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ABSTRACT

Dig Dis Sci 1999 Jun;44(6):1202-7

Serum antibodies to Mycobacterium paratuberculosis in patients with Crohn's disease

Suenaga K, Yokoyama Y, Nishimori I, Sano S, Morita M, Okazaki K, Onishi S
First Department of Internal Medicine, Kochi Medical School, Nankoku, Japan

Mycobacterium paratuberculosis has been suggested as a causative organism of Crohn's disease. Despite a long-term debate to prove this possibility, the role of this bacteria in the pathogenesis of Crohn's disease is still a subject of controversy. In the present study, serum antibodies (IgG, IgA, and IgM) to the protoplasmic antigen of M. paratuberculosis were quantified in patients with Crohn's disease and in control subjects by using an enzyme-linked immunosorbent assay whose specificity was increased by preabsorbing the sera with cell extracts of Mycobacterium phlei. As compared to normal controls (1/20; 0.062+/-0.022), a significant difference was seen in the antibody-positive prevalence rate and mean values of the serum IgG titer in patients with Crohn's disease (5/13; 0.102+/-0.039) (P < 0.05), but not in patients with ulcerative colitis (2/20; 0.065+/-0.035) and tuberculosis (0/4; 0.053+/-0.008). No significant differences were seen in the antibody-positive prevalence rate and mean values of the serum IgA and IgM titers among the four study groups. These results indicate the unique immune response to M. paratuberculosis in patients with Crohn's disease, suggesting that this organism may play some role in the pathogenesis of Crohn's disease.


PARA's SUMMARY

THESE RESULTS DEMONSTRATE THE PRESENCE OF A UNIQUE IMMUNE RESPONSE TO MYCOBACTERIUM PARATUBERCULOSIS IN CD PATIENTS, SUGGESTING A STRONG LINK BETWEEN CD AND MAP


Source: http://www.crohns.org/articles/1999_06_1202-7_dds.htm   Contact PARA: http://www.crohns.org/contact.htm
Paratuberculosis Awareness & Research Association