Abstract

ObjectiveThis study was designed to determine the relationship between Mycobacterium avium subspecies paratuberculosis (MAP) infection and selenium-dependent glutathione peroxidase (GPx) activity, in the blood of humans and cattle infected with MAP.DesignMAP infection status and GPx activity were determined in sera from 42 cattle, a group of 27 patients with Crohn’s disease and 27 of their healthy biological relatives, and a group of 66 subjects with various diseases other than Crohn’s disease and 34 non-related healthy subjects.ResultsGPx activity was significantly higher overall in the case of MAP infection in both humans and cattle. The mean value for GPx activity was 1.59 ± 0.65 units/ml in MAP positive cattle compared to 0.46907 ± 0.28 units/ml in healthy cattle sera, where a unit was defined as one mmol/minute (P < 0.01). The mean value of the GPx activity in MAP negative humans clinical sera was 0.42367 ± 0.229 units/ml compared to 0.80941 ± 0.521 in MAP positive sera in a study comparing Crohn’s disease patients to their healthy relatives. The mean activity in MAP negative humans was 0.4702 ± 0.1299 compared to 0.6510 ± 00.1665 units/ml in positive samples in a randomized field study of 100 subjects.ConclusionThis study demonstrated a strong correlation between MAP and the elevation of GPx activity. This was especially evident in Crohn’s patients, which further supports the association of MAP and Crohn’s disease. GPx activity may also be used to predict MAP infection status and to show that Crohn’s disease patients who are infected with MAP have higher tendency to develop oxidative stress than Crohn’s disease patients who are negative for the bacteria.

Highlights

  • Mycobacterium avium subspecies paratuberculosis (MAP) is implicated in the etiology of multiple diseases including Crohn’s disease (CD) and both type I and type II diabetes mellitus (DM) in humans [1,2,3,4]

  • MAP prevalence in human samples We performed nested PCR (nPCR) on DNA extracts isolated from all human blood samples in order to analyze for the presence of MAP-specific IS900 gene according to Naser et al protocol [3]

  • MAP was positive in the blood of 40 % of CD patients compared to 29.9 % in non-CD patients

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Summary

Introduction

Mycobacterium avium subspecies paratuberculosis (MAP) is implicated in the etiology of multiple diseases including Crohn’s disease (CD) and both type I and type II diabetes mellitus (DM) in humans [1,2,3,4]. Have proposed that MAP is a causative factor in type 1 diabetes due to cross-reactivity between MAP and human proteins [5, 6]. MAP increases the suitability of the macrophage as a host and prevents its own destruction by preventing the acidification of the phagosome [9, 10]. This is done by preventing the fusion of the lysosome and the phagosome into the

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