We have known that adherence to the epithelium is an important premise that bacteria settle down in the body. Adherence is believed to help protect the bacteria from gastric acidity, as well as from displacement due to peristalsis. HopZ, babA, and babB (blood-group antigen-binding gene), alpAB (adherence-associated lipoprotein) in the OMP are mainly related to adherence.

HopZ (HP9) is a vital adhesin protein. HopZ is primarily located in the bacterial surface, the number of its amino acids largely vary, ranging from 126 to 281. This is primarily because that HopZ gene suffers length-short regulation of different CT dinucleotide repetitive motif of different strains in the translational level. Birgit Peck[4] discovered that the wild-type strain ATCC43504 (HopZ negative) adhered to human gastric epithelial cells whereas a knockout mutant strain showed significantly reduced binding to the cells. Yamaoka[5] concluded: HopZ was significantly related to H pylori density and colonization ability in the mouse model.

babA (HP1234) and babB (HP0896) are OMP of having vital relation with adherence. Because their production binds LewisB antigen of human gastric cells, so are called blood-group-antigen-binding gene. Moreover the activity that the product of babA₂ (allele of babA) binds LewisB antigen is higher[6]. But because people discovered H pylori expresses LewisB antigen, too. Therefore, some scholars doubt whether gastric epithelial cell-LewisB is the receptor of H pylori[7]. Ai-Fu Tang in China[8] persistently researched and testified that LewisB antigen expressed by H pylori did not affect H pylori adherence to LewisB and summit to secretion of host (secretory people have LewisB antigen in humoral fluid). But the author thought that the babA₂ gene was not related to peptic ulcer, the same type of LewisB antigen expressed by H pylori as their host had the advantage of evading host immune system to survive, then triggered disease. Furthermore, host may trigger disease through producing autoantibody aiming at LewisB antigen. The research by Zambon[9] showed that babA2 and CagA-s1 and m1(allele of Vac) in H pylori acted together, which could obviously worsen the degree of inflammation.

AlpAB is also concerned with adhesion of H pylori. At present, it is being ascertained that AlpAB are two kinds of channel-forming membrane pore: hopB and hopC, which are organized in an operon[10]. Through designing the mutant strain AlpA or AlpB, Odenbreit testified AlpAB-specific adherence and concluded that the adherence was independent of the composition of the lipopolysaccharide (LPS)[11].

oipA (outer inflammatory protein, oipA), encoding OMP gene of relative molecular mass (M_r) of 34 ku, is called HopH (HP0638). The product is called proinflammatory. As early as 1998, Yamaoka[12] discovered that M_r ranging 33 ku to 35 ku OMP were positively correlated with the level of IL-8. However, there was no relationship between other antigens including CagA and production of IL-8. The 33-35 ku antigen was present in 97.5% patients with gastric or duodenal ulcer compared to 70% those with chronic gastritis. In order to ascertain the genic position of the protein, in 2000, Yamoka[13] designed the knockout mutant strain HP0638(M_r34 ku), HP0796(M_r33 ku), HP1501(M_r32 ku), compared with wild-type about inducing to secrete the level of IL-8. The result showed HP0796 and HP1501 had no significant effect on IL-8 product. However, knockout of the HP0638 gene reduced IL-8 product approximately 50%. Cag-negative strains that contained a functional HP0638 gene produced more than three-fold greater IL-8 than Cag-negative nonfunctional HP0638 strains. So the author denoted HP0638 gene as outer inflammatory protein (oipA). The recent data[14] showed that HP0638 frame status was correlated strongly with CagA, vacA iceA genotypes. All of the strains in which HP0638 was in frame were CagA positive and vacAs1, whereas most of the strains in which HP0638 was out of frame were CagA negative (80%) and vacAs2 (70%). So the author thought it suggested that CagA positivity could affect transcription of HP0638. But Yamaoka[15] discovered in his further research that oipA status remained in the final model to discriminate duodenal ulcer from gastritis. Functional oipA was significantly associated with high H pylori density, severe neutrophil infiltration and high mucosal IL-8 levels and further research that polyclonal antisera to either a synthetic oipA peptide or a recombinant oipA protein detected oipA expression in H pylori and correlated with functional oipA status determined by PCR sequence[16]. Moreover, the recent research showed that the detecting of oipA+HP was 46.6%. But oipA was detected in patients with gastric ulcer and the rate was 100%, which was obviously higher than in patients with gastritis. Thus, it indicated that oipA was significantly more frequent in patients with gastric ulcer[17].

When infected by H pylori, inflammatory cytokine induced by OMP plays an important role in H pylori pathopoiesis. It has been definite that oipA is positively correlated with product of IL-8 as former statement[12]. Petra[23]discovered that HpaA and OMP18(M_r18000) induced IL-12 and IL-10 to secrete when researching their antigenicity . IL-8 is an main inflammatory promoter and regulatory factor. IL-12 was obviously positively correlated with the degree of T lymphoid infiltration in the mucous membrane and worsen gastric mucous inflammation[24].

Most OMP locates the surface of bacterial body, surface exposing, conserving relatively, inducing humoral immunity and so on. Thus, since early, people have begun researching its protective immunogenicity, but can get partial effect on protecting immunity[25,26]. Nowadays, many scholars have researched polyvalent vaccine. Zheng Jiang succeeded in constructing divalent vaccine of HpaA,OMP18 (M_r18000) and HpaA, OMP26 (26000), which laid the foundation of constructing H pylori protein vaccine[27,28].