Australian researchers have uncovered clues in the immune system that reveal how the balance of 'good' gut bacteria is maintained. The information could help in the prevention and treatment of inflammatory bowel disease (IBD).
The study, published in the journal Nature Communications, showed that the increased presence of a protein responsible for sensing infection – called NLRP1 – meant there were fewer good bacteria and anti-inflammatory molecules in the gut, leading to higher levels of inflammation and an increased risk of IBD.
Associate Professor Seth Masters led the research, Dr. Tracy Putoczki and Dr. Alan Yu from the Walter and Eliza Hall Institute, in collaboration with researchers at University of Melbourne's Bio21 Institute in Melbourne and a team led by Dr. Graham Radford-Smith from QIMR Berghofer Medical Research Institute in Queensland.
Getting to the bottom of IBD
The cause of IBD, which includes Crohn's disease and ulcerative colitis, is not well understood. A better understanding could improve treatment options and the quality of life for patients, who often experience chronic and debilitating symptoms.
Associate Professor Masters said while it was known that the immune system could defend the gut from bad bacteria, its role in maintaining 'good' bacteria was not appreciated until now.
"We have uncovered the immune system's ability to regulate good gut bacteria through the immune sensor NLRP1. Good bacteria are important because they help to produce butyrate – a molecule that dampens inflammation in the body," said Masters.
"So understanding how the balance of good bacteria is maintained could one day help to inform preventions and treatments for inflammatory diseases like IBD," he said.
Clues to a cause
Associate Professor Masters said the researchers had discovered the significance of NLRP1 by analyzing donated bowel biopsies from patients with IBD, as well as in preclinical models in the laboratory.
"We consistently observed that higher levels of NLRP1 in inflamed areas of the bowel correlated with lower levels of good bacteria and increased inflammation," he said. "And in cases where we genetically deleted NLRP1, levels of inflammation went down.
Keeping a healthy balance
The exact triggers for the increase in NLRP1 were unclear, but Associate Professor Masters said the new findings enabled researchers to continue along a promising track towards resolving such questions.
"While we do not know exactly what the genetic, microbial or environmental triggers for NLRP1 are, it is clear that faulty regulation of NLRP1 is an underlying cause of IBD," he said.
"Following on from the clues in our study, it may be possible to develop a drug that inhibits IL-18 or targets NLRP1 to block any unchecked inflammation. It is all about helping the immune system keep up the balancing act between all the factors that are constantly interacting to fight disease and promote wellbeing," Masters said.