ADVERTISEMENT
Close
News > Certain Bacteria May Trigger Inflammation
Text Size Plus Minus | Print Email

Certain Bacteria May Trigger Inflammation

New technology creates a clearer picture of how bacteria may be linked to autoimmune forms of arthritis.

By Jennifer Davis

12/2/10 New research is homing in on types of bacteria in the body that may be associated with some autoimmune diseases, including rheumatoid arthritis, or RA.

At the recent American College of Rheumatology Annual Scientific Meeting, researchers said that they think specific bacteria that live in the mouth and intestines activate cells that promote inflammation.

“The most important point is that we are now able to answer some of these questions and may be able to better understand potential triggering factors that lead to joint inflammation in RA and other diseases,” says Jose U. Scher, MD, director of New York University’s new Microbiome Center for Rheumatology and Autoimmunity and one of the lead investigators in the study. “We need to be cautious because this hypothesis generates expectations from doctors and patients, and the reality is that there is a lot of work ahead of us before we can come up with conclusions.” 



In the study, researchers from New York University’s Langone Medical Center used cutting-edge DNA sequencing technology to identify 100 percent of the bacteria in the mouth and intestines of eight people recently diagnosed with RA, three with psoriatic arthritis and nine who were healthy and didn’t have an autoimmune disease. “What we are doing is testing an old hypothesis with 21st-century technologies,” Dr. Scher explains.

Researchers say the new technology is allowing them to see some differences in those with autoimmune diseases and those without. The RA patients, for example, had more of a bacterial family called prevotellaceae in their intestinal fecal samples, and more of a type of oral bacteria called porphyromonas genus, than healthy patients had.

“We can say we have preliminary results looking at a particular set of bacteria that may seem present at a higher abundance in patients with RA,” Dr. Scher says. “Now we have the technological tools to look at this question, but we can not say we have an answer yet.”

David S. Pisetsky, MD, PhD, a professor of medicine at Duke University Medical Center in Durham, N.C., says the fact that researchers can find and identify hundreds if not thousands of bacteria types provides a level of detail never before seen. He believes that will go a long way in highlighting differences in people with RA from those without it.

“It’s part of an entirely new direction in analyzing the relationship between infection and disease,” Dr. Pisetsky says. “We are filled with bacteria. It’s probably stimulating or modifying our immune system and the question is, are there particular bacteria that would make you more or less likely to get a disease?”

Because studies looking into the relationship of bacteria and autoimmune disease are small and in early stages, it’s hard to tell what, if anything, the information means to patients now, Dr. Pisetsky adds. “I am going to follow [this emerging area of research] with interest to see how it develops.”

Igor
28 Dec 2011, 09:57
Hm..
I was diagnosed with AS more then 2 decades.
Remicade stop to help. Now i am on Hummira that does not help too much.
I recall that every time when I got Gentamicine ( kind of antibiotic) injection was improvement in my joint swelling and pains.(reason for injection was not related to AS disease).



Sue
18 Dec 2011, 11:57
I was diagnosed with AS (ankylosing spondylitis) 8 years ago. I was on Enbrel for 2 years and it was a miracle cure for me until I had a positive ppd test. I was taken off of it and within 6 months I was in pain again. 10 months ago I developed severe Uveitis and Macular Edema. My dr's had no choice but to put me back on Biologics, I started Humira 7 weeks ago and pray that it helps. Does anyone else suffer from AS? I also carry the HLA B27 gene.
mitalia
30 Nov 2011, 02:00
May of 2010 i stepped on something that cut right thru my flipflops and cut my foot. that night i got very ill and developed a fever of 103. the following day i had minor joint pain all over and within four days the pain had intesified. i did not go see the doctor because i had no money or insurance. to this day, i am in pain 24/7 with every single joint, the muscles are also affected and now its attacking my organs. i refuse to take injections of any kind of medication. i am on prednisone, very low dosage and on advil on a daily basis. soometimes it helps ease some of the pain and other times i am confined to my bed all day. so i do beleive bateria had something to do with me getting this ra in every bone and every joint.
K
26 Oct 2011, 13:00
My Son was diagnosed with JRA after having strep. that was may of this year 2011. Now it is October, and he had a bout of strep ...guess what his first flare up!
David
09 Jan 2011, 09:17
My internist has long held this idea. I was on Indocin, Methotrexate and Humira for 9 years. He suggested an alternative treatement that my Rheumatologist didn't agree with. I decided to try it anyway.

Oct. 2009 I started taking doxycycline and Nystatin (to kill the bacteria in my colon). I took my last Humira in Dec. 2009 and have been on the anti-biotics and Nystatin since then.

I have had a few flare ups, but stopped methotrexate and took three Humira injections in 2010. Only time will tell, but I think it needs to be researched more.

My Internist has long held that current medical practices only treat the symptoms, not the cause.
Laaura
06 Jan 2011, 21:30
Has alot of people in the medical field or has that has HEP B series vaccine more than reccommeneded in a lifetime reported a new or exxerrabayed diagnoses of PSoritatic arthritis
Rebecca
06 Jan 2011, 12:23
Hi everyone. I am 36 years old and have had a strange form of RA for the past 4 years. I had strep Throat for the first time in my life and 2 days later both my Shoulders "Froze" to the point where I couldn't lift up my arm to brush my hair or teeth. I was out of work for 3 weeks and since have been seeing tons of doctors.

Steroids were really the only thing that helped at first but now I take Methotrexate (which didn't help at all by itself) and remicade infusions. The Remicade makes my symptoms almost go away.

Strangely my pain is mostly in my shoulders and sternum, but it can be debilitating - especially when having to carry young children. The hand and foot pain started about a year ago after the birth of my 3rd child. Anyway - thought I was share as there are a lot of stories on here where people had their first Arthritis flare right after getting Strep Throat.
Carol
04 Jan 2011, 08:25
Hi Marcia Acker-Missall,
I've have had RA for 3 yrs. I'm on Methotrexate and Ibuprofen for the discomfort and salt water 92 degrees therapeutic pool for exercise. When I was diagnosed I was part of a study that put me on Methotrexate and Humera. It really helped my RA. I'm almost in a remission. When my tongue bothers me I use baking soda to brush my teeth or make a paste. It helps. I read it on the internet when I had a sore on my gums. It works. All the best. Carol from NH
Marcia Acker-Missall
01 Jan 2011, 23:55
I have RA for 5 1/2 years and have been on numerous drugs which where effective for a period of time and then failed. I have been on Cimzia (about 3 months)administered by doctor injection to both thighs once a month.
In November 2010 I had an abscessed tooth requiring oral surgery called Apeco. I was placed on 500mg Erythromycin 3x's a day 5 days before surgery and for the following week.End of first week doctor still saw infection and continued the antibiotic. Second week after surgery, still infection and pain and I was continued on that antibiotic. End of 4th week the oral surgeon was out of town and I was in pain with swollen gum where surgery was done and my tongue was on fire and raw. I saw my dentist
who upon examination extracted the tooth and took me off the Erythromycin. I said I thought I might have Thrush since my tongue was inflamed. He put me on oral medicine which I was to hold in my mouth and then swallow. Two weeks of that and my tongue is still a source of great discomfort. It either feel like it's mentholated or burning.
My PCP gave me a strong medicine of 1 pill to see if that would do it. It did not. Tried it again...again it failed.
It is now January 1,2011. I still have this burning/mentholated tongue.
Has anyone got a suggestion for me?
Marcia
01 Jan 2011, 23:41
I am now 67 and diagnosed with RA 5 1/2 years
ago.At age 62 I was placed on a cholesterol medication by my PCP in October 2004. The medication was Vytorin taken in pill form daily. In mid December 2004 I was on vacation in Hawaii and noticed that although I had not moved a muscle and no one had touched me, I began to feel as though I had been punched in the arm, the thigh and leg from inside my body. Each day I awoke in more pain ever increasing to the point it was difficult to get out of bed. In addition the entire 2 weeks there the islands experienced devestating rain storms daily . By the time I flew home via 3 separate flights to south Florida I could hardly sit in the airplane seat as the pain and throbbing was so strong.I squirmed for hours. Please note that the aircraft seats in all 3 flights going to Hawaii were the exact same seat design as going home. I was totally comfortable when I flew to Hawaii and in extreme pain flying home. Once home I degenerated to point that I could barely turn over in bed. I called my PCP who directed me to stop the Vytorin at once. I did so and 2 weeks later I informed the doctor that my pain level had decreased only by 50%. He sent me to a Rheumatologist and tests conformed I had RA.
I suspect that the Vytorin drug (a statin drug) precipitated or triggered the auto immune response setting the stage for RA.
Rebecca
29 Dec 2010, 09:58
My dermatologist has me injecting Enbrel 50 mg once weekly for Psoriatic Arthritis. I've had it since age 17, and I'm 67 now - a lifetime of misery! The Enbrel has controlled the itchy plaques that were all over my body and scalp, and it helps with some of the arthritic pain. The exception is my ears being affected with psoriasis, causing swelling and sloughing off of dead cells which causes my ears to clog. My ENT specialist has routinely irrigated and cleaned my ears since the Fall, and found Candida yeast allergy to be the culprit. We are still battling it out with a new Rx after the vinegar/hydrocortisone & alcohol treatments failed to help. It's terrible having joint pain, itchy ears causing hearing loss. I am on the Candida diet of vegetables, no sugar or condiments, no meat or dairy replacements (I do eat seafood and drink Almond milk and use veggie-based cheese) with only water and fresh squeezed orange juice to drink. It's a hard diet to stay on 100% of the time, but I was lax over the holidays eating sweets, and I'm paying for it with increased joint pain and lack of sleep along with the ear fungus gone wild. I take weekly allergy injections for the 3 fungi/mold allergies. My doctors are the best, but we are still limited in how to combat this debilitating disease. Please continue research on the connection between Psoriatic Arthritis and Candida because I'm proof that it exists. I have had several bouts of stomach problems in recent years which my GP used to attribute to spinach or unclean vegetables, but I always wash my veggies before cooking or eating them raw. Now we know it was the Candida infection causing the stomach problems. I've spent a fortune on treatments for PA only to find out about the Candida allergy link myself. Dermatologists, please really LISTEN to your patients and ask about their diets, do allergy tests. We need your help. Thank you for letting me post my story.
Sally
29 Dec 2010, 09:38
My RA began about 15 years ago I have been in remission for most of that time, I take minocycline (an antibiotic) as prescribed in the Arthritis Breakthrough book. I am happy that a simple inexpensive drug has kept me mostly pain free for many years, I also found out I had to stop eating anything with wheat in it. By the way my RA factor is above 250 suggesting the most severe form of the disease.
Casey
28 Dec 2010, 23:14
Interesting posts. Eva I was interested in which diet you used for anti inflammation. Thanks
Jackie
27 Dec 2010, 09:04
I was just diagonsed with RA a couple of months ago and am having a lot of joint pain. The doctor I am seeing wants me to start on dmards asap. I am really concerned about taking this due to the side effects. Are there any suggestions on alternative medicine that will stop or decrease furthur joint damage? Or is dmards the only way?

Thank you for any suggestions.

Jackie
Charlotte
23 Dec 2010, 06:54
i was tested for mycoplasma pcr test and i came back positive i have had arthritis just after my birthday six months ago. the wait is kind of excruciating especially over christmas i also have to do another test a stool test to look at my gut flora and another test for allergies. i really do hope i recover. i'm only young i hate the focus on it interfering with everything. i eat healthy but i guess i've got to find something else you know to fill the void. i love to cook but i can't cook because i'm worried i'll make these things grow in me. they apparently feed off cholesterol so basically on veges. everytime i have red meat it flares it's basically growing or if i depress the immune system with alcohol it grows. hope you all get better peace be with you all.
chuck bayer
22 Dec 2010, 10:02
i have had RA since1986 in about every part of my body .i wake up stiff and sore or get hurtin through the day.this hurt moves from joint to joint all the time. lately it will pick a joint say my left arm from the elbow down it will start out lightly and then increase in pain until it maxes out 12 or so hours later.my whole left hand was numb through this ordeal and it hurt to move my fingers or fold my hand then within a day its all better till the next time somewhere else
shivpal
21 Dec 2010, 05:59
The RA and arthritis cause is linked with Candida infection and pathogens. The Candida infection can create many side effect and symptoms. Unfortunately taking antibiotics have adverse effect due to killing of good bacteria in the body which keeps Candida and other harmful pathogens in check.

Please refer to http://www.facebook.com/pages/RA-Cure/150202395028714#!/ where I am trying to keep as much information as possible.
Robbie
20 Dec 2010, 15:59
Hi, Interesting to read your postings.
Joyce Hartranft - 3 or 4 years back, I had my thumb swell up in the nuckles and it hurt real bad. I got a digital TENS UNIT lg 7000 OFF THE WEB - I put the pads on for a few treatments and all the swelling went away, all the pain, and it has been just fine ever since. I forgot what I paid, you might find one cheaper. Mine was from www.lgmedsupply.com.

Larry, I am going to look at that Marshall Protocol. I'm 68 now, and for last 20 months, I have had a horrible case of PSORIASIS (NO CURE) and now I read it maybe autoimune. My body attacking itself. I may have other autoimune problems with ANEMIA, INTRINIC FACTOR.

It is hard to find a good doctor or get the correct diagnoses and they give you meds that don't go together and cause other problems that you did not have before. Lucky, I'm still alive. Thanks for the post. RJ
carol mckissick
20 Dec 2010, 08:42
This makes perfect sense. My daughter had one of the worst cases of colic our pediatrician had ever seen. Additionally, she was on antibiotic for her first 2 years. She was diagnosed with a rare form of JRA 10 yrs later and an even rarer form of hypertriglyceridemia which greatly effects her gut. Too coincidental for this microbiologist. I'll be investigating further to be sure.
Carol
14 Dec 2010, 09:43
More discussion to rheumotologists on bacteria link would be important on a professional level.Is it poossible to find out whter the scientists who did the study have presented this information to an AMA section meeting of rheumatolgists? We need the Arthritis Foundation to be pro-active as our activists and make this conversation happen even with a podcast. We all need more information as the traditional medical community is very slow to accept any new procedures to help those of us with arthritis.
It is hard to sleep at night for me, as my joints ache so much. I take a hot shower, do some stretching, take 375 mg of Naproxen, and put on relaxing music in order to sleep.
I wonder how other people handle the night throbing and aching problems. Let's talk about our own methods and help each other.
Nan
14 Dec 2010, 03:47
Mycoplasma are responsive to Azithromycin and other macrolide type antibiotics.Mycoplasma are detected via dna testing. They must live inside cells as parasites. This reduces their ability to be detected by ordinary tests or the body's immune system.
adam
13 Dec 2010, 19:48
I used to have gastric ulcer for many years and it would flare up from time to time.
Finally about six months ago the Dr gave me some very strong antibiotics to get rid of the helico bacter that was causing the problems. Incisently I was Hc positive.
Any way after the HBP was eradicated, within months I started to have acute knee pain in my left leg suddenly. In about eight days my right knee also became very painful.
All blood tests have come out negative. So has the x- ray of the left foot. MRI is still to be done.
According to a rheumatologist there is no evidence of gout or psoratic arthrites.

I do not know if in the process of clearing the HBP some othr good bacvterior were also killed, thus giving rise to bacterior that are now triggering pain on the knee which is very similar to arthrirites
Anne
12 Dec 2010, 18:23
My daughter who is now 27 years old was diagnosed with JRA when she was 7 years old. She also had had strep throat x2 prior to the symptoms of rheumatoid arthritis. I have always thought there was a connection and the pediatric rheumatologist she saw did not discount it but was not able to say there is a direct connection since nothing has been proven yet.
Lorna
11 Dec 2010, 11:19
Hi! I also believe that ra could be caused from bacteria. I have had ra for 30 years. About 2 months before I came down with ra I was vry sick with strep throat. I also was very sickly as a child with bronchitis and urinary tract infections.
nancy
10 Dec 2010, 14:59
please more articles like this. Many alternative MDs use antibiotics to treat autoimmune disease, yet the rheumatologists refuse to consider it.
joyce hartranft
09 Dec 2010, 14:00
This is new to me and I'm looking for some home remedies that I can do at home. Any ideas would be appreciated
Kari
09 Dec 2010, 11:40
My 10 year old was diagnosed with JIA in August. I have been researching like crazy. She had walking pneumonia in March and developed arthritis symptoms in May. The bacteria is called mycoplasma - it is thought to be linked to RA. She is currently being treated with methotrexate, ibuprofen and several supplements. I am searching for an antibiotic that might work on this bacteria. Does anyone have any suggestions??
Larry
06 Dec 2010, 18:36
They are called L-form pathogens. Little by little the medical community is coming around to understand that these autoimmune diseases are caused by infection from these stealth pathogens. It looks to the untrained eye like the immune system is attacking the body but in reality it is attacking the pathogens. The only solution is to kill the pathogens. So far there is only one treatment that does that. it is called the Marshall Protocol.

http://mpkb.org/
sara
06 Dec 2010, 15:26
Would or could this explain that when I have to take antibiotics for tooth infection for example I feel so much better? (I have RA in multiple joints) The antibiotics seem to deaden the pain even more than all the medicine im on!
Eva
06 Dec 2010, 10:26
I firmly believe the bacteria link. I came down with virus-caused arthritis last spring after a bout of bacterial pneumonia. It's taken me over 6 months to finally get rid of the arthritis and get my body healthy again. I focused on healthy eating and the anti-inflammatory diet to get me well.
Paul Jaep
06 Dec 2010, 10:06
Hello ,it's not just RA that has an infectious cause but all so called autoimmune disease.Because the bacteria come from within so to speak they do not elicit an immune response they are regarded as self ...
Autism is essentially a stealth infection ..read my site for more and how the decline of the honey bee is also linked to inappropriate gut flora
y Site http://yeast-candida-infections-uk.co.uk/
Patty
06 Dec 2010, 09:46
This is very interesting. I wonder if using probiotics would keep the bacteria in check and maybe decrease arthritis inflammation?

Leave a Comment

The comment function provides the opportunity to comment on the content above.

General comments or questions to Arthritis Today editors and medical experts can be submitted here. Past medical questions and answers are available here.

Promotion of products and services and other inappropriate comments are prohibited and will be removed. If you spot one of these before we do, please send an alert.

All fields are required but only your name and comment will be displayed. Your e-mail address will not be used for any other purpose.

Name:
Email:
Text:

Have a Question?  Ask our panel of medical experts. A Magazine That Can Change Your Life! Form an Arthritis Walk Team Today. Know Your Alternatives
ADVERTISEMENT
Arthritis Foundation National Health Council BBB Accredited Charity