The possible role of glycosphingolipids as adhesion receptors for the
human gastric pathogen Helicobacter pylori was examined by use of radi
olabeled bacteria, or protein extracts from the bacterial cell surface
, in the thin-laver chromatogram binding assay, Of several binding spe
cificities found, the binding to lactosylceramide is described in deta
il here, the others being reported elsewhere, By autoradiography a pre
ferential binding to lactosylceramide having sphingosine/phytosphingos
ine and 2-D hydroxy fatty acids was detected, whereas lactosylceramide
having sphingosine and nonhydroxy fatty acids was consistently nonbin
ding, A selective binding of H. pylori to lactosylceramide with phytos
phingosine and 2-D hydroxy fatty acid was obtained when the different
lactosylceramide species were incorporated into liposomes, but only in
the presence of cholesterol, suggesting that this selectivity may be
present also in vivo, Importantly, lactosylceramide with sphingosine a
nd hydroxy fatty acids does not bind in this assay, Furthermore, a lac
tosylceramide-based binding pattern obtained for different trisacchari
de glycosphingolipids is consistent with the assumption that this sele
ctivity is due to binding of a conformation of lactosylceramide in whi
ch the oxygen of the 2-D fatty acid hydroxyl group forms a hydrogen bo
nd with the Glc hydroxy methyl group, yielding an epitope presentation
different from other possible conformers, An alternative conformation
that may come into consideration corresponds to the crystal structure
found for cerebroside, in which the fatty acid hydroxyl group is free
to interact directly with the adhesin, By isolating glycosphingolipid
s from epithelial cells of human stomach from seven individuals, a bin
ding of H. pylori to the diglycosylceramide region of the non-acid fra
ction could be demonstrated in one of these cases, Mass spectrometry s
howed that the binding-active sample contained diglycosylceramides wit
h phytosphingosine and 2-D hydroxy fatty acids with 16-24 carbon atoms
in agreement with the results related above.