Science

Science

The parasitic worms that lurk in some people’s intestines may be revolting, but they seem to forestall Crohn’s disease and other types of inflammatory bowel disease (IBD). A new study might explain how, revealing that the worms enable beneficial microbes in the intestines to outcompete bacteria that promote inflammation. The results could lead to new ways of treating gut diseases by mimicking the effects of the parasites.

“It’s a beautifully done paper,” says immunologist Joel Weinstock of Tufts University in Boston, who wasn’t connected to the work. “It had not been previously shown that one of the mechanisms [of IBD] is through changes in the intestinal flora.”

In people with IBD, inflammation in the digestive tract results in symptoms such as diarrhea and bleeding and can sometimes lead to intestinal obstructions or other severe complications. Because parasitic worms, or helminths, can be harmful, they appear to be unlikely allies against these diseases. ,” says immunologist Ken Cadwell of the New York University School of Medicine in New York City, a co-author on the new study. However, IBD is rare in parts of the world where helminths are prevalent, and it is surging in more developed countries, where few people now carry the intestinal intruders. That difference suggests, researchers say, that they are protective.

The parasitic worms that lurk in some people’s intestines may be revolting, but they seem to forestall Crohn’s disease and other types of inflammatory bowel disease (IBD). A new study might explain how, revealing that the worms enable beneficial microbes in the intestines to outcompete bacteria that promote inflammation. The results could lead to new ways of treating gut diseases by mimicking the effects of the parasites.

“It’s a beautifully done paper,” says immunologist Joel Weinstock of Tufts University in Boston, who wasn’t connected to the work. “It had not been previously shown that one of the mechanisms [of IBD] is through...

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