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Clinical Implications of Basic Research
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Volume 351:1685-1686 October 14, 2004 Number 16
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Building an Intestine — Architectural Contributions of Commensal Bacteria
James Madara, M.D.

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Bacterial cells within the intestine (commensal microflora) vastly outnumber the epithelial cells lining this organ. Like all bacteria, they release chemical signals with conserved patterns recognized by specific receptors — called toll-like receptors (TLRs) — of the innate immune system. It is therefore assumed that the healthy intestinal surface somehow defuses the threat of commensal bacteria to the lumen, where they thus reside undetected. A recent study by Rakoff-Nahoum and colleagues1 provides insight into how this happens: commensal bacteria interact with the intestinal surface and, to some degree, trigger TLR signaling (Figure 1). Surprisingly, this interaction is actually . . . [Full Text of this Article]


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From the Department of Pathology, University of Chicago, Chicago.


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