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luminal iron prevents Crohn's disease-like ileitis
A study in the latest issue of Gut reports that depletion of luminal iron alters the gut microbiota and prevents Crohn's disease-like ileitis.
Iron replacement therapy is a common treatment in patients with anemia and Crohn's disease, but oral iron supplements are less tolerated.
The pathogenesis of Crohn's disease is attributed to intestinal bacteria and environmental factors that trigger disease in a genetically predisposed host.
Professor Dirk Haller and colleagues from Germany characterized the interrelationship between luminal iron sulfate, systemic iron, the gut microbiota and the development of chronic ileitis in a murine model of Crohn's disease.
Wild type and heterozygous TNFΔARE/wild type mice were fed with an iron sulfate containing or iron sulfate free diet in combination with intraperitoneal control injections or iron injections for 11 weeks.
The research team found that TNFΔARE/wild type mice developed severe inflammation of the distal ileum but remained completely healthy when transferred to an iron sulfate free diet, even if iron was systemically repleted.
Absence of luminal iron sulfate reduced cellular markers of endoplasmic reticulum stress responses and pro-apoptotic mechanisms in the ileal epithelium.
The team observed that phenotype or reactivity of major effector intraepithelial CD8αβ+ T cells were not altered in the absence of luminal iron.
The research team noted that endoplasmic reticulum stress mechanisms sensitized the small intestinal epithelial cell line Mode-K to cytotoxic function of effector T cells from TNF∆ARE/wild type mice.
Pyrosequencing of 16S rRNA tags of the caecal microbiota revealed that depletion of luminal iron sulfate induced significant compositional alterations.
The research team found that total microbial diversity (Shannon's diversity index) and number of total operational taxonomic units were not affected.
Professor Haller's team concludes, "This study showed that an iron sulfate free diet in combination with systemic iron repletion prevents the development of chronic ileitis in a murine model of Crohn's disease."
"Luminal iron may directly affect small intestinal epithelial cell function or generate a pathological milieu in the intestine that triggers epithelial cell stress-associated apoptosis through changes in microbial homeostasis."
"These results suggest that oral replacement therapy with iron sulfate may trigger inflammatory processes associated with progression of Crohn's disease-like ileitis."
http://www.gastrohep.com/news/news.asp?id=107860
A study in the latest issue of Gut reports that depletion of luminal iron alters the gut microbiota and prevents Crohn's disease-like ileitis.
Iron replacement therapy is a common treatment in patients with anemia and Crohn's disease, but oral iron supplements are less tolerated.
The pathogenesis of Crohn's disease is attributed to intestinal bacteria and environmental factors that trigger disease in a genetically predisposed host.
Professor Dirk Haller and colleagues from Germany characterized the interrelationship between luminal iron sulfate, systemic iron, the gut microbiota and the development of chronic ileitis in a murine model of Crohn's disease.
Wild type and heterozygous TNFΔARE/wild type mice were fed with an iron sulfate containing or iron sulfate free diet in combination with intraperitoneal control injections or iron injections for 11 weeks.
The research team found that TNFΔARE/wild type mice developed severe inflammation of the distal ileum but remained completely healthy when transferred to an iron sulfate free diet, even if iron was systemically repleted.
Absence of luminal iron sulfate reduced cellular markers of endoplasmic reticulum stress responses and pro-apoptotic mechanisms in the ileal epithelium.
The team observed that phenotype or reactivity of major effector intraepithelial CD8αβ+ T cells were not altered in the absence of luminal iron.
The research team noted that endoplasmic reticulum stress mechanisms sensitized the small intestinal epithelial cell line Mode-K to cytotoxic function of effector T cells from TNF∆ARE/wild type mice.
Pyrosequencing of 16S rRNA tags of the caecal microbiota revealed that depletion of luminal iron sulfate induced significant compositional alterations.
The research team found that total microbial diversity (Shannon's diversity index) and number of total operational taxonomic units were not affected.
Professor Haller's team concludes, "This study showed that an iron sulfate free diet in combination with systemic iron repletion prevents the development of chronic ileitis in a murine model of Crohn's disease."
"Luminal iron may directly affect small intestinal epithelial cell function or generate a pathological milieu in the intestine that triggers epithelial cell stress-associated apoptosis through changes in microbial homeostasis."
"These results suggest that oral replacement therapy with iron sulfate may trigger inflammatory processes associated with progression of Crohn's disease-like ileitis."
http://www.gastrohep.com/news/news.asp?id=107860
