Consuming Green Vegetables, Supplements Suppresses Inflammatory Bowel Disease

Consuming Green Vegetables, Supplements Suppresses Inflammatory Bowel Disease
Consuming Green Vegetables, Supplements Suppresses Inflammatory Bowel Disease


The dietary supplement chlorophyllin alleviates inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, according to researchers from the Center for Diabetes and Metabolism Research at Sichuan University in China and from Cedars Sinai Medical Center in Los Angeles. In addition, chlorophyllin significantly reduces mortality related to IBD, weight loss, diarrhea and hidden blood in the stool, intestinal epithelial damage and infiltration of inflammatory cells. The findings are published ahead of print in the American Journal of Physiology-Gastrointestinal and Liver Physiology, and the study has been chosen as an APSselect article for August.


Chronic gastrointestinal disorders such as IBD affect tens of millions of people living in the U.S. IBD has created a global health burden because of the rising cost of treating the condition. While the exact cause of IBD isn’t fully understood, some contributing factors include stress and environmental, lifestyle and dietary choices, such as high consumption of meat or fish. Chronic inflammation, abnormality in autophagy—the body’s process of cleaning out damaged cells to make room for newer, healthier cells—and lysosomal stress (an abnormality in an organelle leading to inflammation) are also linked to the condition.

Current therapeutics for IBD include medications that suppress the immune system (immunosuppressants) and surgery. However, long-term use of immunosuppressive treatments could result in severe adverse effects, including opportunistic infections and even organ failure.  

In this study, researchers found taking an oral chlorophyllin supplement—a compound derived from the green pigment found in plants—reduced colitis and abnormalities in the intestinal epithelia of mice. Also, consumption of green vegetables and chlorophyllin may be helpful for IBD recovery, in part through alleviation of inflammation and autolysosomal flux (a process that uses lysosome to degrade and remove toxic molecules and organelles). Green pigment found in these foods and supplements can initiate a feeding signaling to modulate autophagy in the cells, which suppresses IBD symptoms. 

Researchers believe these findings could be a pathway to a less intrusive treatment for IBD. “Consuming green-colored vegetables or green pigment supplement such as chlorophyllin might help people with inflammatory bowel disease,” said Xiaofeng Zheng, PhD, of Sichuan University and a co-author of the study. 

Long term exposure to air pollution linked to heightened autoimmune disease risk

Polluted Air is a Possible Cause of Dementia

Long term exposure to air pollution is linked to a heightened risk of autoimmune disease, particularly rheumatoid arthritis, connective tissue and inflammatory bowel diseases, finds research published online in the open access journal RMD Open.

Environmental air pollution from vehicle exhaust and industrial output can trigger adaptive immunity–whereby the body reacts to a specific disease-causing entity. But sometimes this adaptive response misfires, prompting systemic inflammation, tissue damage, and ultimately autoimmune disease. 

Examples of autoimmune disease include rheumatoid arthritis; systemic lupus erythematosus; inflammatory bowel diseases, such as ulcerative colitis; connective tissue disease, such as osteoarthritis; and multiple sclerosis.

Both the incidence and prevalence of these conditions have steadily increased over the past decade, the reasons for which aren’t entirely clear. And whether air pollution is linked to a heightened risk of autoimmune disease remains a matter of debate, say the researchers.

To try and shed some light on the issues, the researchers mined the national Italian fracture risk database (DeFRA) and retrieved comprehensive medical information on 81,363 men and women submitted by more than 3500 doctors between June 2016 and November 2020.

Most were women (92%) with an average age of 65, and 17866 (22%) had at least one co-existing health condition. 

Each participant was linked to the nearest air quality monitoring station run by the Italian Institute of Environment Protection and Research via their residential postcode. 

The researchers were particularly interested in the potential impact of particulate matter (PM10 and PM2.5). Levels of 30µg/m3 for PM10 and 20µg/m3 for PM2.5 are the thresholds generally considered harmful to human health.

Some 9723 people (12%) were diagnosed with an autoimmune disease between 2016 and 2020.

Information on air quality was obtained from 617 monitoring stations in 110 Italian provinces. Average long term exposure between 2013 and 2019 was 16 µg/m3 for PM2.5 and 25 µg/m3 for PM10.

Exposure to PM2.5  wasn’t associated with a heightened risk of an autoimmune disease diagnosis. But PM10 was associated with a 7% heightened risk for every 10µg/m3 increase in levels, after accounting for potentially influential factors.

Long term exposure to PM10 above 30 µg/m3 and to PM2.5 above 20 µg/m3 were associated with, respectively, a 12% and 13% higher risk of autoimmune disease. 

And long term exposure to PM10 was specifically associated with a heightened risk of rheumatoid arthritis, while long term exposure to PM2.5 was associated with a heightened risk of rheumatoid arthritis, connective tissue diseases, and inflammatory bowel diseases.

Overall, long term exposure to traffic and industrial air pollutants was associated with an approximately 40% higher risk of rheumatoid arthritis, a 20% higher risk of inflammatory bowel disease, and a 15% higher risk of connective tissue diseases.

This is an observational study, and as such, can’t establish cause. And the researchers acknowledge several limitations which might have affected their findings.

These include: the lack of information on the dates of diagnosis and start of autoimmune disease symptoms; that air quality monitoring might not reflect personal exposure to pollutants; and that the findings might not be more widely applicable because study participants largely comprised older women at risk of fracture. 

But air pollution has already been linked to immune system abnormalities, and smoking, which shares some toxins with fossil fuel emissions, is a predisposing factor for rheumatoid arthritis, they explain.

Inflammatory Bowel Disease – warning signs




Inflammatory Bowel Disease

Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) is a term mainly used to describe two conditions: ulcerative colitis and Crohn’s disease.

Ulcerative colitis and Crohn’s disease are long-term conditions that involve inflammation of the gut.

Ulcerative colitis only affects the colon (large intestine). Crohn’s disease can affect any part of the digestive system, from the mouth to the anus.




People of any age can get IBD, but it’s usually diagnosed between the ages of 15 and 40.

This page covers:

Symptoms

Treatment

Causes

Help and support

There are also some less common types of IBD, which you can find out about on the Crohn’s and Colitis UK website.

Symptoms of IBD

Symptoms of IBD include:

  • pain, cramps or swelling in the tummy
  • recurring or bloody diarrhoea
  • weight loss
  • extreme tiredness

Not everyone has all of these symptoms, and some people may have additional symptoms, including fever, vomiting and anaemia.

Joint pain (arthritis), painful red eyes (iritis), painful red skin nodules (erythema nodosum) and jaundice (primary sclerosing cholangitis) are less commonly associated with IBD.




The symptoms of IBD can come and go. There may be times when the symptoms are severe (flare-ups), followed by long periods when there are few or no symptoms at all (remission).

Read more about the symptoms of ulcerative colitis and the symptoms of Crohn’s disease.

Treating IBD

There’s currently no cure for ulcerative colitis or Crohn’s disease.

If you have mild ulcerative colitis, you may need minimal or no treatment and remain well for prolonged periods of time.

Treatment aims to relieve the symptoms and prevent them returning, and includes specific diets, lifestyle changes, medicines and surgery.

Medicines used to treat ulcerative colitis or Crohn’s disease include:

  • aminosalicylates or mesalazines – which can be given in a variety of ways
  • immunosuppressants – such as steroids or azathioprine to reduce the activity of the immune system
  • biologics – specific antibody-based treatments given by injection that target a specific part of the immune system
  • antibiotics

It’s estimated 1 in 5 people with ulcerative colitis have severe symptoms that don’t improve with medication. In these cases, surgery may be necessary to remove an inflamed section of large bowel (colon).

Around 60-75% of people with Crohn’s disease will need surgery to repair damage to their digestive system and treat complications of Crohn’s disease.

People with ulcerative colitis and Crohn’s disease are also at increased risk of getting bowel cancer. Your doctor will recommend regular bowel check-ups (colonoscopies) to reduce the risk of colon cancer.

Read more about treating ulcerative colitis and treating Crohn’s disease.

Causes of IBD

It’s unclear what causes IBD, but a combination of factors is thought to play a part.

These include:

  • genetics – you’re more likely to develop IBD if you have a close relative with the condition
  • a problem with the immune system

People who smoke are twice as likely to get Crohn’s disease than non-smokers.

Read more about the causes of ulcerative colitis and causes of Crohn’s disease.

Optic Neuritis – what treatments have you received for optic neuritis? Take our poll




Optic Neuritis

Optic Neuritis

For many of us optic neuritis is one of the first symptoms that present for multiple sclerosis.  You may be interested in a previous blog we ran where many of our readers told their optic neuritis story.  You can read them here https://patienttalk.org/?p=312.

That being said their are a number of other conditions which can also lead to optic neuritis.  These include syphilis, Lyme disease, herpes zoster, lupus, neurosarcoidosis, inflammatory bowel disease, vasculitis, and diabetes.




Today we would like to explore in more detail the treatments people have received for optic neuritis.

It would be great if you could take our poll below to share your experiences.

Feel free to use the comments box below to add anything you think may be of interest to our readers.

Thanks in advance