THURSDAY, June 17 (HealthDay News) -- In early experiments with
mice, scientists have found a bacteria living in the gut may
trigger an immune response that can result in rheumatoid
arthritis.
The gut of all mammals is populated with thousands of different
types of bacteria, many of which are essential for developing a
normal immune system. But some of these bacteria also appear to
have a part in the development of autoimmune diseases, the
researchers explained.
"This is an important, rather young, area of investigation," said lead researcher Diane Mathis, a professor of pathology at Harvard Medical School.
While these experiments in mice are still preliminary, and
animal studies often fail to produce similar results in humans, the
findings could lead to a new way of looking at autoimmune diseases
and might even result in new ways to treat or prevent them.
"It may eventually be possible to ameliorate or protect from human autoimmune diseases, arthritis and others, by treating with probiotics, antibiotics or other inhibitors of bacterial products," Mathis said.
The report is published in the June 25 issue of
Immunity.
For the study, Mathis and colleagues raised mice genetically
prone to developing arthritis in a germ-free environment. These
mice had fewer arthritis-causing antibodies than mice raised in a
normal environment.
However, when the mice were put in a non-germ-free environment
and had segmented filamentous bacteria placed in their stomachs,
which is a common gut bacteria, the animals quickly started making
antibodies and developed arthritis within four days, the
researchers found.
"It is important to recognize that individuals do not 'catch' arthritis via bacterial infections," Mathis said. "Rather, the bacteria trigger a program to play out on a genetically susceptible background."
In this case, the bacteria cause the mice to make more of a type
of white blood cell. The immune system reacts to these cells as
threatening antibodies that in turn trigger rheumatoid arthritis,
Mathis explained.
The research was funded by the U.S. National Institutes of
Health.
The notion that bacteria in the stomach can affect the
development of autoimmune diseases such as rheumatoid arthritis is
not that farfetched since these bacteria have been linked to
irritable bowel syndrome and other such diseases.
For example, stomach ulcers are caused by bacteria and
successfully treated with antibiotics.
Dr. Nancy Klimas, a professor of medicine at the University of
Miami Miller School of Medicine and a specialist in immunology,
said that "this concept of the gut flora being important to human
health is considered a rather radical concept, but it's been
embraced more and more recently."
Klimas noted that a severe type of arthritis called reactive
arthritis, formerly known as Reiter's syndrome, is caused by a
genetic susceptibility and triggered by infection.
"You can cruise through your whole life with that little gene hanging out there and never ever have a health problem, but if you get certain acute infections those infections can trigger a huge inflammatory response and then you are left with this lifelong arthritis condition," she said.
In the future, changing the bacteria in the gut could prevent or
treat some of these diseases, Klimas said. "This is an exciting new
way of thinking, and it could certainly change the way we practice
medicine."
Klimas speculated that the overuse of antibiotics may be
changing the bacterial environment in the stomach and causing
drastic increases in diseases.
"This raises the possibility that when you see illnesses that seem to be inflammatory or autoimmune, this flora of the gut may well be playing a role," she said.
More information
For more on arthritis, visit the
U.S. National Library of Medicine.