Cryo-EM structure of Helicobacter pylori urease with a novel inhibitor in the active site at 2.0 Å resolution, by Eva Cunha (University of Oslo Centre for Molecular Medicine Norway)

Infection of the human stomach by *Helicobacter pylori* remains a worldwide

problem and greatly contributes to peptic ulcer disease and gastric cancer.

Without active

intervention approximately 50% of the world population will

continue to be infected with this gastric pathogen. Current eradication,

called triple therapy, entails a proton-pump inhibitor and two broadband

antibiotics, however resistance to either clarithromycin or metronidazole

is greater than 25% and rising. Therefore, there is an urgent need for a

targeted, high-specificity eradication drug.

Gastric infection by

*H. pylori* depends on the expression of a nickel-dependent urease in the

cytoplasm of the bacteria. Here, we report the 2.0 Å resolution structure

of the 1.1 MDa urease in complex with a novel inhibitor by cryo-electron

microscopy and compare it to a b

-

mercaptoethanol-inhibited structure at 2.5

Å resolution. The structural information is of sufficient detail to aid in

the development of inhibitors with high specificity and affinity.

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