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This is a very interesting article that has implications for IBD sufferers - and for all inflammatory diseases. Very nice to see some of this being discussed in the mainstream. A couple excerpts follow:

http://www.nytimes.com/2012/06....html?pagewanted=all

"The scientists reared mice that lacked any microbiome. In their guts and lungs, the germ-free mice developed abnormally high levels of immune cells called invariant natural killer T cells. Normally, these cells trigger a swift response from the immune system against viruses and other pathogens. In Dr. Blumberg’s microbe-free mice, however, they caused harmful inflammation. As adults, the mice were more likely to suffer from asthma and inflammatory bowel disease."

"A growing number of doctors are treating C. difficile with fecal transplants: Stool from a healthy donor is delivered like a suppository to an infected patient. The idea is that the good bacteria in the stool establish themselves in the gut and begin to compete with C. difficile. This year, researchers at the University of Alberta reviewed 124 fecal transplants and concluded that the procedure is safe and effective, with 83 percent of patients experiencing immediate improvement as their internal ecosystems were restored.

Dr. Alexander Khoruts of the University of Minnesota and his colleagues want to make fecal transplants standard practice. They can now extract bacteria from stool, “removing the ‘ick’ factor,” as he puts it.

Dr. Khoruts and his colleagues have federal approval to start formal clinical trials on fecal transplants. Eventually, he would like to develop probiotic pills that contain just a few key species required to build the intestinal ecosystem.

“People are starting to take this seriously,” Dr. Fischbach said. “This is a therapy that’s going to help a lot of people.” "

- Steve
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Yeah I hear fecal transplants being used more and more lately. Pretty much the same idea as probiotics really, the main goal is to replenish the good bacteria count. I wonder how well that would work for a j-poucher though, since most of the bacteria in a fecal transplant would probably mostly be colonized in the colon, not the small bowel.

Pretty neat that they can heal inflammation using your gf`s poop!
We don't really know yet whether fecal transplant could cure antibiotic-dependent pouchitis. This will be hard to study, partly because the donor material will be different every time, and the cause of antibiotic-dependent pouchitis is poorly understood. Nevertheless, it's not a crazy thing to try, particularly if the antibiotics are causing real harm.
The microbiome is looking like a very promising area of research for IBD (and digestive diseases generally). I suspect they will struggle a bit as they move from shotgun approaches (e.g. FMT) at one extreme and tinkering at the edges (e.g. probiotics) at the other extreme, to more thoughtful attention to many of the thousands of bacterial species in a healthy gut. The cure isn't around the corner, I think.

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