MYCOBACTERIUM-PARATUBERCULOSIS IN INTESTINAL TISSUE FROM PATIENTS WITH CROHNS-DISEASE DEMONSTRATED BY A NESTED PRIMER POLYMERASE CHAIN-REACTION

Background: The etiology of Crohn's disease remains unknown, but curre nt research has concentrated on autoimmunity and/or mycobacterial infe ction. The polymerase chain reaction (PCR) enables the detection of ge netic material even when very few microorganisms are present. Methods: A nested primer PCR for detection of a multi-copy insertional element (IS900) specific for Mycobacterium paratuberculosis was applied to DN A extracted from fresh and from paraffin-embedded intestinal tissue ob tained from patients undergoing surgery. Results: In fresh intestinal tissue from 11 of 24 patients with Crohn's disease, from 2 of 10 patie nts with ulcerative colitis, and from 3 of 28 patients with other colo nic disorders, specific M. paratuberculosis DNA was found. In paraffin -embedded Crohn's disease tissue the presence of specific M. paratuber culosis DNA was also increased. Conclusions: Whether the presence of M . paratuberculosis is connected to the inflammatory bowel disease or i s a mere coincidence cannot be stated. We find this presence interesti ng and encouraging for further investigations.