Butcher P D, McFadden J J, Hermon-Taylor J
Department of Surgery, St George's Hospital Medical School, London.
Gut. 1988 Sep;29(9):1222-8. doi: 10.1136/gut.29.9.1222.
A mycobacterial aetiology for Crohn's disease (CD) has been suggested. Slow growing mycobacteria indistinguishable from M paratuberculosis, the causative agent of enteritis in ruminants (Johne's disease) have been isolated from CD tissues. We have used cloned genomic DNA probes derived from a CD isolated mycobacteria strain Ben, to investigate the presence of mycobacterial DNA sequences in CD tissues. DNA was extracted from total tissue from 17 CD and four control gut specimens. DNA was digested with restriction endonucleases, electrophoresed and transferred to nylon membranes by Southern blotting and hybridised to radiolabelled DNA probes. No mycobacterial DNA was detected in any tissue sample studied. Reconstitution experiments with known numbers of in vitro cultured mycobacteria showed sensitive detection of mycobacterial DNA. DNA extracted from mouse liver, infected with M lepraemurium revealed a strong hybridisation signal and showed the applicability of the experimental approach to the detection of mycobacterial DNA in naturally infected tissues. The results do not provide evidence for the involvement of mycobacteria in the pathogenesis of CD but do not exclude the possibility of low levels of infection in subsets of intestinal cells with spheroplast or cell wall deficient forms of mycobacteria.
有人提出克罗恩病(CD)的病因是分枝杆菌。从CD组织中分离出了生长缓慢的分枝杆菌,它们与反刍动物肠炎(副结核)的病原体副结核分枝杆菌难以区分。我们使用了从CD分离的分枝杆菌菌株Ben中克隆的基因组DNA探针,来研究CD组织中分枝杆菌DNA序列的存在情况。从17个CD组织和4个对照肠道标本的全组织中提取DNA。用限制性内切酶消化DNA,进行电泳,通过Southern印迹法转移到尼龙膜上,并与放射性标记的DNA探针杂交。在所研究的任何组织样本中均未检测到分枝杆菌DNA。对已知数量的体外培养分枝杆菌进行的重建实验显示,对分枝杆菌DNA的检测很灵敏。从小鼠肝脏中提取的DNA,感染了鼠麻风杆菌,显示出强烈的杂交信号,并表明该实验方法适用于检测自然感染组织中的分枝杆菌DNA。这些结果没有为分枝杆菌参与CD发病机制提供证据,但也不排除肠道细胞亚群中存在低水平的球形体或细胞壁缺陷型分枝杆菌感染的可能性。