He is specifically talking in this case about
,a oxidation problem with butyric acid.
It is suggested that failure of fatty-acid (n-butyrate) oxidation in UC is an expression of an energy-deficiency disease of the colonic mucosa. From what I can remember too much hydrogen sulfide can interfere with this process.
He is also looking at these cells after UC has already happened,remission or not, so many metabolic pathways perhaps are somewhat dysfunctional.
That is not to say that other forms perhaps of energy deficiency, such as no carbohydrates to feed the
bacteria that make butyric acid wont cause a problem, as does diversion colitis.
Or even not the proper amounts of threonine and other amino acids that make core mucins
you might consider a form of colon cell starvation,since they cant make enough or the right kind
of mucus. Once you get colitis you need more of these amino acids to build mucus,because many
are used by the immune system to build inflammatory molecules at the expense of making mucins.
So while you are making all these cytokines that are inflaming your colon, you might also be starving
the goblet cells,so you need to feed them.
Then if you are not making the normal amount or the right kind of mucus,then the bacteria can also starve.
Old Mike
Post Edited (Old Mike) : 8/4/2014 5:31:42 PM (GMT-6)