Evidence map›Paper›PMID 31110360›Full record

ArticleNature microbiology2019

VacA generates a protective intracellular reservoir for Helicobacter pylori that is eliminated by activation of the lysosomal calcium channel TRPML1.

Mariana I Capurro, Laura K Greenfield, Akriti Prashar, Sunny Xia, Majd Abdullah, Harikesh Wong, Xi Zoe Zhong, Nina Bertaux-Skeirik, Jayati Chakrabarti, Iram Siddiqui and 8 more

Open access · greenAbstract read
In one paragraph

Article in Nature microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
9.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 107 citations in OpenAlex.

  1. Internalization ofAnnals of medicine · 2026
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  6. Ergosterol from Yeasts PromotesInternational journal of molecular sciences · 2026
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  7. Biomolecules · 2026
    Review
  8. Global epidemiology ofMicrobiology spectrum · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Metabolic reprogramming as a key regulator in Helicobacter pylori-infected gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Review
  13. Review
  14. Review
  15. Review
  16. Iranian journal of microbiology · 2025
    Article
  17. The function of chloride channels in digestive system disease (Review).International journal of molecular medicine · 2025
    Review
  18. Review
  19. Review
  20. Frontiers in microbiology · 2025
    Review

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Mariana I CapurroDepartment of Paediatrics and Physiology, University of Toronto; Division of Gastroenterology, Hepatology and Nutrition, and Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Laura K GreenfieldDepartment of Paediatrics and Physiology, University of Toronto; Division of Gastroenterology, Hepatology and Nutrition, and Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Akriti PrasharDepartment of Paediatrics and Physiology, University of Toronto; Division of Gastroenterology, Hepatology and Nutrition, and Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Sunny XiaDepartment of Paediatrics and Physiology, University of Toronto; Division of Gastroenterology, Hepatology and Nutrition, and Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Majd AbdullahDepartment of Paediatrics and Physiology, University of Toronto; Division of Gastroenterology, Hepatology and Nutrition, and Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Harikesh WongDepartment of Paediatrics, University of Toronto; Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Xi Zoe ZhongDepartment of Physiology and Biophysics, Dalhousie University, Halifax, Nova Scotia, Canada.
Nina Bertaux-SkeirikDepartment of Molecular and Cellular Physiology, University of Cincinnati, Cincinnati, OH, USA.
Jayati ChakrabartiDepartment of Molecular and Cellular Physiology, University of Cincinnati, Cincinnati, OH, USA.
Iram SiddiquiDepartment of Pathology, University of Toronto; The Hospital for Sick Children, Toronto, Ontario, Canada.
Catherine O'BrienUniversity Health Network, University of Toronto, Toronto, Ontario, Canada.
Xianping DongDepartment of Physiology and Biophysics, Dalhousie University, Halifax, Nova Scotia, Canada.
Lisa RobinsonDepartment of Paediatrics, University of Toronto; Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada.
Richard M PeekDivision of Gastroenterology, Vanderbilt University Medical Center, Nashville, TN, USA.
Dana J PhilpottDepartment of Immunology, University of Toronto, Toronto, Ontario, Canada.
Yana ZavrosDepartment of Molecular and Cellular Physiology, University of Cincinnati, Cincinnati, OH, USA.
Michael HelmrathDivision of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Nicola L JonesDepartment of Paediatrics and Physiology, University of Toronto; Division of Gastroenterology, Hepatology and Nutrition, and Cell Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada. nicola.jones@sickkids.ca.ORCID http://orcid.org/0000-0001-5495-0739
University of Toronto · CAUniversity of Cincinnati · USDalhousie University · CACincinnati Children's Hospital Medical Center · USUniversity Health Network · CAVanderbilt University Medical Center · US

Funding

Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Role of Iron and B-Catenin Activation in Gastric CarcinogenesisP01CA116087 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Kevin L Schey · 2009 to 2026
$27.5M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
H.Pylori Relationship to Digestive Diseases and CancerR01CA077955 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2003 to 2026
$9.7M
Helicobacter Pylori and Gastrointestinal BiologyR01DK058587 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PEEK, RICHARD M. · 2001 to 2024
$7.8M
CIHRNCI NIH HHS P01 CA116087NCI NIH HHS R01 CA077955NIDDK NIH HHS P30 DK058404NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK058587
6 · The paper itself

Abstract

Helicobacter pylori infection is a proven carcinogen for gastric cancer. Its virulence factor vacuolating cytotoxin A (VacA) promotes more severe disease and gastric colonization. VacA, by an unknown mechanism, usurps lysosomal and autophagy pathways to generate a protected reservoir for H. pylori that confers bacterial survival in vitro. Here, we show the existence of a VacA-generated intracellular niche in vivo that protects the bacteria from antibiotic treatment and leads to infection recrudescence after therapy. Furthermore, we report that VacA targets the lysosomal calcium channel TRPML1 to disrupt endolysosomal trafficking and mediate these effects. Remarkably, H. pylori that lack toxigenic VacA colonize enlarged dysfunctional lysosomes in the gastric epithelium of trpml1-null mice, where they are protected from eradication therapy. Furthermore, a small molecule agonist directed against TRPML1 reversed the toxic effects of VacA on endolysosomal trafficking, culminating in the clearance of intracellular bacteria. These results suggest that TRPML1 may represent a therapeutic target for chronic H. pylori infection.

Indexed as

AnimalsAnti-Bacterial AgentsAutophagyBacterial ProteinsCalciumCalcium ChannelsDisease Models, AnimalHelicobacter InfectionsHelicobacter pyloriLysosomesMiceMice, Inbred C57BLMice, KnockoutMicrobial ViabilityProtein TransportStomachAnti-Bacterial AgentsBacterial ProteinsCalciumCalcium ChannelsMcoln1 protein, mouseTransient Receptor Potential ChannelsVacA protein, Helicobacter pylori

Identifiers

PMID31110360
PMCPMC6938649
OpenAlexW2945047925

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.