Gastric Helicobacter pylori Infection Affects Local and Distant Microbial Populations and Host Responses

•H. pylori stably colonizes the mouse stomach over 6 months•Infected hosts recognize H. pylori antigens•H. pylori alters the population structure of the gastric and intestinal microbiota•H. pylori influences both gastric and pulmonary inflammatory gene expression

SummaryHelicobacter pylori is a late-in-life human pathogen with potential early-life benefits. Although H. pylori is disappearing from the human population, little is known about the influence of H. pylori on the host’s microbiota and immunity. Studying the interactions of H. pylori with murine hosts over 6 months, we found stable colonization accompanied by gastric histologic and antibody responses. Analysis of gastric and pulmonary tissues revealed increased expression of multiple immune response genes, conserved across mice and over time in the stomach and more transiently in the lungs. Moreover, H. pylori infection led to significantly different population structures in both the gastric and intestinal microbiota. These studies indicate that H. pylori influences the microbiota and host immune responses not only locally in the stomach, but distantly as well, affecting important target organs.

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