I have extracted this info from my other threads so it is in one spot and is not buried.
Will try to make it as simple as possible, and explain it in pictures. Sorry you will have to open PDF files.
If you are not into all the technical stuff, just look at the pictures.
Bacteria and there biofilms should not physically touch our colon mucosa.
In this case pictures are truly worth a thousand words, but really millions.
Why no medical cure. The medical community are not targeting the cause.
What's the cause. Persistent biofilm on the mucosa.
Not saying this is the initial cause, but why there is no medical cure.
Biofilms on top of or in the outer mucus, are where they should be.
Ok so what is going on.
appendix:
If you look at the first set of pictures and read their comments, the biofilm decrease from proximal to the
distal part of the colon.
Descending colon no apparent biofilm.
http://sciences.surgery.duke.edu/files/BillSection1SecondInsert.pdf
Antibiotics. Even with antibiotics the biofilm is still there, and when your done the bacteria bounce back, many fold.
http://www.charite.de/arbmkl/publikationen/2008bact_bio_suppression.pdf
You can see in these pictures that when treated with 5-asa the bacteria are suppressed but the mucosal biofilm is still there, but the immune system is functional. The bacteria are suppressed,so the inflammation is lowered,perhaps also somewhat immune modulating effect where the immune system calms down.
Now look at Azathioprine, the immune system is suppressed and the bacteria in the mucosa associated biofilm
are quite active,but you have calmed down the inflammation.
Bottom line. Whether 5-asa, antibiotics or immune suppression,or all at once the biofilm is still there.
You can obtain remission, one way or another, but the cause of chronic UC is still present.
http://onlinelibrary.wiley.com/doi/10.1002/ibd.20003/pdf
There is plenty of biofilm eradication info on this site, whether it really works, don't know.
If you get lucky, the immune system might regenerate, the mucus barrier and eradicate the biofilm.
But that does not seem to happen in many people.
Read the last sentence, confirms what I see just by looking at the nice pictures.
http://www.ncbi.nlm.nih.gov/pubmed/16000463
Last sentence.
Both 5-ASA and antibiotics suppress but do not eliminate the adherent biofilm.
Old Mike
Post Edited (Old Mike) : 11/16/2014 11:49:31 AM (GMT-7)