Microbiota and immune dynamics in rheumatoid arthritis: Mechanisms and therapeutic potential

Jan 25, 2025Best practice & research. Clinical rheumatology

How gut microbes and the immune system interact in rheumatoid arthritis and possible treatments

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Abstract

Microbial dysbiosis may play a critical role in the pathogenesis of rheumatoid arthritis (RA).

  • Dysbiosis is associated with immune cell modulation and autoantibody production in RA.
  • Alterations in gut barrier integrity may contribute to joint inflammation in affected individuals.
  • Animal models indicate that genetic and environmental factors can interact with specific microbes to affect disease susceptibility.
  • Metabolic disruptions from dysbiosis, such as changes in short-chain fatty acids and bile acids, could intensify immune dysregulation.
  • Therapeutic strategies like probiotics, microbial metabolites, and fecal microbiota transplantation may help restore microbial balance.

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