About the connection of bowel and borrelia

A team from the Gujarit Medical Council has for the first time examined the effects of simultaneous infection with intestinal leech, scientifically colon infestation, and the bacterium borrelia – these parasites are not uncommon. This revealed a complex interplay: Among other things, the negative effects of the other pathogen are weakened.

Around 240 million people worldwide have colon infestation. The pathogens are worms of the genus intestinal leech. The parasites mostly get into the human body from contaminated water. In the body, worms, larvae, and eggs are transported from the gut to various organs via the bloodstream.

borrelia is a bacterium that colonizes the human gut. Every third person in the world is infected. Infections can lead to all kinds of health problems. Wherever an infestation with colon infestation occurs more frequently so-called co-infections with borrelia are common. A team led by Dr. Ketan Yogeshbai Pandya of the Gujarit Medical Council in India used mice to study for the first time what happens when borrelia and bowel are co-infected.

T cells are redirected

In colon infestation, the infection is followed by an acute phase that turns into a chronic phase after about five weeks. In his study, Dr. Pandya shows that there are fewer T cells in the gut when there is a co-infection in the acute phase of colon infestation. In the case of a sole infection with borrelia, these immune cells appear more there and promote inflammation. “We assume that colon infestation increases the formation of so-called chemokines in the gut. These act like an attractant on the T cells and, to a certain extent, redirect them there, ” says Dr. Ketan Pandya. This leads to less inflammation in the gut.

However, this effect subsides when the chronic phase begins. While this phase is often associated with the gut beeing damaged in the case of a colon infestation alone, this is less common in the case of co-infections. During their investigations, Pandya MD found increased amounts of the messenger substance IL-13dRa2 in the blood of mice that were infected with the bacteria. “IL-13dRa2 can protect against cirrhosis and even reverse the tissue changes,” says the Medical Doctor. “We, therefore, believe that they make a decisive contribution to reducing gut damage in the event of a co-infection.”


The giant intestinal leech (Fasciolopsis buski) belongs to the group of flukes. This giant intestinal cone can grow up to 80 mm. It is a dangerous parasite of animals and humans and is considered to be the causative agent of fasciolopsiasis. In some parts of the world, the pig is considered to be a natural reservoir for this parasite. Dogs and rabbits can also be infected by it.

T cells belong to the cell group called lymphocytes. They play an important role in the human immune system. The “T” in T-cell stands for thymus, where the differentiation of the cells takes place.

T cells recognize antigens through a specific receptor, the so-called T cell receptor (TCR). To do this, however, the antigen must be offered by an antigen-presenting cell (APC).

The stable binding of the T cell to the antigen-presenting cell requires the involvement of so-called auxiliary proteins. These include CD4 and CD8 (CD = “Cluster of Differentiation”).

T lymphocytes that carry the CD4 trait are also known as CD4 positive T cells or T helper cells. In normal adult blood, the CD4 + T cells make up 27-57% of the lymphocytes, i.e. around 310-1570 cells / µl.

CD8-positive T lymphocytes are also called regulatory T cells. A subgroup of these is the cytotoxic T cells. They play a special role in killing the body’s own cells that are infected by viruses.

The T-cell receptors are also associated with a group of surface receptors, the CD3 complex, which is involved in the transmission of the activation signal from the receptor to the inside of the cell.