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308. THE EFFECT OF SULPHASALAZINE, 5-AMINOSALICYLIC ACID AND SULPHAPYRIDINE ON SULPHIDE PRODUCTION BY SULPHATE REDUCING AND AMINO ACID FERMENTING BACTERIA
  1. L.M. Edmond,
  2. J.H. Cummings
  1. Dept of Molecular and Cellular Pathology, Ninewells Hospital and Medical School, Dundee, Scotland DD1 9SY, UK
  1. U. Azam1-1,
  2. P.M. Irving1-2,
  3. L. Webb1-1,
  4. F.L. Langmead1-2,
  5. M.G. Macey1-1,
  6. D.S. Rampton1-2
  1. Depts of Haematology1-1 and Adult and Paediatric Gastroenterology 1-2, St Bartholomews & Royal London School of Medicine, London, UK

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Background: Reduced sulphur compounds, such as sulphide, have been implicated in ulcerative colitis (UC).1 Sulphide may be produced either from fermentation of sulphur amino acids or reduction of sulphate by sulphate reducing bacteria (SRB). In faecal slurries ASA and sulphasalazine (SAS) have been shown to reduce sulphide production from sulphate2 and from methionine.3

Aims: To look at the effects of SAS, ASA and sulphapyridine (SP) in pure cultures on sulphide production from SO4 by SRB and sulphur amino acids by an amino acid fermenter.

Methods: An amino acid fermenter producing sulphide was isolated from a human faecal sample and provisionally identified as a fusobacterium. Desulphovibrio desulphuricans was the SRB used. The SRB was grown in Postgate C in universals and the fusobacterium was grown in Wilkins Chalgren anaerobe broth with 0.5g/l cysteine and 0.5g/l methionine. Concentrations of SAS, ASA or SP from 0 to 40mM were added to the universals prior to autoclaving. 20mM ASA is considered physiological. After cooling 0.5ml fusobacterium or SRB stock was injected into each universal and the culture was incubated at 370C for 18hr. 1ml of solution was used for sulphide determination by microdistillation and HPLC.

Results: SAS achieved a 90% inhibition of sulphide production from SRB and fusobacterium at 1mM and 5mM respectively. ASA 90% inhibited SRB at 20mM but only achieved about 50% inhibition from fusobacterium over the target range. SP had no significant effect on sulphide production from either bacterium.

Conclusion: In pure bacterial cultures SAS is more effective than ASA at inhibiting sulphide production from SO4 and sulphur amino acids.

References

309. PLATELET ACTIVATION MAY INITIATE LEUCOCYTE-PLATELET AGGREGATION IN INFLAMMATORY BOWEL DISEASE

Background: We have recently shown that the formation of leucocyte-platelet aggregates is increased in the peripheral blood of patients with IBD (Irving, UEGW 2000). Platelets are known to have proinflammatory as well as thrombotic …

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