Functional and intricate interaction network connecting Helicobacter pylori Cag Type 4 Secretion System surface proteins with outer membrane proteins HopQ and HopZ

The Helicobacter pylori cag pathogenicity island ( cag PAI) encodes a complex type IV secretion system (CagT4SS) which is an important virulence factor of H. pylori . Recently, structural detail on the CagT4SS has been substantially improved by cryo-EM. However, important structural and functional information, in particular on protein interactions between T4SS surface proteins, and of T4SS surface proteins with other proteins, is missing. In the present study, we followed the hypothesis that H. pylori T4SS external proteins may form a surface protein assembly, together with other, non-CagT4SS proteins, which may also be essential for T4SS function. Using interaction screens of H. pylori CagT4SS surface proteins, followed by biochemical and functional characterization, we have enhanced the knowledge on protein-protein interactions of CagT4SS extracellular proteins. This also includes newly identified interactions of CagT4SS surface proteins, for instance the VirB2 homolog CagC, the VirB5 homolog CagL and the surface protein CagN of unknown function, with outer membrane proteins HopQ and HopZ. We have further identified and quantitated direct interactions of T4SS surface proteins with outer membrane proteins HopZ and HopQ, which play a role in T4SS functions, and of both HopZ and HopQ with themselves and with host cell factors CEACAM and integrin. Furthermore, we determined an influence of pH on interactions between HopQ/HopZ and CagT4SS components. Utilizing protein tag insertions in H. pylori , we detected surface-exposed association of HopQ and HopZ with T4SS components on bacteria without or with (for HopQ) human gastric epithelial cells. Functionally antagonistic roles of HopQ and HopZ were uncovered in T4SS-dependent early pro- inflammatory human epithelial cell activation. In summary, we identified a network of interactions between H. pylori outer membrane proteins and CagT4SS surface proteins and characterized them as functionally important for transport processes. This will help to refine structural and functional details regarding surface-exposed proteins of the CagT4SS.