To investigate the kinetics and mechanisms of extracellular protein release
by Helicobacter pylori, we analyzed the entry of metabolically radiolabele
d bacterial proteins into broth culture supernatant. At early time points,
vacuolating cytotoxin (VacA) constituted a major extracellular protein, Sub
sequently, culture supernatants accumulated many proteins that were compone
nts of intact bacterial cells. This nonselective release of proteins was as
sociated with a decreasing turbidity of cultures and loss of bacterial viab
ility, indicative of an autolytic process. The rates of VacA secretion and
autolysis were each influenced by medium composition, and therefore these m
ay be regulated phenomena. Extracellular release of proteins by H. pylori m
ay be an important adaptation that facilitates the persistence of H, pylori
in the human gastric mucus layer, Moreover, entry of proinflammatory prote
ins into the gastric mucosa may contribute to the induction of a mucosal in
flammatory response.