The morphological conversion of Helicobacter pylori from the spiral form to
the coccoid form may be the expression of a transitory adaptation to an un
suitable environment. The mechanism(s) of this conversion are not clear. In
this study, we examined whether the morphological conversion of H. pylori
is affected by various culture conditions, such as oxygen concentration, pH
, temperature, or the presence of beta-cyclodextrin. H. pylori (NTCC11916)
was cultured on Brucella agar, followed by culture in Brucella broth contai
ning 1% agar under several conditions. Morphological conversion of individu
al H. pylori on the agar plate was investigated with time after incubation
under phase contrast microscopy. When H. pylori was inoculated in Brucella
broth containing beta-cyclodextrin, the spiral form of the organism was obs
erved even after 6 days of incubation under standard culture conditions: 37
degrees C, pH 7, and microaerobic atmosphere (5% O-2/10% CO2/85% N-2) (con
trol). The morphological conversion of H. pylori was completed on day 3 in
an aerobic atomosphere (20% O-2 supply) and on day 2 in an undermicroaerobi
c atmosphere (<0.1% O-2). Its complete morphological conversion was observe
d at pH 8 on day 5 and at pH 4 on day 6. All of the Ii. pylori (100%) incub
ated at 20 degrees or 42 degrees C had converted from the bacillary to the
coccoid form on day 4. Conditioned medium without beta-cyclodextrin caused
complete conversion on day 5. These results suggest that organ concentratio
n, pH, temperature, and beta-cyclodextrin may be related to the Ii. pylori
morphological conversion from the bacillary to the coccoid form.