Helicobacter pylori is a human pathogen associated with gastritis and
peptic ulcer. Adhesion properties of H. pylori to various structures h
ave been described in the literature, including evidence for sialic ac
id-binding. To study the specificity and frequency of sialic acid-bind
ing, fourteen H. pylori strains were investigated using haemagglutinat
ion with derivatised erythrocytes carrying sialic acids only on define
d glycans and using haemagglutination inhibition assays. From these st
udies H. pylori strains can be grouped into sialic acid-dependent and
sialic acid-independent classes. The sialic acid-dependent strains req
uire alpha-2,3-linked sialic acid for haemagglutination. The potential
roles of sialic acid-dependent adhesions for H. pylori-related infect
ions are discussed.