Triggers and regulation: the gut microbiome in rheumatoid arthritis

微生物群 失调 类风湿性关节炎 医学 免疫学 发病机制 肠道菌群 强直性脊柱炎 免疫系统 关节炎 病因学 生物信息学 生物 内科学
作者
Naim Mahroum,Ravend Seida,Yehuda Shoenfeld
出处
期刊:Expert Review of Clinical Immunology [Taylor & Francis]
卷期号:19 (12): 1449-1456 被引量:5
标识
DOI:10.1080/1744666x.2023.2260103
摘要

Rheumatoid arthritis is a chronic inflammatory disease marked by systemic symptoms and joint degeneration. Interestingly, the development and progression of rheumatoid arthritis have been linked to the microbiome, notably the gut microbiome. Dysbiosis, an alteration in the gut microbiome, has been connected to the etiology and pathogenesis of rheumatoid arthritis. For instance, dysbiosis increases intestinal permeability and promotes the movement of bacteria and their products, which in turn triggers and aggravates systemic inflammation.The correlation between the gut microbiome and RA. Triggers of RA including dysbiosis. The therapeutic potential of the gut microbiome in RA due to its critical function in influencing the immune response. The fecal microbiota transplantation (FMT), a therapeutic strategy that involves the transfer of healthy fecal microbiota from a donor to a recipient, has produced encouraging results in the treatment of several autoimmune illnesses, including rheumatoid arthritis.The role of the gut microbiome in RA is critical and serves as a basis for etiology and pathogenesis, as well as having therapeutic implications. In our opinion, FMT is an excellent example of this correlation. Still, more investigations and well-designed studies are needed in order to make firm conclusions and recommendations.

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