-NAP), a major virulence factor of H pylori, was first identified in water extracts of H. pylori with the ability to activate neutrophils to adhere to endothelial cells and produce reactive oxygen species (ROS)4. Neutrophil infiltration of gastric mucosa found in H. pylori-infected patients with active gastritis may result in inflammation and tissue damage of the stomach. Thus, HP-NAP may play a pathological role by activating neutrophils to induce gastric inflammation, which further causes ulcer or H. pylori-associated gastric diseases. Nevertheless, HP-NAP is a potential candidate for clinical applications5,6. Due to the immunogenic and immunomodulatory properties of HP-NAP, this protein could be used to develop vaccines, therapeutic agents, and diagnostic tools. A clinical trial has been conducted for using recombinant HP-NAP as one of the components of a protein vaccine against H. pylori. This vaccine consists of recombinant HP-NAP, cytotoxin-associated gene A (CagA), and vacuolating cytotoxin A (VacA) proteins formulated with aluminum hydroxide and has further been demonstrated to be safe and immunogenic in humans7. Also, HP-NAP acts as a potent immunomodulator to trigger T helper type 1 (Th1)-polarized immune responses for cancer therapy8 and to down regulate Th2-mediated immune responses elicited by allergic reactions and parasitic infections9,10. As for diagnostics, recombinant HP-NAP-based ELISA has been applied to detect serum antibodies against HP-NAP in H. pylori-infected patients11. One study showed that the level of HP-NAP-specific antibodies in sera from H. pylori-infected patients with gastric cancer was significantly higher than that from patients with chronic gastritis12. Another study also showed that serum antibodies against HP-NAP are associated with the presence of non-cardia gastric adenocarcinoma13. Thus, recombinant HP-NAP-based ELISA may be applied to detect serum antibodies against HP-NAP for prognosis of gastric cancer in H. pylori-infected patients. Taken together, the purified HP-NAP could be further utilized for the prevention, treatment, and prognosis of H. pylori-associated diseases as well as cancer therapy.
Among the several methods used for purification of recombinant HP-NAP expressed in Escherichia coli (E. coli) in its native form reported so far, a second purification step involving gel-filtration chromatography is needed to obtain highly pure HP-NAP14-16. Here, a method using negative mode batch chromatography with diethylaminoethyl (DEAE) ion-exchange resins is described for purification of HP-NAP overexpressed in E. coli with high yield and high purity. This purification technique was based on the binding of host cell proteins and/or impurities other than HP-NAP to the resin. At pH 8.0, almost no other proteins except HP-NAP are recovered from the unbound fraction. This purification approach using DEAE ion-exchange chromatography in negative mode is simple and time saving by allowing purification of recombinant HP-NAP via one-step chromatography through the collection of the unbound fraction. In addition to HP-NAP, several other biomolecules, such as viruses17, Immunoglobulin G (IgG)18, hemoglobin19, protein phosphatase20, and virulence factor flagellin21, have also been reported to be purified by ion-exchange chromatography in negative mode. The negative mode is preferred for ion-exchange chromatography if impurities are the minor components present in the sample subjected to be purified22. The application of negative chromatography in purification of natural or recombinant biomolecules has been recently reviewed23.
The present report provides a step by step protocol for expression of recombinant HP-NAP in E. coli, lysis of the cells, and purification of HP-NAP using negative mode batch chromatography with DEAE ion-exchange resins. If a protein desired for purification is suitable for ion-exchange chromatography in negative mode, the described protocol could also be adapted as a starting point for development of a purification process.