Colonization of Helicobacter pylori in the acidic environment of the human stomach depends on the neutralizing activity of urease. Activation of apo-urease involves carbamylation of lysine-219 and insertion of two nickel ions. In H. pylori, this maturation process involves four urease accessory proteins: UreE, UreF, UreG and UreH. It is postulated that the apo-urease interacts with UreF, UreG and UreH to form a preactivation complex that undergoes GTP-dependent activation of urease.;Comparison between the crystal structures of UreF and UreF-UreH complex revealed conformational changes in two distinct regions of UreF upon complex formation. Firstly, the flexible C-terminal residues of UreF become ordered, forming an extra helix α10 and a loop structure stabilized by hydrogen bonds involving Arg-250. Secondly, the first turn of helix α2 uncoils to expose a conserved residue, Tyr-48. Substitution of R250A or Y48A in UreF abolishes the formation of the heterotrimeric complex of UreF-UreH-UreG, and abolishes urease maturation. Our results suggest that the C-terminal residues and helix α2 of UreF are essential to the recruitment of UreG for the formation of the preactivation complex.;The crystal structure of the UreF-UreH-UreG complex revealed that the UreG dimer interacts strictly with UreF only, with each UreG protomer forming interactions with the C-terminal loop structure from both UreF protomers. A Site directed mutagenesis study suggests that UreF-UreH-UreG functions as an integral homodimeric unit. Taking advantage of the unique 2-fold symmetry observed in both the crystal structures of H. pylori urease and the UreF-UreH-UreG complex, we proposed a topology model of the preactivation complex for urease maturation. |