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Journal of Bacteriology, September 2006, p. 6224-6234, Vol. 188, No. 17
0021-9193/06/$08.00+0 doi:10.1128/JB.00477-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Antimutator Role of the DNA Glycosylase mutY Gene in Helicobacter pylori
Shuyan Huang,
Josephine Kang, and
Martin J. Blaser*
Departments of Microbiology and Medicine, New York University School of Medicine, and VA Medical Center, New York, New York
Received 5 April 2006/
Accepted 8 June 2006

ABSTRACT
Helicobacter pylori has a highly variable genome with ongoing
diversification via inter- and intragenomic recombination and
spontaneous mutation. DNA repair genes modulating mutation and
recombination rates that influence diversification have not
been well characterized for
H. pylori. To examine the role of
putative base excision repair
ung and
mutY glycosylase and
xthA apurinic/apyrimidinic endonuclease genes in
H. pylori, mutants
of each were constructed in strain JP26 by allelic exchange.
Spontaneous mutation frequencies of JP26
mutY mutants, assessed
by rifampin resistance, were consistently higher (26-fold) than
that of the wild type, whereas the
ung and
xthA mutants showed
smaller increases. In
trans complementation of the JP26
mutY mutant restored spontaneous mutation frequencies to wild-type
levels. In cross-species studies,
H. pylori mutY complemented
an
Escherichia coli mutY mutant and vice versa. In contrast,
the
ung and
mutY mutants did not show higher frequencies of
intergenomic recombination or greater sensitivity to UV-induced
DNA damage than the wild type. The
H. pylori mutY open reading
frame contains an eight-adenine homonucleotide tract; we provide
evidence that this is subject to slipped-strand mispairing,
leading to frameshifts that eliminate gene function. Our findings
indicate that
H. pylori possesses phase-variable base excision
repair, consistent with a tension between repair and mutation.

INTRODUCTION
DNA bases may be damaged either spontaneously or by bioactive
molecules, such as reactive oxygen species (
3,
36). In
Escherichia coli, base excision repair (BER) plays a major role in removing
mutation-inducing DNA lesions produced by base modifications
(
9). In BER, a damage-specific DNA glycosylase first recognizes
and excises the damaged bases, detaching them from the DNA backbone,
leaving apurinic/apyrimidinic (AP) sites. Then, an AP endonuclease
cuts the DNA strand 5' of the AP site and removes the sugar,
and a repair patch of nucleotides is catalyzed by general-purpose
DNA polymerases and ligases (
50). Some DNA glycosylases that
recognize oxidative damage also have AP endonuclease activity
(
63).
E. coli possesses several DNA glycosylases, including Ung, MutY, Fpg, and Nei, that each recognize a specific type of damaged DNA base (12). The Ung glycosylase removes uracil that is accidentally incorporated into DNA when cytosine becomes deaminated (40). MutY is responsible for excising adenine in A · G and A · C mispairs and opposite 8-oxoguanine, one of the most stable products of oxidative DNA damage (2, 16, 24, 35). Although many prokaryotic species possess putative glycosylase and AP endonuclease homologs, BER pathways are not fully conserved across all species, and the specific abnormal bases that the systems repair differ greatly (12).
Helicobacter pylori is a species of gram-negative, microaerophilic bacteria that persistently colonize the human stomach (56); the inflammation induced predisposes to peptic ulceration and gastric adenocarcinomas (4, 34, 37). Compared to many other organisms, H. pylori has a high level of genetic diversity (23, 46, 53) and has high-frequency spontaneous mutation and intergenomic recombination (25, 57). The relative lack of DNA repair homologs in H. pylori (60) is consistent with an intrinsic genomic plasticity that may be adaptive in relatively inhospitable human gastric niches (5, 30, 60). For example, the methyl-directed mismatch repair pathway is not present (60), and H. pylori MutS2 does not exhibit MutS1 functions (21).
High mutation rates may be advantageous to organisms under stressful conditions but can otherwise be costly (41, 54). Because of this tension, we studied the roles that DNA repair and, more specifically, base excision repair play in H. pylori survival. From phylogenomic analysis, putative ung and mutY glycosylase genes and an xthA AP endonuclease gene have been annotated in the H. pylori genome. In this report, we provide evidence of the primary importance of mutY in H. pylori DNA repair of spontaneous mutations, while ung and xthA play smaller roles. The mutY open reading frame (ORF) has a homonucleotide tract of eight adenines; we provide evidence that implies that frameshifts in this tract create subpopulations of cells that differ in mutation rates.

MATERIALS AND METHODS
Amino acid alignment and phylogenetic analyses of MutY homologs.
Amino acid sequences of MutY homologs were retrieved from the
Comprehensive Microbial Resource from the TIGR website (
http://cmr.tigr.org/tigr-scripts/CMR/CmrHomePage.cgi).
Conserved domains were identified with Pfam (
14) and the Simple
Modular Architectural Research Tool (SMART) program (
http://smart.embl-heidelberg.de/)
(
28), which encompasses several protein domain databases. Amino
acid sequences were aligned using CLUSTAL_X (
58) and visualized
with Genedoc (
www.psc.edu/biomed/genedoc) in conservation shading
mode. Phylogenetic trees were constructed using MEGA 2.1 (
26)
according to the neighbor-joining method (
45), with 1,000 bootstrap
replicates.
Bacterial strains and plasmids.
The E. coli and H. pylori strains and plasmids used in this study are listed in Table 1. E. coli CC104 wild-type and CC104 mutM mutY mutant strains were routinely grown on LB agar plates at 37°C. H. pylori strains were grown at 37°C in 5% CO2 on Trypticase soy agar (TSA), with antibiotics added as described below for individual experiments.
Construction of H. pylori mutants.
Fragments of the HP0142 (
mutY homolog), HP1347 (
ung homolog),
and HP1526 (
xthA homolog) open reading frames from strain 26695
were amplified by PCR using primers based on sequenced
H. pylori strain 26695 (Table
2). Products were cloned into pGEMT-Easy
(Promega, Madison, WI) to create pUng, pMutY, and pXthA, respectively.
Next, pMutY, with an internal BamHI site, was digested with
BamHI and ligated to an
aphA cassette conferring kanamycin resistance
to create pMutYKm. Inverse PCR was performed on pUng (using
primers unginvBamHI-F and unginvBamHI-R) and pXthA (with primers
xthAinvBamHI-F and xthAinvBamHI-R) to introduce BamHI sites.
The PCR products were digested and each subsequently ligated
with a
cat cassette conferring chloramphenicol resistance to
create pUngCat and pXthACat.
H. pylori strain JP26 was then
transformed with these plasmids to achieve kanamycin resistance,
chloramphenicol resistance, or both, and transformants were
selected on appropriate media to obtain the JP26
mutY::
aphA,
JP26
ung::
cat, and JP26
xthA::
cat mutants and JP26
mutY::
aphA ung::
cat and JP26
mutY::
aphA xthA::
cat double mutants (Table
1). Chromosomal DNA was isolated from the transformants, and
the correct insertion of the
aphA and/or
cat cassette was confirmed
by specific PCR in each case.
Assay to examine recovery from UV-induced DNA damage.
H. pylori cells to be tested were grown on TSA plates for 48
h and suspended in phosphate-buffered saline (PBS), and 100
to 500 CFU was inoculated to TSA plates. Cells were exposed
to UV radiation (0 to 1,380 kJ/m
2) at a wavelength of 312 nm
(Stratagene transilluminator) and incubated at 37°C in 5%
CO
2 for 96 h. Colonies were counted and survival fractions calculated.
Assay to examine intergenomic recombination.
H. pylori strains grown on TSA plates for 48 h were harvested in 1 ml of PBS, and 30 µl of the suspension was combined with 60 ng of donor DNA by spotting onto a TSA plate. The TSA plate was incubated for 18 h at 37°C in 5% CO2. Donor DNA was an 800-bp PCR product of H. pylori rpsL from streptomycin-resistant strain JP26 with an A128G mutation (19). The transformation mixture was then harvested in 1 ml of PBS, and 100-µl portions of the appropriate serial dilutions were plated onto either TSA or brucella agar (BA) plates containing 10% newborn calf serum and 20 µg/ml streptomycin. The plates were incubated for 5 days at 37°C in 5% CO2, and the total recombination frequency was determined by dividing the number of streptomycin-resistant colonies by the total CFU.
Assay of spontaneous mutation frequencies.
Since single point mutations in rpoB confer H. pylori resistance to rifampin (18), rifampin resistance was used to assess spontaneous mutation frequencies. Rifampin-sensitive H. pylori strains were diluted onto TSA plates and grown for 5 days at 37°C in 5% CO2. Colonies were picked and expanded onto nonselective TSA plates for 48 h of growth and then harvested in PBS and serially diluted onto TSA plates or BA plates containing 10% newborn calf serum and rifampin (10 µg/ml). Plates were incubated at 37°C in 5% CO2 for 96 h, colonies counted, and spontaneous mutation frequencies calculated.
Complementation of the JP26 mutY::aphA mutant.
Primers mutYXbaI-F and mutYSmaI-R (Table 2) were used to amplify ORF HP0142 (mutY) with JP26 genomic DNA as the template, and the products were ligated into pGEMT-Easy to create pMutYComp. Next, pMutYComp was digested with XbaI and SmaI to obtain the HP0142 fragment, which was ligated with XbaI- and SmaI-digested pADC containing cat in the H. pylori ureAB locus downstream of a ureA promoter (21). ORF HP0142 was thus inserted downstream of the ureA promoter, creating pADC-HpMutY. The HP0142 ORF was introduced in trans into the ureAB locus of JP26 mutY::aphA cells via natural transformation with pADC-HpMutY, creating JP26 mutYHpcomp. Transformants were selected for chloramphenicol resistance, and the correct insertion of HP0142 into ureA downstream of the ureA promoter was confirmed by PCR of the chromosomal DNA. The JP26 mutY::aphA strain complemented with E. coli mutY (JP26 mutYEccomp) was created using parallel methods. Primers Ec-mutYXbaI-F and Ec-mutYSmaI-R were used to amplify mutY from E. coli strain CC104, and then all other steps were completed as described above.
Cross-species complementation of MutY.
To determine whether H. pylori mutY (HP0142) can functionally complement in E. coli, an E. coli mutY mutM mutant (31) was studied. H. pylori MutY from shuttle plasmid pADC-HpMutY was expressed using the ureA promoter. To assess spontaneous mutation frequencies, cells of rifampin-sensitive E. coli strains were diluted onto TSA plates and grown for 1 day at 37°C, and colonies were expanded onto TSA, allowing mutations to occur. After an additional 24 h of growth, cells were harvested into saline and serially diluted onto LB plates with and without rifampin (50 µg/ml). Plates were incubated at 37°C for 24 h, colonies counted, and spontaneous mutation frequencies calculated.
Shifts in H. pylori mutY homopolymeric tract.
The 987-bp H. pylori 26695 and J99 mutY ORFs each include an eight-adenine homonucleotide tract beginning at position 273 (1, 60). Since partial mutY sequences of 413 H. pylori strains were available on http://pubmlst.org/helicobacter/, the homonucleotide region was examined for polymorphisms (database accessed March 2006). To determine whether frameshifts occur in the mutY homonucleotide tract in a population of cells growing on plate culture, a blue-white screen was developed. An
100-bp fragment containing the H. pylori mutY homonucleotide tract was PCR amplified from JP26 genomic DNA by use of primers mutYhomoA-F and mutYhomoA-R with 5' EcoRI and XbaI sites, respectively (Table 2). The products were ligated into pUC18 to create pMutYhomotract, which was then transformed into DH5
cells, inoculated to carbenicillin, IPTG (isopropyl-ß-D-thiogalactopyranoside), and X-Gal (5-bromo-4-chloro-3-indolyl-ß-D-galactopyranoside) plates, and incubated for 37°C overnight. After color development at 4°C, white and blue colonies, representative of out-of-frame and in-frame products, respectively, were counted. Representative white colonies were expanded, DNA prepared, and the pMutYhomotract inserts sequenced. A similarly sized fragment from mutY, but from a region without homopolymeric tracts, was amplified as a control. Primers mutYnoshift-F and mutYnoshift-R were used to generate the positive-control in-frame product, and primers mutYnoshift-F+1 and mutYnoshift-R were used to generate the negative-control out-of-frame product. The products were ligated into pUC18 to create pMutYnoshift and pMutYnoshift+1, and the plasmids were screened as described above.
Statistical analyses.
Student's t test, unpaired with equal variance, was used to determine statistical significance in all cases. A P value of <0.05 was defined as statistically significant.

RESULTS
Analyses of MutY family homologs.
The conserved domains in MutY, based on Pfam (
14) and the SMART
database (
http://smart.embl-heidelberg.de) (
28), are shown in
schematic form for representative species in Fig.
1A. Protein
structure is highly conserved. The 20-amino-acid helix-hairpin-helix
is the canonical DNA binding domain shared by all BER glycosylases
(
10). Studies of
E. coli MutY implicate the iron-sulfur-binding
domain in substrate recognition and protein stability (
31,
44).
MutY orthologs possess an endonuclease III domain with homology
to
E. coli Nth, a glycosylase that has AP endonuclease activity,
consistent with the reported MutY AP endonuclease activity (
32,
33). On the amino acid level, the aligned
H. pylori 26695 and
J99 MutY deduced products show 94.8% identity and 97.3% similarity,
and the
H. pylori 26695 and
E. coli K-12 MG1655 MutY deduced
products share 36.7% identity and 59.1% similarity (Fig.
1B).
The phylogenetic position of MutY from
H. pylori is closest
to that of other
Campylobacterales and is also related to that
of
Thermus thermophilus, an extremophile (Fig.
1C).
H. pylori mutY shifts in homonucleotide tract.
Of the 413
mutY sequences available in the
H. pylori multilocus
sequence typing database, polymorphisms involving the adenine
homonucleotide tract were observed to occur in 15 strains (Fig.
2A). One (ALA15) of the 413 strains (2.4
x 10
3) showed
a frameshift with a 1-bp deletion in the eight-adenine
mutY homonucleotide tract (Fig.
2B). There also were 14 (3.4
x 10
2)
substitution mutations at codon 93 (AAA) encoding lysine: 12
with synonymous (G) substitutions in the third position and
2 with nonsynonymous substitutions (G) in the second position,
encoding arginine. In the blue-white screen for shifts in the
H. pylori mutY homonucleotide tract, the positive control, with
an in-frame nonhomonucleotide
mutY fragment, gave 97% blue colonies
and the negative control, with an out-of-frame nonhomonucleotide
mutY fragment, gave 96.6% white colonies (data not shown). From
the screen with the
mutY homonucleotide fragment, two white
colonies showed a shift from eight adenines (Fig.
2C) to seven
(Fig.
2D), providing further evidence that natural phase variation
occurs in
mutY. Since these studies show that
H. pylori subpopulations
differing in expression of the product encoded by
mutY exist,
we sought to compare phenotypes of the on and off versions by
creating defined mutants.
H. pylori glycosylase and AP endonuclease mutants show increased frequencies of spontaneous mutation.
Based on the homologies and phylogenies (Fig.
1 and data not
shown), we hypothesized that the
ung and
mutY homologs in
H. pylori encode DNA glycosylases, that
xthA encodes an AP endonuclease,
and that these genes play a role in
H. pylori BER. To test these
hypotheses,
H. pylori mutants were created to examine frequencies
of spontaneous rifampin mutations due to BER impairment, which
permits retention of errors throughout the genome. Errors occurring
in
rpoB may lead to alterations in the rifampin binding site
of RNA polymerase, rendering the cells resistant to rifampin
(
18). The
H. pylori ung and
mutY glycosylase mutants and the
xthA AP endonuclease mutant each showed increased spontaneous
mutation frequencies (Fig.
3A). Compared to the wild type, the
mutY mutant showed an

26-fold increase, but for the
ung and
xthA mutants, the differences were fourfold. The
mutY ung and
mutY xthA double mutants had nearly identical increases in spontaneous
mutations (37-fold) compared to that of wild-type cells. The
results further indicate that MutY activity in
H. pylori is
not limited by lack of Ung or XthA base excision repair functions.
Complementation of the H. pylori mutY mutant with mutY in trans.
The
mutY homolog HP0142 is present in a putative dicistronic
operon in strains 26695 and J99 with no downstream genes (
60).
To determine whether the spontaneous mutation phenotype was
specific to the
mutY mutation and not due to polar effects or
artifact, the
H. pylori mutY::
aphA mutant was complemented in
trans by expressing
mutY downstream of a strong
ureA promoter
in the distant
ureAB chromosomal locus. Complementation restored
the spontaneous mutation frequency to wild-type levels (Fig.
3B), confirming that the observed phenotype is specific to the
mutY mutation and not due to polar effects. The
H. pylori mutY::
aphA mutant was also complemented in
trans by
E. coli mutY in the
identical locus to a comparable degree.
H. pylori MutY complements E. coli MutY mutant.
To determine whether the H. pylori MutY protein could complement a MutY defect in E. coli, the E. coli CC104 mutM mutY mutant strain (31) was transformed with H. pylori mutY in a shuttle plasmid (pADC-HpMutY), with the vector alone (pADC), or with the E. coli mutY (pADC-EcMutY) as a positive control. Compared to the wild type, the mutM mutY mutant showed a 73-fold increase in the frequency of spontaneous mutation, which was not complemented by the vector alone. However, both E. coli and H. pylori mutY nearly completely complemented the defect (Fig. 4). In total, the cross-species complementation studies provide further evidence for MutY function encoded by HP0142.
H. pylori ung and mutY glycosylase and xthA AP endonuclease mutants are no more sensitive to UV-induced DNA damage than the wild type.
Exposure to UV generates primarily cyclobutane pyrimidine dimers
and 6-4 pyrimidine-pyrimidone photoproducts (
7), substrates
that are not recognized by
E. coli Ung and MutY. As such, we
hypothesized that the
H. pylori glycosylase mutants are no more
sensitive to UV-induced DNA damage than wild-type cells. Furthermore,
UV radiation creates interstrand cross-links in DNA as well
as strand breaks that can halt replication fork progression;
the DNA template can be restored by recombination repair recognizing
and replacing damaged DNA. As expected,
H. pylori recA mutants
were more susceptible to UV exposure than wild-type cells (Fig.
5) (
59). However, the
ung,
mutY, and
xthA mutants did not show
increased susceptibility to UV, providing evidence that these
constituents of BER are not involved in recombination repair
of damaged DNA in
H. pylori.
H. pylori glycosylase mutants do not show elevated frequencies of recombination.
Glycosylases function not only in BER but also in homologous
recombination. Nitric oxide is a potent DNA damaging agent,
and NO
-induced homologous recombination in
E. coli is
promoted by DNA glycosylases (
55). Processing of DNA base damage
by glycosylases leads to the creation of AP sites and single-strand
breaks, which in turn may be converted into double-strand breaks,
providing substrate for recombination. However, the
H. pylori ung and
mutY mutants did not show elevated frequencies of intergenomic
recombination (Fig.
6).
Homonucleotide tracts in other bacterial glycosylase genes.
To determine whether the presence of homonucleotide tracts in
the
H. pylori glycosylase genes may be more prevalent, using
the whole-organism genomic sequences, we conducted informatic
analysis of other members of
Campylobacterales and other eubacteria
(Table
3). Among the other
Campylobacterales, homonucleotide
tracts of

7 nucleotides were common in ORFs annotated as
mutY,
ung, or
nth in
Campylobacter jejuni and
Helicobacter hepaticus but not
Wolinella succinogenes. Similarly, although homonucleotide
tracts were common in other phyla, they were not universally
present, and in certain organisms, including
E. coli,
Mycobacterium tuberculosis, and
Streptococcus pyogenes, none were observed.

DISCUSSION
HP0142 was annotated as
mutY based on the strong homology of
its deduced product with known MutY proteins. We show that the
protein sequence possesses conserved domains and amino acid
properties characteristic of MutY and that the cloned ORF complements
the
mutY deficiency in an
E. coli mutant. Interrupting
mutY in
H. pylori resulted in elevated frequencies of spontaneous
mutation, consistent with a role in BER, and in
trans complementation
with either the
H. pylori or the
E. coli mutY confirmed that
this phenotype was not due to a polar or extraneous event. Moreover,
the mutant's lack of an effect on UV repair, as expected, indicates
the specificity of its role. Thus, HP0142 is an authentic
mutY,
but although
H. pylori mutY was able to complement the
E. coli mutY mutant, the two proteins may not have all of the same functions.
The C-terminal domain of
E. coli MutY is involved in both DNA
binding and glycosylase activities (
29), and future experiments
should define the properties of the nonconserved C-terminal
domain of
H. pylori MutY. The close proximity of the phylogenetic
position of
H. pylori MutY with that of the extremophile
T. thermophilus suggests convergent evolution due to parallel environmental
constraints.
Exposure to UVB (wavelength range, 280 to 320 nm) is known to generate singlet oxygen, superoxide ions, and other free radicals, which subsequently increase 8-oxoguanine levels in cells (17, 42, 64). In mice lacking Ogg1, a mammalian glycosylase responsible for removing 8-oxoguanine from DNA, UVB exposure increases susceptibility to skin carcinogenesis (27). The E. coli xthA mutant is sensitive to inactivation by broad-spectrum near-UV (300- to 400-nm) radiation (49, 51). Therefore, the H. pylori BER mutants might be similarly sensitive to UV, as glycosylases and AP endonucleases repair the DNA damaged by oxidative by-products. Under our experimental conditions, in which 312-nm UV light was used, neither the mutY nor the xthA H. pylori mutant differed from wild-type cells in phenotype. It is possible that the experimental conditions did not generate sufficient 8-oxoguanine in the cells for a phenotype to be observed, that H. pylori has pathways to catabolize 8-oxoguanine, or that 8-oxoguanine is not a major substrate for mutY and xthA in H. pylori.
The elevated spontaneous mutation frequencies of H. pylori strains in which the genes encoding the glycosylases Ung and MutY and AP endonuclease XthA have been interrupted can be explained in several ways. First, loss of glycosylase and AP endonuclease function impairs the BER pathway, leading to increased spontaneous mutation frequency as errors are retained throughout the genome. However, the fact that the mutY strain has a greater effect (26-fold) than the ung or xthA strains (fourfold) implies that MutY has greater in vivo glycosylase activity than Ung in H. pylori and/or that the MutY substrate is generated more frequently than is the Ung substrate and that the BER products generated by H. pylori MutY activity may be substrates for AP endonucleases other than XthA. If the products generated by H. pylori MutY were substrates for XthA only, then mutations in the downstream gene in the pathway (xthA) also should yield a similar (26-fold) increase in spontaneous mutation frequency. That the xthA mutation resulted in a smaller (fourfold) difference in mutation frequency suggests the presence of other AP endonucleases in H. pylori. Alternatively, it is possible that H. pylori MutY has its own AP endonuclease activity, as has been shown for the E. coli MutY (32, 33), which has structural similarity to H. pylori MutY (Fig. 1B). Furthermore, that MutY may function independently of Ung and XthA is supported by the enhanced mutation frequency in the mutY ung and mutY xthA double mutants.
Based on phylogenomic studies, H. pylori has had loss of DNA repair pathway components, including the methyl-directed mismatch repair system found in E. coli (12). Nevertheless, it is possible that H. pylori has an unidentified mismatch repair system (8). E. coli MutY is responsible not only for repair of oxidative DNA damage but for mismatch repair as well. MutY processes at least some A · G mispairs in E. coli (2), and the lack of MutY activity generates G · C
T · A transversions, resulting in rpoB mutations that confer rifampin resistance (24). That H. pylori MutY was capable of complementing the E. coli mutY mutant suggests that it can play a similar role in mismatch repair preventing G · C
T · A transversion mutations, if such a system does exist in H. pylori.
Phase variation, a common mechanism used by gram-negative bacteria to generate intrastrain diversity, permits phenotypic variation important to adaptation to niches or to changing environmental conditions (48, 62). Translational phase variation reversibly switches gene expression via insertion or deletion of DNA repeat sequences within the coding region, altering the reading frame, which ultimately leads to a premature stop codon (8, 62). H. pylori strains vary both in the presence of repeats in particular genes and in length (48). That homopolymeric tracts are present in both mutY and ung (Table 3) suggests the possibility of phase variation, and the existence of a wild-type H. pylori strain (ALA15) with a seven-adenine tract in mutY, along with experimental evidence of frameshift, indicates that this is an actual mechanism for H. pylori to control DNA repair rates. Variation in repeat length may be generated by polymerase slippage during PCR and/or sequencing reactions, and PCR has the greatest potential to artifactually generate such variation (20). However, studies of length variation in the homonucleotide tract of H. pylori ORF HP0619 in strain JP96-9, possessing nine cytosines, provide evidence that for repeats of <11 nucleotides the observed polymorphisms are attributable to repeats of different lengths in the template and not to a PCR artifact (48). The phenomenon of phase variation in H. pylori has been explored previously for genes pldA, babB, and rfaJ (47). In recent work using enzyme-linked immunosorbent assay techniques in addition to the previously described E. coli reporter assay, we have examined the phenotypes associated with phase variation involved with a homopolymeric tract in futC, which controls Lewisy expression in H. pylori. This provides a measurable phenotype and illustrates the effect of the phase variation in an H. pylori background, as well as the efficacy of the E. coli assay (E. L. Sanabria-Valentín et al., Abstr. 106th Gen. Meet. Am. Soc. Microbiol., abstract D-001, 2006).
Phase variation of mutY offers a model for H. pylori adaptation. Although mutations are generally deleterious, spontaneous mutY frameshifts create subpopulations of hypermutators that can generate beneficial mutations under appropriate selection conditions. As hypermutators acquire the mutations needed to adapt to changing environments, the increasing number of deleterious mutations makes hypermutability selectively disadvantageous (11, 13, 15, 61). Therefore, persistent H. pylori colonization can be viewed as comprising two populations, mutator and nonmutator, living in an equilibrium determined by the fitness cost and benefit of particular mutations. Since phase variation may occur independently for mutY and ung, there may be at least four different populations (and possibly more in relation to other genes) in terms of "mutator" status. This is a more complex model than that appreciated for E. coli (38, 39, 52), but it might reflect the differing selective pressures on H. pylori.
Slipped-strand mispairing in homonucleotide tracts of DNA repair genes (e.g., mutY) also can allow for out-of-frame, hypermutator populations that have already acquired the beneficial mutations to regenerate nonhypermutator populations. Since the advantage of mutators is conditional, because mutator clones easily accumulate deleterious mutations after passage through bottlenecks (13), the reversion of an out-of-frame mutY to in frame after a beneficial mutation is acquired might be advantageous. Ultimately, the existence of homonucleotide tracts in mutY (and other BER genes) reflects second-order selection. More than just selection for better adaptation to a specific environment, second-order selection acts on the regulation of the processes of genetic adaptation to new environments (43). DNA repair genes with homonucleotide tracts reflect second-order selection because they give rise to hypermutator alleles that themselves are the substrates for selection. That H. pylori mutY possesses a phase-variable homonucleotide tract indicates that expression of the products of DNA repair genes is under the influence of replication genes, themselves subject to mutation. This nonlinear system for DNA repair, exemplified in H. pylori, could be a model for certain organisms but not others (Table 3).

ACKNOWLEDGMENTS
We thank Felix Peng for technical assistance and Edgardo L.
Sanabria-Valentín and Irina Derkatch for guidance in
genetic screening. We thank A-Lien Lu (University of Maryland)
for the
E. coli mutants and Mark Achtman (Max-Planck-Institut
für Infektionsbiologie) for the ALA15 chromatogram.
This study was supported by an Undergraduate Research Fellowship from the American Society for Microbiology, by the Diane Belfer Program in Human Microbial Ecology, and by R01 GM63270 and the Medical Scientist Training Program of the National Institutes of Health.

FOOTNOTES
* Corresponding author. Mailing address: Department of Medicine, New York University School of Medicine, 550 First Avenue, New York, NY 10016. Phone: (212) 263-6394. Fax: (212) 263-3969. E-mail:
martin.blaser{at}med.nyu.edu.


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Journal of Bacteriology, September 2006, p. 6224-6234, Vol. 188, No. 17
0021-9193/06/$08.00+0 doi:10.1128/JB.00477-06
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