2015
DOI: 10.1093/ecco-jcc/jjv223
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Mucosal Barrier Depletion and Loss of Bacterial Diversity are Primary Abnormalities in Paediatric Ulcerative Colitis

Abstract: These findings suggest an underlying defect in the UC-afflicted intestinal tract even in the absence of inflammation, implicating barrier and microbial changes as primary abnormalities in UC that may play a causative role in disease development.

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Cited by 187 publications
(172 citation statements)
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“…Furthermore, it also modified the abundance of the gut microbiota. Previous studies found decreased biodiversity of microbiota in IBD patients and mice [5,42,43,44,45] and a clinical trial showed that ulcerative colitis patients receiving fecal microbiota transplantation had greater microbial diversity than those given the placebo, and more patients who had greater microbial diversity went into remission [46]. Therefore, we consider modifying dysbiosis and enriching biodiversity might be important mechanisms in sodium butyrate amelioration of colitis in IL-10 −/− mice.…”
Section: Discussionmentioning
confidence: 94%
“…Furthermore, it also modified the abundance of the gut microbiota. Previous studies found decreased biodiversity of microbiota in IBD patients and mice [5,42,43,44,45] and a clinical trial showed that ulcerative colitis patients receiving fecal microbiota transplantation had greater microbial diversity than those given the placebo, and more patients who had greater microbial diversity went into remission [46]. Therefore, we consider modifying dysbiosis and enriching biodiversity might be important mechanisms in sodium butyrate amelioration of colitis in IL-10 −/− mice.…”
Section: Discussionmentioning
confidence: 94%
“…Nod-like receptor pyrin domain-containing protein 6 (NLRP6), which is known to be important for mucin exocytosis from epithelial cells, has also been linked to colitis susceptibility in mouse models (218,219). UC patients have significantly reduced numbers of mucin-containing goblet cells in uninflamed ileal biopsy specimens relative to controls (220), suggesting that dysregulation of mucus production occurs even in the absence of host inflammatory cell responses. Decreased mucus layer thickness allows increased contact between the microbiota and the epithelium in UC patients (221) and may exacerbate immunostimulation and inflammation.…”
Section: Ulcerative Colitis Pathophysiologymentioning
confidence: 99%
“…To determine whether defects in the mucosal barrier and bacterial dysbiosis are inherently abrogated in the terminal ileum (TI) of patients with UC (where inflammation is absent), the TI was biopsied from patients with CD and UC and from healthy controls without IBD [24]. Despite the absence of ileitis, UC patients displayed ileal barrier depletion and a reduction in the α -diversity compared with pediatric patients without IBD [24]. In a study on mice, when antibiotics were used to deplete the gut microbiota, a reduction in diversity and mild gut inflammation occurred [25].…”
Section: Reduced Microbial Diversity In Ibdmentioning
confidence: 99%