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- W4386757514 abstract "ABSTRACTIntroduction 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 its products, which in turn triggers and aggravates systemic inflammation.Areas covered 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.Expert opinion The role of the gut microbiome in RA is critical, and serves as a basis for the etiology, pathogenesis, as well as having therapeutic implications. In our opinion, FMT is an excellent example for this correlation. Still, more investigations and well-designed studied are needed in order to make firm conclusions and recommendations.KEYWORDS: Autoimmunityfecal microbial transplantationgut microbiomemicrobiome, rheumatoid arthritisDisclaimerAs a service to authors and researchers we are providing this version of an accepted manuscript (AM). Copyediting, typesetting, and review of the resulting proofs will be undertaken on this manuscript before final publication of the Version of Record (VoR). During production and pre-press, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal relate to these versions also. Declaration of interestThe authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.AcknowledgmentsThe authors would like to thank Abdulkarim Alwani (Istanbul Medipol University) for providing the Figure design.Reviewer disclosuresPeer reviewers on this manuscript have no relevant financial or other relationships to disclose.Article highlightsThe etiology and pathogenesis of rheumatoid arthritis is still under active research.The gut microbiome has been investigated in the last decades as a key element in the pathogenesis of rheumatoid arthritis.Alterations in gut microbiome, the “dysbiosis”, were shown to take place early in the disease.Figuring out and understanding the role of gut microbiome in rheumatoid arthritis have significant implications in the treatment of the disease.Fecal microbiota transplantation has shown beneficial effects in animal models as well as patients with rheumatoid arthritis.Figure 1: Factors influencing the onset of rheumatoid arthritis (RA). The development of RA is influenced by both environmental (smoking, obesity, infections with specific pathogens like Porphyromonas gingivialis), as well as genetic (epigenetic alterations, genetic polymorphisms influencing antigen presentation, such as the HLA genes HLA-DRB1*01/04), T- and B cell function, cytokine production, and signal transduction after immune cell activation). More recently, alterations in oral and gut microbiota bacterial compositions also induce arthritis. Additionally, synovial damage and synovial fibroblast hyperplasia can contribute to the development of RA by inducing inflammatory conditions. Overall, these mechanisms lead to changes in autoantigens (mostly through citrullination), which results in neoepitopes by losing their surface charge and becoming more susceptible to proteolytic destruction.Display full sizeAdditional informationFundingThis paper was not funded." @default.
- W4386757514 created "2023-09-16" @default.
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- W4386757514 date "2023-09-15" @default.
- W4386757514 modified "2023-09-28" @default.
- W4386757514 title "Triggers and regulation: the gut microbiome in rheumatoid arthritis" @default.
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- W4386757514 doi "https://doi.org/10.1080/1744666x.2023.2260103" @default.
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- W4386757514 hasPublicationYear "2023" @default.
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