Multiple sclerosis may be triggered by FOOD: Toxin produced by common bacteria could cause disease
Microbiologists from the Weill Cornell Medical College, New York City, built on previous research that suggested epsilon toxin could trigger M.S.
Epsilon toxin is produced by strains of Clostridium perfringens - a spore-forming bacterium that can cause of foodborne illness
Development of a neutralising antibody or vaccine directed against the epsilon toxin might stop the progression of the disease
By Sarah Griffiths
PUBLISHED: 15:16 EST, 28 January 2014 | UPDATED: 15:16 EST, 28 January 2014
Multiple sclerosis (MS) may be triggered by a toxin produced by common bacteria found in food, according to a new study.
The inflammatory disease of the central nervous system is thought to be triggered in a genetically susceptible individual by a combination of one or more environmental factors, but the triggers are still unknown.
U.S. scientists have built on previous studies that suggested epsilon toxin, which is produced by common bacteria, could trigger MS.
Multiple sclerosis - the inflammatory disease of the central nervous system - is thought to be triggered in a genetically susceptible individual by a combination of one or more environmental factors, one of which could be a bacteria found in food. A scan is pictured
CAUSES OF MULTIPLE SCLEROSIS
MS is known as an autoimmune condition.
This is where something goes wrong with the immune system - the body’s defence against infection - and it mistakenly attacks healthy body tissue – in this case, the myelin covering of nerves.
This can cause multiple sections of the brain and spinal column to become damaged and hardened, which can disrupt the nerve signals passing through these areas.
Exactly what causes the immune system to act in this way is unclear, but most experts think a combination of genetic and environmental factors are involved.
This new study finds that epsilon toxin could be one of the triggers.
Source: NHS Choices
MS is characterised by blood brain permeability and demyelination - a process in which the insulating myelin sheaths of neurons are damaged.
Microbiologist Jennifer Linden of Weill Cornell Medical College, New York City, said: ‘We provide evidence that supports epsilon toxin’s ability to cause permeability and show that epsilon toxin kills the brain’s myelin producing cells, oligodendrocytes - the same cells that die in MS lesions.’
She presented the new research at the ASM Biodefense and Emerging Diseases Research Meeting in the U.S.
‘We also show that epsilon toxin targets other cells types associated with MS inflammation such as the retinal vascular and meningeal cells,’ (cells of the membranes that envelop the central nervous system), she said.
‘Epsilon toxin may be responsible for triggering MS.’
Epsilon toxin is produced by certain strains of Clostridium perfringens (pictured) which is a spore-forming bacterium that is one of the most common causes of foodborne illness
Previous studies have suggested that C. perfringens, and in particular, epsilon toxin, may play a role in triggering MS.
Late last year Dr Linden and her colleagues discovered C. perfringens type B - a strain that is not known to infect humans and produces the epsilon toxin - in a 21-year-old woman who was experiencing a flare-up of her MS.
To further test their hypothesis Dr Linden and her team studied the behaviour of the toxin in mice focusing on which cells it targeted.
They discovered that the toxin did target the brain cells associated with MS pathology, but that was not all they found.
Dr Linden said: ‘Originally, we only thought that epsilon toxin would target the brain endothelium cells and oligodendrocytes; we just happened to notice that it also bound to and killed meningeal cells (of neurons).’
‘This was exciting because it provides a possible explanation for meningeal inflammation and subpial cortical lesions exclusively observed in MS patients, but not fully understood.’
They also tested samples of local foods for the presence of C. perfringens and the toxin gene.
Of the 37 food samples, 13.5 per cent were positive for bacteria and almost three per cent were positive for the epsilon toxin gene.
Dr Linden said the findings are important scientists now know that the epsilon toxin is a trigger of MS.
Development of a neutralising antibody or vaccine directed against the epsilon toxin might stop the progression of the disease or prevent it from even developing, she added.