Document Detail


Absence of Mycobacterium avium subsp. paratuberculosis in the microdissected granulomas of Crohn's disease.
MedLine Citation:
PMID:  15154014     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The etiology of Crohn's disease remains unknown with inflammatory, infectious, and/or genetic causes suspected. Granulomatous inflammation is a characteristic feature of the disorder, resembling the tissue response to mycobacterium. Mycobacterium avium subsp. paratuberculosis (MAP) is the causative agent in Johne's disease, a chronic ulcerative intestinal condition in cattle, and has been implicated as a likely candidate. We carefully microdissected the granulomas from the paraffin-embedded resection specimens of 18 patients with well-established Crohn's disease. The DNA obtained was PCR amplified for the IS900 and IS1311 repeat elements of MAP, PCR product size maintained at 101 and 124 base pairs, respectively. Archival tissue from bovine Johne's disease was used as a positive control. MAP-specific DNA, confirmed by sequencing and comparison with prototype strain sequence, was appropriately amplified from the positive control. None of the Crohn's disease cases yielded a positive amplification product, failing to support a role for the organism in the pathogenesis of this illness.
Authors:
Fabien K Baksh; Sydney D Finkelstein; Shashi M Ariyanayagam-Baksh; Patricia A Swalsky; Edwin C Klein; Jean C Dunn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc     Volume:  17     ISSN:  0893-3952     ISO Abbreviation:  Mod. Pathol.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-09-16     Completed Date:  2005-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806605     Medline TA:  Mod Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1289-94     Citation Subset:  IM    
Affiliation:
Department of Pathology, Lancaster General Hospital, PA 17604-3555, USA. fkbaksh@lancastergeneral.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Crohn Disease / microbiology,  pathology*
DNA, Bacterial / analysis,  genetics
Electrophoresis, Agar Gel
Female
Granuloma / microbiology,  pathology*
Humans
Male
Microdissection
Middle Aged
Mycobacterium avium Complex / genetics*
Polymerase Chain Reaction
Chemical
Reg. No./Substance:
0/DNA, Bacterial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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