Dietary Factors in the Modulation of Inflammatory Bowel Disease Activity

Shinil Shah, DO, PGY-1

Disclosures

March 27, 2007

Potato Alkaloids

Epidemiologic studies have indicated that the prevalence of IBD is directly correlated to consumption of fried potato products.

Altered intestinal permeability is believed by some to play a key role in the initiation and propagation of the inflammatory process. It is thought that bacterial products or even bacteria themselves may penetrate this altered epithelial barrier, activating the intestinal immune system. Potatoes have a high concentration of glycoalkaloids, specifically alpha-solanine and alpha-chaconine. These molecules "permeabilize cholesterol-containing membranes" and this is believed to alter the intestinal epithelial barrier. These glycoalkaloids are concentrated when potatoes are fried.

These molecules are present in potato as a sort of defense mechanism for the potato plant, playing a key role in defending the plant against fungi, bacteria, and parasites. However, these molecules have been shown to adversely affect the permeability of epithelial cells in the intestine, and this may aggravate IBD. These compounds have been shown to adversely affect the intestine permeability in an IL-10-deficient mice model of colitis, but not in normal mice, suggesting that those patients with IBD may be predisposed to this adverse effect.[36]

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