Metal acquisition is crucial for all cells and for the virulence of many bacterial pathogens. In particular, nickel is a virulence determinant for the human gastric pathogen Helicobacter pylori as it is the cofactor of two enzymes essential for in vivo colonization, urease and a [NiFe] hydrogenase. To import nickel despite its scarcity in the human body, H. pylori requires efficient uptake mechanisms that are only partially defined. Indeed, alternative ways of nickel entry were predicted to exist in addition to the well-described NixA permease. Using a genetic screen, we identified an ABC transporter, that we designated NiuBDE, as a novel H. pylori nickel transport system. Unmarked mutants carrying deletions of nixA, niuD and/or niuB, were constructed and used to measure (i) tolerance to toxic nickel exposure, (ii) intracellular nickel content by ICP-OES, (iii) transport of radioactive nickel and (iv) expression of a reporter gene controlled by nickel concentration. We demonstrated that NiuBDE and NixA function separately and are the sole nickel transporters in H. pylori. NiuBDE, but not NixA, also transports cobalt and bismuth, a metal currently used in H. pylori eradication therapy. Both NiuBDE and NixA participate in nickel-dependent urease activation at pH 5 and survival under acidic conditions mimicking those encountered in the stomach. However, only NiuBDE is able to carry out this activity at neutral pH and is essential for colonization of the mouse stomach. Phylogenomic analyses indicated that both nixA and niuBDE genes have been acquired via horizontal gene transfer by the last common ancestor of the gastric Helicobacter species. Our work highlights the importance of this evolutionary event for the emergence of Helicobacter gastric species that are adapted to the hostile environment of the stomach where the capacity of Helicobacter to import nickel and thereby activate urease needs to be optimized.
Helicobacter pylori is a bacterium that persistently colonizes the stomach of half of the human population worldwide. Infection by H. pylori is associated with gastritis, peptic ulcer disease and adenocarcinoma. To resist gastric acidity and proliferate in the stomach, H. pylori possesses an urease, this enzyme contains a nickel-metallocenter at its active site. Thus, the capacity of H. pylori to infect its host relies on important nickel supply despite its scarcity in the human body. To import nickel, H. pylori requires efficient mechanisms that were partially defined. In the present study, we identified a novel H. pylori nickel transport system that we designated NiuBDE. NiuBDE was directly demonstrated to import nickel into the bacterium. NiuBDE and the previously described NixA permease are the two sole nickel transporters in H. pylori. Urease activation by nickel depends on the NiuBDE and NixA systems and NiuBDE is essential for colonization of a mouse model by H. pylori. We found that NiuBDE and NixA have been acquired during evolution by H. pylori and other gastric- Helicobacter species. Thus, acquisition of nickel transporters by gastric Helicobacter was a key event for the emergence of one of the most successful bacterial pathogens, H. pylori.