“…Effects of VacA on mitochondria include reduction in mitochondrial transmembrane potential, cytochrome c release, and mitochondrial network fragmentation (30,(38)(39)(40)(41)(42)(43), which can lead to poly(ADPribose) polymerase (PARP) cleavage, reduction of cellular ATP content, and impaired cell cycle progression (9,35,(41)(42)(43). The proapoptotic factors BAX and BAK, as well as dynamin-related protein 1 (Drp1), have roles in VacA-mediated cell death (31, 42,44). VacA can cause cell death in several cell lines, including HeLa (30, 38, 39,45), AGS (20,36,37,41,46), and AZ-521 cells (25,35,42,44,47), but among these cell types, AZ-521 cells are the most susceptible to VacA-mediated killing (35).…”