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HEALTH & WELLBEING
Ulcerative colitis - vitamin
by Andreas Klein
B5 may be involved
Many animal models for studying colitis exist . Most use rectal instillation of irritants such as acetic acid , ethanol , trinitrobenzene sulfonic acid , formalin , and hydrogen peroxide , or oral ingestion of sulphated polysaccharides to generate colon inflammation .
These animal models do not resemble human ulcerative colitis either in terms of causation , at the tissue level appearance , or how human UC develops over time . The real clues , to what may cause human UC came from observations of a nutritional form of colitis in pigs .
Last month ’ s article suggested that a compound called Co enzyme-A may play a key role in ulcerative colitis ( UC ) in humans . This enzyme is made in the body of all mammals from vitamin B5 ( pantothenic acid ).
This essential nutrient must be gotten from the diet .
Vitamin B5 deficiency often develops in animals ( particularly pigs ) fed corn because corn-soybean-meal is deficient in pantothenic acid . Dietary deficiency of vitamin B5 causes ulcerative colitis ( among other problems ) in pigs .
This was first illustrated in the early last century . Dietary vitamin B5 deficiency leads first to a low free CoA level in pig colon cells , then severe colonic
inflammation , wall thickening , oedema , excessive mucus discharge and bloody diarrhoea . In fact , this colitis in pigs exactly resembles UC in humans :
1 . free-Coenzyme-A concentration in pig colonic mucosal cells and UC patients are both low
2 . colitis appears first at the rectum , then spreads toward the caecum as disease worsens in pigs and human UC
3 . similar tissue inflammatory changes occur with appearance of crypt abscesses , and mucus- cell depletion .
In pigs the chain of events is : Low dietary vitamin B5 → Low vitamin B5 levels in colonic cells → low free-CoA levels in colon cells → colitis
Vitamin B5 supplementation easily reverses this chain of events , and the pigcolitis heals , commencing at the caecum and progressing toward the rectum .
While simple vitamin B5 deficiency is not sufficient to induce UC in man , it was :
1 . the clear similarity of vitamin B5 deficiency colitis in pigs to UC in humans , and
2 . the similarly low free coenzyme A levels in human and pig colonic cells during colitis that first lead medical scientists to suspect that low free Coenzyme A may also lead to UC in humans .
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28 ISSUE 151 // DECEMBER 2022 theindependentmagazine . com . au THE HAWKESBURY INDEPENDENT