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native to the human microbiome can, under certain conditions, become harmful; these are called pathobionts. E. gallinarum, a pathobiont found in the microbiome, can promote lupus, an autoimmune disease, in mouse models and has been detected in tissues outside of the gut in patients diagnosed with the disease. For the new study, Yale researchers Noah Palm, professor of immunobiology at Yale School of Medicine (YSM), and Martin Kriegel, an associate professor adjunct at YSM, aimed to determine how E. gallinarum has these immune effects. Palm and Kriegel are co-senior authors of the study. Using both human cellular and mouse model approaches, the researchers found that after E. gallinarum leaves the gut (its home base) it is able to travel to lymph nodes and the liver before finally reaching the spleen. The lymph nodes and spleen are what are known as secondary lymphoid organs, which are part of the immune system and help launch immune responses. The researchers believe that it is in these organs where the bacterium triggers

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This is from a medical journal