The vacuolating cytotoxin of Helicobacter pylori, VacA, enters the cyt
oplasm of target cells and causes vacuolar degeneration by interfering
with late stages of endocytosis, By using indirect immunofluorescence
and flow cytometry, we have demonstrated that VacA binds to specific
high-affinity cell surface receptors and that this interaction is nece
ssary for cell intoxication.