1. A Mycobacterium species for Crohn's disease?
- Author
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John Aitken, Gaurav Agrawal, Samantha E. Bodman, Peter M. George, Anthony Watt, Andrew B.M. Tie, Sowmya Sharma, and Khoi Phan
- Subjects
Adult ,Male ,0301 basic medicine ,Adolescent ,Disease ,Inflammatory bowel disease ,Stain ,Mycobacterium ,Pathology and Forensic Medicine ,Mycolic acid ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Crohn Disease ,Rosaniline Dyes ,Humans ,Medicine ,Coloring Agents ,Aged, 80 and over ,chemistry.chemical_classification ,Crohn's disease ,Staining and Labeling ,biology ,business.industry ,Middle Aged ,bacterial infections and mycoses ,medicine.disease ,biology.organism_classification ,Mycobacterium avium subspecies paratuberculosis ,Staining ,Methylene Blue ,Mycobacterium avium subsp. paratuberculosis ,030104 developmental biology ,chemistry ,Mycobacterium tuberculosis complex ,030220 oncology & carcinogenesis ,Immunology ,Female ,business - Abstract
In ruminants Mycobacterium avium subspecies paratuberculosis (MAP) is the causative organism of a chronic granulomatous inflammatory bowel disease called Johne's disease (JD). Some researchers have hypothesised that MAP is also associated with Crohn's disease (CD), an inflammatory bowel disease in humans that shares some histological features of JD. Despite numerous attempts to demonstrate causality by researchers, direct microbiological evidence of MAP involvement in CD remains elusive. Importantly, it has not been possible to reliably and reproducibly demonstrate mycobacteria in the tissue of CD patients. Past attempts to visualise mycobacteria in tissue may have been hampered by the use of stains optimised for Mycobacterium tuberculosis complex (MTB) and the lack of reliable bacteriological culture media for both non-tuberculous mycobacteria (NTM) and cell-wall-deficient mycobacteria (CWDM). Here we describe a Ziehl-Neelsen (ZN) staining method for the demonstration of CWDM in resected tissue from patients with Crohn's disease, revealing the association of CWDM in situ with host tissue reactions, and posit this as a cause of the tissue inflammation. Using the ZN stain described we demonstrated the presence of CWDM in 18 out of 18 excised tissue samples from patients diagnosed as having Crohn's disease, and in zero samples out of 15 non-inflammatory bowel disease controls.
- Published
- 2021
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