microbiota and immune cells in IBD
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients ≥18 years or older; 2. Established Crohn’s disease, ulcerative colitis and CRC patients not known with IBD who undergo intestinal resection; 3. Patients with active left-sided ulcerative colitis or Crohn’s colitis who are scheduled for diverting ostomy.
Exclusion criteria
Exclusion criteria: 1. Ischemia of the bowel; 2. Positive stool cultures or parasite tests for common enteric pathogens; 3. Use of Antibiotics in preceding 4 weeks; 4. Use of probiotics in preceding 8 weeks; 5. Radiation therapy within 4 weeks before surgery; 6. Chemotherapy within 4 weeks before surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Intra-individual differences between inflamed and non-inflamed tissue in presence of microbial DNA in specific microenvironmental spaces; differences between IBD patients and controls; 2. Intra-individual differences in presence of microbial DNA in specific microenvironmental spaces of sigmoid mucosa before and 12 weeks after diverting ostomy; 3. Identify adaptive and innate immune cells producing cytokines involved in IBD. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Presence of microbial DNA in granuloma’s of CD patients; 2. Assessment of co-localisation between invading microbes and lamina propria macrophages dendritic cells using FISH probes; 3. Alterations between inflamed and non-inflamed tissue between patients and controls of phagosome maturation and autophagy, as well as apoptosis of mucosal macrophages and dendritic cells in IBD; 4. Assessment of signalling between innate lymfoid cell (ILC) subsets and lamina propria macrophages dendritic cells; 5. Assessment of ILC’s subpopulations in peripheral blood. | — |
Contacts
Dept. Gastroenterology & Hepatology Academic Medical Center Amsterdam Meibergdreef 9, C2-231