Once phospholipids enter the mucus they remain vulnerable to the action of phospholipases, which may be of epithelial origin or derive from mucosa associated bacteria. In the stomach, Helicobacter pylori colonises the mucous layer in part by producing phospholipases A1, A2, and C, and can extract the host phospholipids for its own protective coating.20H pylori can also generate high concentrations of ammonium ion that competes with phospholipids for negatively charged glycoprotein binding sites.20 It is intriguing to speculate about the possible role of a H pylori like bacterium that might be responsible (in part at least) for the breakdown of the colonic mucous barrier in ulcerative colitis. Large numbers of bacteria are found within the depleted mucous layer of these patients,38,39 but whether such bacteria are efficient producers of phospholipases is not known..
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