4.4 Editorial Material

Hiding in Plain Sight: Colonic Spirochetosis in Humans

Journal

JOURNAL OF BACTERIOLOGY
Volume 201, Issue 21, Pages -

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/JB.00465-19

Keywords

Brachyspira; Brachyspira aalborgi; Brachyspira pilosicoli; gastrointestinal infection; human infection; intestinal colonization

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In 1967, Harland and Lee made a startling discovery: in some humans, the colonic epithelium is covered with a forest of spirochetes (W. A. Harlan, and F. D. Lee, Br Med J 3:718-719, 1967, https://doi.org/10.1136/bmj.3.5567.718). In this issue of Journal of Bacteriology, Thorell et al. present a systematic analysis of the prevalence and diversity of the spirochetes Brachyspira aalborgi and Brachyspira pilosicoli in the human colon. These and prior studies provide avenues toward resolving important questions: what bacterial and host parameters contribute to this extensive colonization, and what impact does it have on human health?

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