Helicobacter pylori exhibits a complex system of enzymes which serve a
range of functions, such as colonization, damage of the host epitheli
um and provision of essential metabolic substrates. Colonization is fa
voured by urease and by the action on mucus and the mucosal barrier ex
erted by phospholipases and proteases, although this latter mechanism
is controversial. Toxic effects are effected by urease, alcohol dehydr
ogenase (ADH), phospholipases and proteolytic enzymes, ADH produces ac
etaldehyde that is toxic to the mucosal cells, while phospholipases in
duce generation of products such as lysolecithin, which damage the gas
tric epithelium. Catalase and sodium dismutase of H. pylori are mainly
involved in transforming toxic oxygen metabolites to harmless water:
they protect the bacterium from the killing effect of neutrophils.Meta
bolic enzymes (for example, phosphatases, ATPases) are essential for t
he generation of energy, for synthesis and transport of cell products
and for ion fluxes. In addition, they influence cell growth and the ex
pression of virulence factors.