The cagA gene is AZD6094 order discussed above in the section “”Divergence of genes between the East Asian (hspEAsia) and the European (hpEurope) strains”". The vacA gene showed a qualitatively similar pattern of intra-hspEAsia divergence and overall divergence as cagA (Figure 8C (d)). The overall tree pattern was consistent with previous studies (for review, see [67]). Intra-hspEAsia divergence was

large for hcpD. Positively-selected residues of cagA and vacA are described above. Outer membrane proteins Nine genes in Table 6 are outer membrane protein genes (Table 5). The vacA gene CFTRinh-172 is discussed above. vacA-4 is a vacA paralog. The hpaA-2 is of unknown function [68], but is a paralog of hpaA [27] which is essential for adhesion [69]. The homA/B genes are homologs of homC and known to have diverse copy number and genomic localization in Western and East Asian

strains (Table 1) [17]. OipA (also known as HopH) induces IL-8 from host cells [70]. Geographical divergence of oipA has been reported [14]. The hpaA-2 showed a very large hspEAsia-hpEurope divergence (the largest d a value; Figure 8B and Table 6). Intra-hspEAsia divergence was intermediate for oipA/oipA-2 (Table 6). The d a value (hspEAsia-hpEurope divergence) of homC (0.0325) was larger than check details the threshold distance (Table 6). Moreover, the homC genes of all hpEastAsia and hpAfrica1 strains but the strain 52 were greatly diverged from those of the hpEurope strains and the Hydroxychloroquine strain 52: distance 0.1387 for this separation was comparable to the largest d a values for hpaA-2 and cagA. Diverged residues were clustered in a

specific region. Positively selected amino-acid changes of the putative homC product were identified (Table 7 and Figure 9). The hopJ and hopK genes (HP0477 and HP0923) were similar within each strain but different between strains [26, 27]. This earlier observation, seen for 26695, J99 and HPAG1, was confirmed with the other genomes except for 908 and B8. This similarity of hopJ and hopK genes in one strain is likely to be caused by concerted evolution by homologous interaction, possibly with selection. The babA and alpA genes were not included in the 687 OGs that showed complete separation between genes of the six hspEAsia strains and those of the seven hpEurope strains on the phylogenetic tree. BabA binds to Lewis b antigens [71, 72]. Geographic variation of BabA has been reported [13]. AlpAB proteins are necessary for specific adherence to human gastric tissue [73]. In the East Asian strains but not the Western strains, AlpA activates NF-κB-related pro-inflammatory signaling pathways [74]. The reason that the babA is not in Table 6 was mainly because babA genes of the hpEurope strains B8 and SJM180 grouped together with the hspEAsia strains (Additional file 7 (= Table S5)). The alpA in the hpEurope strain SJM180 grouped with the hspEAsia strains (Additional file 7 (= Table S5)).