To determine the effect of oral adjuvant-assisted and parenteral vacci
nation, germ-free piglets were vaccinated orally with and without labi
le toxin adjuvant or parenterally and challenged with viable Helicobac
ter pylori, All prechallenge vaccination regimens induced anti-H. pylo
ri antibodies and suppressed bacterial colonization, but no vaccinatio
n regime completely prevented infection. Parenteral vaccination given
after infection had no effect on bacterial colonization. Lymphocytic g
astritis was present in all piglets challenged with live bacteria rega
rdless of vaccination status. Neutrophilic gastritis was present in va
ccinated challenged piglets but not in infected, unvaccinated piglets.
Gastritis was not present in uninfected control piglets regardless of
vaccination status. In gnotobiotic piglets, vaccination suppresses bu
t does not prevent infection by H. pylori, and parenteral vaccination
does not cure infected piglets. Vaccination does not ameliorate gastri
tis due to H. pylori in piglets but does induce neutrophilic gastric i
nflammation in some infected piglets.