{"id":504205,"date":"2026-06-17T11:02:13","date_gmt":"2026-06-17T11:02:13","guid":{"rendered":"https:\/\/www.newsbeep.com\/ie\/504205\/"},"modified":"2026-06-17T11:02:13","modified_gmt":"2026-06-17T11:02:13","slug":"scientists-solve-a-30-year-mystery-behind-inflammatory-bowel-disease-sciencealert","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ie\/504205\/","title":{"rendered":"Scientists Solve a 30-Year Mystery Behind Inflammatory Bowel Disease : ScienceAlert"},"content":{"rendered":"<p><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/inflammatory-bowel-disease\/symptoms-causes\/syc-20353315\" rel=\"nofollow noopener\" target=\"_blank\">Inflammatory bowel disease<\/a> (IBD) is a real pain in the gut.<\/p>\n<p>Scientists have been working long and hard to identify the root causes of IBD, to improve treatments for what is actually a set of related, debilitating chronic conditions.<\/p>\n<p>Now, new research has given us a significant breakthrough.<\/p>\n<p>The discovery, courtesy of a team of researchers in the UK and Denmark, solves a 30-year mystery: Why is one particular gene variant, HLA-DRB1*01:03, <a href=\"https:\/\/doi.org\/10.1016\/s0140-6736(96)90734-5\" rel=\"nofollow noopener\" target=\"_blank\">associated with<\/a> IBD?<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1038\/ng.3176\" rel=\"nofollow noopener\" target=\"_blank\">Studies showed<\/a> that this version of the <a href=\"https:\/\/en.wikipedia.org\/wiki\/HLA-DRB1\" rel=\"nofollow noopener\" target=\"_blank\">HLA-DRB1<\/a> gene was more common in IBD patients, particularly those with severe disease. But it wasn&#8217;t clear what effect this genetic quirk had \u2013 how it possibly contributed to IBD.<\/p>\n<p>Now we have an answer: Having the HLA-DRB1*01:03 variant means a person with IBD is more likely to produce  <a href=\"https:\/\/www.sciencealert.com\/antibody\" class=\"lar_link lar_link_outgoing\" data-linkid=\"73081\" data-postid=\"205270\" rel=\"nofollow noopener\" target=\"_self\">antibodies<\/a> that mistakenly attack <a href=\"https:\/\/en.wikipedia.org\/wiki\/Interleukin_10\" rel=\"nofollow noopener\" target=\"_blank\">interleukin 10<\/a> (IL-10), an important chemical messenger that helps keep inflammation in check.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ie\/wp-content\/uploads\/2026\/06\/IBD-CrohnsGraphic-2110165626-642x361.jpg\" alt=\"Crohn disease. Human large and small intestine with healthy segments and inflammation that affect layers of the intestinal wall. The affected segments interspersed with unaffected ones. Close-up of a cross section of a intestinal wall with fat wrapping and fissures\" width=\"642\" height=\"361\" class=\"size-medium wp-image-205383\"   loading=\"lazy\"\/>Crohn&#8217;s disease \u2013 an inflammation of the digestive tract \u2013 is one of the main types of IBD. (<a href=\"https:\/\/www.cdc.gov\/inflammatory-bowel-disease\/about\/crohns-disease-basics.html\" rel=\"nofollow noopener\" target=\"_blank\">CDC<\/a>)<\/p>\n<p>Like the HLA-DRB1*01:03 variant, mutations in the genes that code for IL-10 have been <a href=\"https:\/\/doi.org\/10.1056\/nejmoa0907206\" rel=\"nofollow noopener\" target=\"_blank\">linked with IBD<\/a> before, but this latest study joins some of the dots.<\/p>\n<p>&#8220;We&#8217;ve suspected an important role of interleukin 10 in patients with inflammatory bowel disease for decades,&#8221; <a href=\"https:\/\/www.ndm.ox.ac.uk\/news\/decades-old-puzzle-solved-as-scientists-uncover-cause-of-inflammatory-bowel-disease\" rel=\"nofollow noopener\" target=\"_blank\">says<\/a> pediatric gastroenterologist Holm Uhlig, from the University of Oxford.<\/p>\n<p>&#8220;The study now provides clear evidence and contributes the missing link between a well-known genetic variant that had been linked to severe inflammatory bowel disease in the past and the very recently discovered autoimmunity to interleukin 10.&#8221;<\/p>\n<p>To solve the puzzle, the researchers began by testing blood samples from roughly 4,900 people <a href=\"https:\/\/www.sciencealert.com\/your-mouth-bacteria-might-be-behind-severe-forms-of-inflammatory-bowel-disease\" rel=\"nofollow noopener\" target=\"_blank\">with IBD<\/a> and some 1,000 people without, looking for signs of antibodies that neutralize IL-10.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ie\/wp-content\/uploads\/2026\/06\/1781694131_421_0.jpg\" alt=\"YouTube Thumbnail\" tabindex=\"0\" role=\"button\" class=\"youtube-thumbnail-preview\" loading=\"lazy\"\/> frameborder=&#8221;0\u2033 allow=&#8221;accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share&#8221; referrerpolicy=&#8221;strict-origin-when-cross-origin&#8221; allowfullscreen&gt;<\/p>\n<p>These antibodies were present in around 3.5 percent of IBD patients, but in none of the healthy controls.<\/p>\n<p>Teasing apart the differences further, around 2.5 percent of those with <a href=\"https:\/\/www.sciencealert.com\/blood-tests-can-reveal-crohns-disease-8-years-before-diagnosis\" rel=\"nofollow noopener\" target=\"_blank\">Crohn&#8217;s disease<\/a> and 4.4 percent of those with ulcerative colitis \u2013 the <a href=\"https:\/\/www.sciencealert.com\/killer-t-cells-gone-rogue-may-be-a-main-culprit-of-inflammatory-bowel-disease\" rel=\"nofollow noopener\" target=\"_blank\">two main types of IBD<\/a> \u2013 had neutralizing antibodies in their blood.<\/p>\n<p>It suggests that IBD could be driven, in a substantial number of people, by antibodies that release the &#8216;brake&#8217; on inflammation that IL-10 usually applies.<\/p>\n<p>Next, the researchers looked at the genetics of people with IL-10 antibodies versus those without. That led them to HLA-DRB1*01:03, which was very strongly associated with the IL-10  <a href=\"https:\/\/www.sciencealert.com\/antibody\" class=\"lar_link lar_link_outgoing\" data-linkid=\"73081\" data-postid=\"205270\" rel=\"nofollow noopener\" target=\"_self\">antibody<\/a> subgroup.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ie\/wp-content\/uploads\/2026\/06\/Interleukin10.jpg\" alt=\"Interleukin10\" width=\"642\" height=\"330\" class=\"wp-image-205273 size-full\"   loading=\"lazy\"\/>The 3D structure of interleukin 10. (<a href=\"https:\/\/www.ndm.ox.ac.uk\/news\/decades-old-puzzle-solved-as-scientists-uncover-cause-of-inflammatory-bowel-disease\" rel=\"nofollow noopener\" target=\"_blank\">University of Oxford<\/a>)<\/p>\n<p>&#8220;This is the most exciting discovery in a lifetime specializing in IBD,&#8221; <a href=\"https:\/\/www.ndm.ox.ac.uk\/news\/decades-old-puzzle-solved-as-scientists-uncover-cause-of-inflammatory-bowel-disease\" rel=\"nofollow noopener\" target=\"_blank\">says<\/a> clinical gastroenterologist Simon Travis, from the University of Oxford.<\/p>\n<p>&#8220;It means that we can now identify a group where we know what is causing the disease and that creates a real opportunity to change how we manage this disease.&#8221;<\/p>\n<p>IBD affects millions of people worldwide, and the number of cases <a href=\"https:\/\/doi.org\/10.1007\/s00384-025-04821-0\" rel=\"nofollow noopener\" target=\"_blank\">keeps on rising<\/a>.<\/p>\n<p>Even if these new findings apply only to a small percentage of IBD patients, that would still work out to be a significant number of people globally.<\/p>\n<p><a href=\"https:\/\/www.sciencealert.com\/newsletter?utm_source=promo_stargazing\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ie\/wp-content\/uploads\/2026\/06\/FOMO-1200x628-_Dont-miss-the-next-breakthrough_-cosmic-colourful-642x336.jpg\" alt=\"Subscribe to ScienceAlert's free fact-checked newsletter\" width=\"642\" height=\"336\" class=\"alignnone wp-image-201722 size-medium\"   loading=\"lazy\"\/><\/a><\/p>\n<p>Notably, the chain of evidence that the researchers assembled here all started with an analysis of <a href=\"https:\/\/doi.org\/10.1056\/nejmoa2312302\" rel=\"nofollow noopener\" target=\"_blank\">relatively rare and severe cases<\/a> of IBD, that were at first linked to genetic defects in IL-10 or its receptor, and later, the presence of neutralizing antibodies.<\/p>\n<p>&#8220;This discovery shows how the study of rare, inherited disorders can shed new light on common conditions,&#8221; <a href=\"https:\/\/www.ndm.ox.ac.uk\/news\/decades-old-puzzle-solved-as-scientists-uncover-cause-of-inflammatory-bowel-disease\" style=\"letter-spacing: -0.025em;\" rel=\"nofollow noopener\" target=\"_blank\">says<\/a> immunologist Sophie Hambleton, from Newcastle University in the UK.<\/p>\n<p>Like other complex conditions, IBD manifests in myriad ways. This study adds to what we already know about IBD, and there may well be different causes for different types.<\/p>\n<p>Previous studies have highlighted the role of <a href=\"https:\/\/www.sciencealert.com\/killer-t-cells-gone-rogue-may-be-a-main-culprit-of-inflammatory-bowel-disease\" rel=\"nofollow noopener\" target=\"_blank\">overactive, rogue immune cells<\/a> causing inflammation in ulcerative colitis.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ie\/wp-content\/uploads\/2026\/06\/1781694133_6_0.jpg\" alt=\"YouTube Thumbnail\" tabindex=\"0\" role=\"button\" class=\"youtube-thumbnail-preview\" loading=\"lazy\"\/> frameborder=&#8221;0\u2033 allow=&#8221;accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share&#8221; referrerpolicy=&#8221;strict-origin-when-cross-origin&#8221; allowfullscreen&gt;<\/p>\n<p>Other work has revealed certain gene variants in Crohn&#8217;s disease <a href=\"https:\/\/www.sciencealert.com\/a-crucial-genetic-mutation-behind-crohns-disease-has-finally-been-revealed\" rel=\"nofollow noopener\" target=\"_blank\">rob immune cells<\/a> of their natural defenses, similar to what was found here.<\/p>\n<p>Appreciating those differences could help guide the development of specific, new treatments.<\/p>\n<p>Related: <a href=\"https:\/\/www.sciencealert.com\/newly-identified-molecule-can-heal-gut-damage-and-suppress-cancer\" rel=\"nofollow noopener\" target=\"_blank\">Newly Identified Molecule Can Heal Gut Damage And Suppress Cancer<\/a><\/p>\n<p>Right now, treatments for IBD include drugs to manage the symptoms of these conditions, and in some serious cases, surgery. None of these approaches count as effective cures, though, meaning <a href=\"https:\/\/www.sciencealert.com\/the-latest-way-to-prevent-inflammatory-bowel-disease-parasitic-worms\" rel=\"nofollow noopener\" target=\"_blank\">new treatments<\/a> are badly needed.<\/p>\n<p>&#8220;By identifying patients early and giving them targeted treatment, we could reduce reliance on expensive ongoing therapy and prevent complications,&#8221; <a href=\"https:\/\/www.ndm.ox.ac.uk\/news\/decades-old-puzzle-solved-as-scientists-uncover-cause-of-inflammatory-bowel-disease\" rel=\"nofollow noopener\" target=\"_blank\">says<\/a> clinical immunologist Rainer Doffinger, from Cambridge University Hospital.<\/p>\n<p>The research has been published in <a href=\"https:\/\/doi.org\/10.1056\/NEJMoa2513654\" rel=\"nofollow noopener\" target=\"_blank\">The New England Journal of Medicine<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"Inflammatory bowel disease (IBD) is a real pain in the gut. Scientists have been working long and hard&hellip;\n","protected":false},"author":2,"featured_media":504206,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[103,61,60,2209],"class_list":["post-504205","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","tag-health","tag-ie","tag-ireland","tag-msft-content"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts\/504205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/comments?post=504205"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts\/504205\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/media\/504206"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/media?parent=504205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/categories?post=504205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/tags?post=504205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}