“…However, it is important to note that in the healthy intestine many ECM components, such as collagen, generally are not exposed to the intestinal lumen. It is only after intestinal damage, cell turnover or during some inflammatory conditions that they become accessible for binding by bacteria (Creamer, 1967;Martin and Smyth, 2010). This finding correlates with the current understanding of NE pathogenesis, where intestinal damage, caused by an Eimeria infection for example, is an important predisposing factor for the development of NE in birds (Van Immerseel et al, 2009).…”