Products launching Winter 2023!
Helicobacter pylori (H pylori) is a common bacterium which lives in the human stomach. Globally around 50% of the world’s population is infected with H Pylori, with rates being higher in less economically developed countries (LEDCs).
In most cases, we don’t realise we are infected with H pylori and it does not cause any problems in the stomach. However, there is a strong association between infection with H pylori and increased risks of developing peptic ulcer disease and gastric cancer.
To quote the paper by Correa and Piazuelo (2011):
“Gastric adenocarcinoma is the second leading cause of cancer-related mortality worldwide. Infection with Helicobacter pylori is the strongest recognized risk factor for gastric adenocarcinoma”
This gives some indication of the importance of managing H Pylori infection worldwide.
So how is urease involved here?
The stomach is a harsh environment for any organism to live in, due to the acidic environment. One of H pylori’s survival mechanisms is having an extracellular urease enzyme (outside of the cell) creating a blanket of alkaline ammonia to buffer the acidic stomach acid. This coupled with hiding away in the folds of the stomach allows H pylori to survive.
How does H pylori invade its host?
Interestingly, H pylori makes urease intracellularly (inside the cell) but it does not have a mechanism to transport the urease onto the outside of the bacterial cell wall to invade hosts. Instead, something quite remarkable happens! Whenever a H pylori dies it bursts open and releases all of its intracellular urease molecules, which then attach to neighbouring H pylori and help them survive. This has been termed “autocratic autolysis” – H pylori die for one another!
How can a urease inhibition, like watercress help?
Urease is a strong virulence factor for H pylori helping it survive in the stomach, and it is widely believed that inhibiting urease would drastically weaken H pylori’s defences. Our current research focuses on testing our extract against H pylori to see if we can achieve any one of a few outcomes:
1) Direct destruction of H pylori – in which case, Watercress extract is a new antibiotic!
2) Improving susceptibility to antibiotics.
3) Reduction in virulence – we may make the H pylori more “quiescent”, ie it may not be entirely destroyed but we may reduce the incidence of disease associated with it.
Hopefully we will find out soon whether our extract can be effective in combatting any of these outcomes!