Infection and Immunity · 1999 · 278 citations · 34 references
Life SciencesImmunologyMicrobiologyHost-pathogen InteractionsInflammationMucosal ImmunologyBacterial ImmunologyBacterial PathogenesisGastrointestinal ImmunologyGastrointestinal InflammationGut MicrobiotaMucosal Immune SystemBacteroides SpeciesColonic InflammationCommensal MicrobiotaEscherichia ColiImmune Responses To Gut MicrobiotaIsolatorsMicrobiome-immune Interactions In Bacterial ColonizationMucosal Immunity To Bacteria
Resident bacteria play an important role in initiating and perpetuating gastrointestinal inflammation. We previously demonstrated that six commensal bacteria including Bacteroides vulgatus caused more aggressive colitis and gastritis in HLA-B27 transgenic rats than did the other five bacteria without B. vulgatus. This study compared the degree of gastrointestinal inflammation in gnotobiotic HLA-B27 transgenic rats monoassociated with either B. vulgatus or Escherichia coli. Gnotobiotic transgenic rats raised in Trexler isolators were selectively colonized with either B. vulgatus or E. coli. Control rats were either germfree or colonized with six common commensal bacteria (Streptococcus faecium, E. coli, Streptococcus avium, Eubacterium contortum, Peptostreptococcus productus, and B. vulgatus [DESEP-B]). After 1 month, all the rats were killed and tissues were prepared for histologic and biochemical evaluation. Colitis induced by B. vulgatus monoassociation was almost equal to that in DESEP-B-colonized rats and was significantly more severe than E. coli-induced colitis, which was absent by histological testing and mild by colonic myeloperoxidase and interleukin-1beta concentration determinations. However, gastritis was detectable only in DESEP-B-associated rats. These studies suggest that not all resident bacteria have equal proinflammatory capabilities, since B. vulgatus alone is more active than E. coli alone in inducing colitis, and that colitis and gastritis result from different luminal bacterial stimuli.
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Double blind, placebo controlled trial of metronidazole in Crohn's disease.
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