Crohn’s disease is an inflammatory disease that
affects the digestive tract. Symptoms include severe abdominal pain, diarrhea,
weight loss, and fatigue. The disease results from the immune system responding
abnormally to gut microbial antigens. Previous studies have concentrated on the
bacterial community in the intestines. The authors conducted studies that
focused on the overlooked fungal community.
The
researchers analyzed fecal samples from patients with and without Crohn’s
disease. The samples from those with Crohn’s disease contained strong
fungal-bacterial interactions, specifically two bacteria (Escherichia coli and Serratia
marcescens) and one fungus (Candida
tropicalis). Additionally, Candida
tropicalis was more abundant in patients with Crohn’s disease than their
relatives who did not have the disease. They also found that the abundance of
beneficial bacteria decreased in Crohn’s disease patients.
This
study shows for the first time that bacterial species in the gut, as well as
fungi, play a role in the disease. They discovered how the bacteria and fungi
interact. Together, they form a biofilm, which is a thin, sticky layer of
microorganisms. The film attaches to sections of the gut, which could be
triggering the inflammation that causes the symptoms attributed to Crohn’s
disease. The researchers also are the first to include Serratia marcescens as a contributor. In a previous study conducted
by another research group (Ochieng et al.), S.
marcescens was revealed to interact with epithelial cells of the intestine in
cultures and produce effects that could play a large role in Crohn’s disease by
worsening the episodes of inflammation in the intestine.
A person’s diet and
environment also contribute to the microorganisms present in the intestines. However,
the addition of new information regarding the role bacteria and fungi play in
the development of Crohn’s disease opens the door for the development of new
treatments. More research must be done, but as more is learned about the
disease, more can be done to help those suffering from it.
Resources:
To learn more about Crohn’s disease visit:
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0022801/
https://www.sciencedaily.com/releases/2016/09/160920151435.htm
References:
G.
Hoarau, P. K. Mukherjee, C. Gower-Rousseau, C. Hager, J. Chandra, M. A.
Retuerto, C. Neut, S. Vermeire, J. Clemente, J. F. Colombel, H. Fujioka, D.
Poulain, B. Sendid and M. A. Ghannoum. Bacteriome and Mycobiome Interactions
Underscore Microbial Dysbiosis in Familial Crohn’s Disease. mBio,
September 2016 DOI: 10.1128/mBio.01250-16
John B Ochieng, Nadia Boisen,
Brianna Lindsay, Araceli Santiago, Collins Ouma, Maurice Ombok, Barry Fields, O
Colin Stine, and James P Nataro. Serratia marcescens is injurious to
intestinal epithelial cells. Gut Microbes.
5.6, 2014.
http://www.tandfonline.com/doi/full/10.4161/19490976.2014.972223