NCOT you're still holding strong to the autoimmune/immune/Genetic'y aspect eh??? I caught this from another thread on here that I briefly scanned, haha. Hey wait - you changed your name!!
On the wiki link, personally I think it sums up the fact that no one has any clue whatsoever what the deal is on these darn diseases... And I think there is no general consensus. Even recently at that conference they were implicating specific bacteria and such and at yet another they were implicating autoimmune. about
the only thing they both agree on is that sometimes suppressing the immune system seems to help - as to exactly why other than interference in inflammatory response they are still scratching their heads. And then there's the group all for immune stimulation though relatively small but perhaps growing.
As I said on another thread, I'm bacteria all the way, but my deep dark secret is that I'm terrified it IS actually autoimmune. At least with bacteria/fungus it can be dealt with. Autoimmune brings to mind drugs... forever. Scares the crap outa me. Surgery freaks me out to... I have no idea why.
I still agree with Old Mike though - I find it hard to believe I awoke one morning and immune system just decided to go wonky and start attacking itself on its own or that a genetic switch just flipped one day.
Here is a brief passage from my Immunity Text (Exploring Immunology- Concepts and Evidence page 274)
"Frankly, most autoimmune diseases we do not yet know why the immune response is triggered. In some there is clear evidence that infection is a trigger and it has been suggested that most or all autoimmune diseases may be precipitated by infections"
In other words it's suggesting that self-antigens are generated by the self killing of ummm... "infected" self cells. And that perhaps this then leads the body to recognize and attack certain self tissues when in fact it's causing harm. So this speaks to PAMP's (Pathogen-associated Molecular Patterns and DAMP's (Damage-associated Molecular Patterns) and the interplay (co-stimulation) between them and T-cell activation.
So perhaps after time the two groups (bacteria and autoimmune/immune folk) will learn to play nicely together... and maybe some progress can be made. Ya never know... stranger things have happened ;)
And maybe hidden within the bacteria in studies like these something will flush out. Personally I'm happy to see these studies and a lot more focus on bacteria.
On the genetics side, be it NOD2 or CARD15 and the 158 plus other genes they implicate - I find it interesting and intriguing that they all generally have to do with response to bacteria/virus/fungus... in the wiki link it even mentions the gene linked to unfolded protein response in the endoplasmic reticulum (ER), what's interesting to me is that bacteria toxins often target the ER as they have easy access to it. At the same time I also tend to think or wonder if both the common and seemingly variable genes found in patients with IBD is just simply that we are ALL responding to a "something".. is our immune system triggering these to deal with something that it's having trouble clearing? so trying to "work it out" so to speak - and not so much a genetic defect that we were born with or was passed down to us.
Time tells all...
Sure makes for some interesting and heated discussions in places like these though. Haha.
Post Edited (Canada Mark) : 3/18/2014 10:36:21 PM (GMT-6)