The efficacy of an orogastric vaccine comprised of purified Helicobact
er pylori catalase plus the mucosal adjuvant cholera toxin (CT) was ex
amined with both the Helicobacter felis and H. pylori mouse models wit
h BALB/c mice. Native H. pylori catalase (290 mu g) plus CT was initia
lly used as a vaccine antigen in the H. felis mouse model and protecte
d 80% (8 of 10) of the challenged animals, while all control animals w
ere infected (20 of 20). In a follow-up experiment, recombinant H. pyl
ori catalase plus CT was used for immunization, and groups of mice wer
e challenged with the Sydney strain of H. pylori. Immunization with re
combinant catalase protected a significant proportion (9 of 10) of the
mice from H. pylori challenge, indicating that this enzyme should be
considered as a candidate for a future vaccine. This study provides th
e first available data on the efficacy of protective immunization with
the new Sydney strain of H. pylori in a mouse model. These data also
provide indirect evidence that proteins which are normally intracellul
ar, such as catalase, may be present on the surface of N. pylori and t
hus may provide targets for immunization.