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Toxin-Producing Gut Bacterium Linked to Ulcerative Colitis in Science Report

The Science paper identifies an Aeromonas toxin tied to macrophage loss, steering development of toxin-focused diagnostics and therapies.

Overview

  • Researchers report that aerolysin from an Aeromonas variant selectively kills tissue‑resident intestinal macrophages, with human biopsies showing near‑complete depletion even in areas without visible inflammation.
  • In mouse models, infection with the macrophage‑toxic bacterium (MTB) depleted gut macrophages and heightened susceptibility to colitis, while aerolysin‑deficient mutants failed to trigger disease.
  • Anti‑aerolysin antibodies prevented MTB‑induced colitis and eased established inflammation in mice, indicating a potential therapeutic avenue targeting the toxin.
  • Stool and tissue analyses detected Aeromonas and aerolysin more frequently in ulcerative colitis patients, with stool surveys reporting about 72% positivity in UC versus roughly 12% in healthy controls.
  • The authors emphasize that the evidence is preclinical and associative in humans, note current assays may not distinguish MTB from other Aeromonas, disclose a related patent filing, and call for epidemiological studies and clinical trials.