"It's
fascinating that the epithelium (lining of the intestine) can
tolerate the presence of this density of bacteria while also being
quite permeable to nutrients and fluids," says Dr. Neish. "Almost
all other tissue types in the body are exquisitely sensitive to
bacteria and their products. Now we have found a mechanism by
which non-pathogenic bacteria block the inflammatory pathway and
prevent cells in the G.I tract from responding as any other cell
would respond. This mechanism for tolerance also could be fundamental
to the pathogenesis of inflammatory bowel disease (Crohn's disease
and ulcerative colitis) and to other infectious intestinal diseases,"
he said.
Crohn's
disease and ulcerative colitis are diseases in which individuals
develop a chronic and debilitating intestinal inflammatory response.
Inflammatory bowel disease is one of the last few major unexplained
diseases, although scientists have long suspected that it is related
to lack of tolerance to the community of intestinal organisms.
There
is a possibility that the balance of beneficial to non-beneficial
bacteria is altered in these patients," explains Dr. Neish. "A
genetic flaw in the epithelial lining of the G.I. tract could
also cause an abnormal response to the non-pathogenic bacteria."
The
discovery also may shed light on the growing field of probiotics,
in which investigators are experimenting with various species
of benign bacteria that can be ingested with foods, such as lacto-bacillus
(found in yogurt), to improve the intestinal health of patients
with inflammatory bowel disease. The Emory research could elucidate
a potential mechanism for the positive effects of probiotics.
"It's
interesting that the organisms we are studying are non-pathogenic
and have no ability to elicit inflammation themselves, yet they
are able to block inflammatory pathways and create tolerance for
themselves and perhaps other organisms," said Dr. Neish. "It turns
out that some non-pathogenic bacteria have a significant reciprocal
ecological interaction with the host. The host can mount an immune
response to control resident bacteria, but even non-pathogenic
bacteria have an ability to influence that immune response."
Note:
This article on an inflammatory intestinal tract is an Emory
Health Science Press Release from September, 2001, www.emory.edu.
Comment:
This article is published here to aid in our understanding
of the inflammatory intestinal tract. We hear from many readers
who are suffering from an inflammatory intestinal tract and have
not been able to cure it. Sally Robertson
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