Research
Good Bacteria
Part 1
Non-Pathogenic Bacteria Block Inflammatory Response
Pathway In Intestinal Tract
9-11-2000
A team of Emory University pathologists has discovered
that non-pathogenic bacteria within the gastrointestinal
tract may be responsible for blocking an immune pathway
that otherwise could cause an unhealthy inflammatory
response to the millions of bacteria normally present
in the intestine. A breakdown in this mechanism for
bacterial tolerance could play a fundamental role in
the pathogenesis of inflammatory bowel disease (Crohn's
disease and ulcerative colitis) and other infectious
intestinal diseases. The research was reported in the
September 1 issue of the journal Science.
The
gastrointestinal tract of humans and other vertebrates
is home to a delicate bacterial balancing act in which
a diverse ecosystem of non-pathogenic bacteria co-exist
among potential pathogens, all under the watchful guard
of protective immune cells. Although the intestinal
non-pathogenic bacteria, or normal flora, are known
to play a biological role in enabling the breakdown
of certain vitamins and other substances, scientists
have generally believed these bacteria to be otherwise
inert residents of the GI tract. The usually harmonious
co-existence between intestinal organisms and immune
cells dates back through millions of years of evolution,
from the time of the earliest known vertebrates.
The
Emory team of pathologists, including Andrew Neish,
M.D., James Madara, M.D. and Andrew Gewirtz, Ph.D.,
and their colleagues, discovered that non-pathogenic
bacteria in the G.I. tract are not merely the innocent
intestinal wallflowers they were presumed to be, but
that they actually deliver a signal that blocks an important
immune-system pathway called NF-KB -- a transcription
factor involved in activating genes in the immune system.
|
|
"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."
This
article has been adapted from a news release on non-pathogenic bacteria
issued by Emory University Health Sciences Center, www.emory.edu.
Next - Back
to Table of Contents for Good Bacteria, Part 1