Immunoproliferative Small Intestinal Disease Associated with Campylobacter jejuni
Immunoproliferative small intestinal disease is a type of gastrointestinal lymphoma that responds to antibiotics and may be triggered by a bacterial pathogen. The authors identified Campylobacter jejuni in gastrointestinal-tissue samples from a patient with immunoproliferative small intestinal disea...
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| Published in | The New England journal of medicine Vol. 350; no. 3; pp. 239 - 248 |
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| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Boston, MA
Massachusetts Medical Society
15.01.2004
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Immunoproliferative small intestinal disease is a type of gastrointestinal lymphoma that responds to antibiotics and may be triggered by a bacterial pathogen. The authors identified
Campylobacter jejuni
in gastrointestinal-tissue samples from a patient with immunoproliferative small intestinal disease. The pathogen was no longer detectable eight days after treatment with antibiotics. Campylobacter was also found in archival tissue samples from four of six additional patients with immunoproliferative small intestinal disease.
Evidence that
C. jejuni
may trigger an immunoproliferative disease.
Immunoproliferative small intestinal disease, also known as alpha chain disease, is a mucosa-associated lymphoid-tissue (MALT) lymphoma characterized by infiltration of the bowel wall with a plasma-cell population that secretes a monotypic, truncated immunoglobulin α heavy chain lacking an associated light chain.
1
–
3
Lymphoid infiltration leads to malabsorption and protein-losing enteropathy. The disease can cause a spectrum of histopathological changes, ranging from seemingly benign lymphoid infiltration to malignant diffuse large-B-cell lymphoma.
Since its initial description,
1
immunoproliferative small intestinal disease has largely been reported in the Mediterranean basin, the Middle East, the Far East, and Africa. In the Middle East, the most . . . |
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| AbstractList | BACKGROUND:Immunoproliferative small intestinal disease (also known as alpha chain disease) is a form of lymphoma that arises in small intestinal mucosa-associated lymphoid tissue (MALT) and is associated with the expression of a monotypic truncated immunoglobulin alpha heavy chain without an associated light chain. Early-stage disease responds to antibiotics, suggesting a bacterial origin. We attempted to identify a causative agent.METHODS:We performed polymerase chain reaction (PCR), DNA sequencing, fluorescence in situ hybridization, and immunohistochemical studies on intestinal-biopsy specimens from a series of patients with immunoproliferative small intestinal disease.RESULTS:Analysis of frozen intestinal tissue obtained from an index patient with immunoproliferative small intestinal disease who had a dramatic response to antibiotics revealed the presence of Campylobacter jejuni. A follow-up retrospective analysis of archival intestinal-biopsy specimens disclosed campylobacter species in four of six additional patients with immunoproliferative small intestinal disease.CONCLUSIONS:These results indicate that campylobacter and immunoproliferative small intestinal disease are associated and that C. jejuni should be added to the growing list of human pathogens responsible for immunoproliferative states. Immunoproliferative small intestinal disease (also known as alpha chain disease) is a form of lymphoma that arises in small intestinal mucosa-associated lymphoid tissue (MALT) and is associated with the expression of a monotypic truncated immunoglobulin alpha heavy chain without an associated light chain. Early-stage disease responds to antibiotics, suggesting a bacterial origin. We attempted to identify a causative agent. We performed polymerase chain reaction (PCR), DNA sequencing, fluorescence in situ hybridization, and immunohistochemical studies on intestinal-biopsy specimens from a series of patients with immunoproliferative small intestinal disease. Analysis of frozen intestinal tissue obtained from an index patient with immunoproliferative small intestinal disease who had a dramatic response to antibiotics revealed the presence of Campylobacter jejuni. A follow-up retrospective analysis of archival intestinal-biopsy specimens disclosed campylobacter species in four of six additional patients with immunoproliferative small intestinal disease. These results indicate that campylobacter and immunoproliferative small intestinal disease are associated and that C. jejuni should be added to the growing list of human pathogens responsible for immunoproliferative states. Background Immunoproliferative small intestinal disease (also known as alpha chain disease) is a form of lymphoma that arises in small intestinal mucosa-associated lymphoid tissue (MALT) and is associated with the expression of a monotypic truncated immunoglobulin α heavy chain without an associated light chain. Early-stage disease responds to antibiotics, suggesting a bacterial origin. We attempted to identify a causative agent. Methods We performed polymerase chain reaction (PCR), DNA sequencing, fluorescence in situ hybridization, and immunohistochemical studies on intestinal-biopsy specimens from a series of patients with immunoproliferative small intestinal disease. Results Analysis of frozen intestinal tissue obtained from an index patient with immunoproliferative small intestinal disease who had a dramatic response to antibiotics revealed the presence of Campylobacter jejuni . A follow-up retrospective analysis of archival intestinal-biopsy specimens disclosed campylobacter species in four of six additional patients with immunoproliferative small intestinal disease. Conclusions These results indicate that campylobacter and immunoproliferative small intestinal disease are associated and that C. jejuni should be added to the growing list of human pathogens responsible for immunoproliferative states. BACKGROUNDImmunoproliferative small intestinal disease (also known as alpha chain disease) is a form of lymphoma that arises in small intestinal mucosa-associated lymphoid tissue (MALT) and is associated with the expression of a monotypic truncated immunoglobulin alpha heavy chain without an associated light chain. Early-stage disease responds to antibiotics, suggesting a bacterial origin. We attempted to identify a causative agent.METHODSWe performed polymerase chain reaction (PCR), DNA sequencing, fluorescence in situ hybridization, and immunohistochemical studies on intestinal-biopsy specimens from a series of patients with immunoproliferative small intestinal disease.RESULTSAnalysis of frozen intestinal tissue obtained from an index patient with immunoproliferative small intestinal disease who had a dramatic response to antibiotics revealed the presence of Campylobacter jejuni. A follow-up retrospective analysis of archival intestinal-biopsy specimens disclosed campylobacter species in four of six additional patients with immunoproliferative small intestinal disease.CONCLUSIONSThese results indicate that campylobacter and immunoproliferative small intestinal disease are associated and that C. jejuni should be added to the growing list of human pathogens responsible for immunoproliferative states. Immunoproliferative small intestinal disease is a type of gastrointestinal lymphoma that responds to antibiotics and may be triggered by a bacterial pathogen. The authors identified Campylobacter jejuni in gastrointestinal-tissue samples from a patient with immunoproliferative small intestinal disease. The pathogen was no longer detectable eight days after treatment with antibiotics. Campylobacter was also found in archival tissue samples from four of six additional patients with immunoproliferative small intestinal disease. Evidence that C. jejuni may trigger an immunoproliferative disease. Immunoproliferative small intestinal disease, also known as alpha chain disease, is a mucosa-associated lymphoid-tissue (MALT) lymphoma characterized by infiltration of the bowel wall with a plasma-cell population that secretes a monotypic, truncated immunoglobulin α heavy chain lacking an associated light chain. 1 – 3 Lymphoid infiltration leads to malabsorption and protein-losing enteropathy. The disease can cause a spectrum of histopathological changes, ranging from seemingly benign lymphoid infiltration to malignant diffuse large-B-cell lymphoma. Since its initial description, 1 immunoproliferative small intestinal disease has largely been reported in the Mediterranean basin, the Middle East, the Far East, and Africa. In the Middle East, the most . . . |
| Author | Poyart, Claire Pochart, Philippe Berche, Patrick Abachin, Eric Feuillard, Jean Bengoufa, Djaouida Martin, Antoine Lavergne, Anne Guillevin, Loïc Gordon, Jeffrey I Lortholary, Olivier Suarez, Felipe Lecuit, Marc |
| Author_xml | – sequence: 1 givenname: Marc surname: Lecuit fullname: Lecuit, Marc – sequence: 2 givenname: Eric surname: Abachin fullname: Abachin, Eric – sequence: 3 givenname: Antoine surname: Martin fullname: Martin, Antoine – sequence: 4 givenname: Claire surname: Poyart fullname: Poyart, Claire – sequence: 5 givenname: Philippe surname: Pochart fullname: Pochart, Philippe – sequence: 6 givenname: Felipe surname: Suarez fullname: Suarez, Felipe – sequence: 7 givenname: Djaouida surname: Bengoufa fullname: Bengoufa, Djaouida – sequence: 8 givenname: Jean surname: Feuillard fullname: Feuillard, Jean – sequence: 9 givenname: Anne surname: Lavergne fullname: Lavergne, Anne – sequence: 10 givenname: Jeffrey I surname: Gordon fullname: Gordon, Jeffrey I – sequence: 11 givenname: Patrick surname: Berche fullname: Berche, Patrick – sequence: 12 givenname: Loïc surname: Guillevin fullname: Guillevin, Loïc – sequence: 13 givenname: Olivier surname: Lortholary fullname: Lortholary, Olivier |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15406489$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/14724303$$D View this record in MEDLINE/PubMed https://pasteur.hal.science/pasteur-02456747$$DView record in HAL |
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| CODEN | NEJMAG |
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| Keywords | Human Campylobacteraceae Host agent relation Malignant hemopathy Non Hodgkin lymphoma Small intestine Campylobacter jejuni Infection Campylobacter infection Association MALT lymphoma Etiology Lymphoproliferative syndrome Bacteriosis Digestive diseases Bacteria Intestinal disease |
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| References | 16156008 - Rev Gastroenterol Disord. 2005 Summer;5(3):181-2 15084705 - N Engl J Med. 2004 Apr 15;350(16):1685-6; author reply 1685-6 14724298 - N Engl J Med. 2004 Jan 15;350(3):213-5 r020 r022 r001 Harzic M (r007) 1985; 9 Linton D (r015) 1997; 35 r017 r018 r019 r013 r035 Greisen K (r014) 1994; 32 Suerbaum S (r016) 1993; 175 Montone KT (r023) 1995; 103 Puri AS (r024) 1992; 11 r031 r010 r032 r011 r033 r012 r034 r030 r006 r029 r008 Rollins DM (r028) 1986; 52 r002 r003 r025 r004 r026 r005 r027 Malekzadeh R (r009) 1999; 2 Boosinger TR (r021) 1988; 49 |
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| Snippet | Immunoproliferative small intestinal disease is a type of gastrointestinal lymphoma that responds to antibiotics and may be triggered by a bacterial pathogen.... Immunoproliferative small intestinal disease (also known as alpha chain disease) is a form of lymphoma that arises in small intestinal mucosa-associated... Background Immunoproliferative small intestinal disease (also known as alpha chain disease) is a form of lymphoma that arises in small intestinal... BACKGROUNDImmunoproliferative small intestinal disease (also known as alpha chain disease) is a form of lymphoma that arises in small intestinal... BACKGROUND:Immunoproliferative small intestinal disease (also known as alpha chain disease) is a form of lymphoma that arises in small intestinal... |
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| SubjectTerms | Anti-Bacterial Agents Anti-Ulcer Agents Anti-Ulcer Agents - therapeutic use Bacterial infections Bacteriology Biological and medical sciences Campylobacter Infections Campylobacter jejuni Campylobacter jejuni - genetics Campylobacter jejuni - isolation & purification DNA, Bacterial DNA, Bacterial - analysis Drug Therapy, Combination Drug Therapy, Combination - therapeutic use Female Genes, Immunoglobulin Hematologic and hematopoietic diseases Human health and pathology Humans Immunoglobulin A Immunoglobulin A - blood Immunoglobulin Fragments Immunoglobulin Fragments - analysis Immunoglobulin Fragments - genetics Immunohistochemistry Immunoproliferative Small Intestinal Disease Immunoproliferative Small Intestinal Disease - drug therapy Immunoproliferative Small Intestinal Disease - microbiology Immunoproliferative Small Intestinal Disease - pathology In Situ Hybridization, Fluorescence Infections Infectious diseases Intestine, Small Intestine, Small - immunology Intestine, Small - microbiology Intestine, Small - pathology Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis Life Sciences Lymphocytes Lymphoma Medical sciences Microbiology and Parasitology Middle Aged Omeprazole Omeprazole - therapeutic use Plasma Polymerase Chain Reaction Sequence Analysis, DNA |
| Title | Immunoproliferative Small Intestinal Disease Associated with Campylobacter jejuni |
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