Helicobacter pylori is a gram-negative bacteria which colonizes the gastric
mucosa of humans and is implicated in a wide range of gastroduodenal disea
ses. This paper reviews the physiology of this bacterium as predicted from
the sequenced genomes of two unrelated strains and reconciles these predict
ions with the literature. In general, the predicted capabilities are in goa
d agreement with reported experimental observations. H. pylori is limited i
n carbohydrate utilization and will use amino acids, for which it has trans
porter systems, as sources of carbon. Energy can be generated by fermentati
on and the bacterium possesses components necessary for both aerobic and an
aerobic respiration. Sulfur metabolism is limited, whereas nitrogen metabol
ism is extensive. There is active uptake of DNA via transformation and ampl
e restriction-modification activities. The cell contains numerous outer mem
brane proteins, some of which are porins or involved in iron uptake. Some o
f these outer membrane proteins and the lipopolysaccharide may be regulated
by a slipped-strand repair mechanism which probably results in phase varia
tion and plays a role in colonization. In contrast to a commonly held belie
f that H. pylori is a very diverse species, few differences were predicted
in the physiology of these two unrelated strains, indicating that host and
environmental factors probably play a significant role in the outocme of H.
pylori-related disease.