CSB202H1 Lecture Notes - Inflammatory Bowel Disease, Nf-Κb, Tight Junction

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Pathogenesis of neisseria first lecture two weeks ago. Crohn"s disease inflammation through lower gi tract; due to mutation that triggers inflammation. Inflammatory bowel disease overzealous immune response curable in that can excise the colon. Across the epithelial barrier in the gut, massive number of bacteria, viruses, etc. Microbiome balance commensal bacteria necessary for health. Ibd patients tend to have different microbiome than healthy people more restricted, less diversity of bacteria fecal replacement therapy has beneficial effe cts. Mutations = ones that affect normal epitheial barrier function; microbial sensing; immune homeostasis. Any time any of these are disrupted on the right on the side. Nod2 mutations most common susceptibility loci other things can also affect this. Susceptibility alleles present but may never show signs of disease; If susceptible in immune homeostasis and damage barrier immune response does not shut itself down.

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