Gut microbiota and their metabolites in the immune response of rheumatoid arthritis: Therapeutic potential and future directions.

IF 4.8 2区 医学 Q2 IMMUNOLOGY International immunopharmacology Pub Date : 2025-02-06 Epub Date: 2025-01-12 DOI:10.1016/j.intimp.2025.114034
Xiaoyu Cai, Fujia Ren, Yao Yao
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Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by persistent joint inflammation, damage, and loss of function. In recent years, the role of gut microbiota and its metabolites in immune regulation has attracted increasing attention. The gut microbiota influences the host immune system's homeostasis through various mechanisms, regulating the differentiation, function, and immune tolerance of immune cells. Dysbiosis of the gut microbiota in RA patients is closely associated with abnormal activation of immune cells and excessive secretion of inflammatory cytokines. Metabolites produced by the gut microbiota, such as short-chain fatty acids (SCFAs), tryptophan metabolites, bile acids, and amino acid metabolites, play a critical role in immune responses, regulating the functions of immune cells like T cells, B cells, and macrophages, and inhibiting the release of pro-inflammatory cytokines. Restoring the balance of the gut microbiota and optimizing the production of metabolic products may become a new strategy for RA treatment. This review discusses the role of gut microbiota and its metabolites in the immune response of RA, exploring how they influence the immunopathological process of RA through the regulation of immune cells and key immune factors. It also provides a theoretical basis for future therapeutic strategies based on gut microbiota modulation.

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类风湿性关节炎免疫反应中的肠道微生物群及其代谢物:治疗潜力与未来方向。
类风湿性关节炎(RA)是一种慢性自身免疫性疾病,其特征是持续的关节炎症、损伤和功能丧失。近年来,肠道菌群及其代谢物在免疫调节中的作用越来越受到关注。肠道菌群通过多种机制影响宿主免疫系统的稳态,调节免疫细胞的分化、功能和免疫耐受。RA患者肠道菌群的失调与免疫细胞的异常激活和炎性细胞因子的过度分泌密切相关。肠道菌群产生的代谢物,如短链脂肪酸(SCFAs)、色氨酸代谢物、胆汁酸和氨基酸代谢物,在免疫应答中起着关键作用,调节免疫细胞如T细胞、B细胞和巨噬细胞的功能,抑制促炎细胞因子的释放。恢复肠道菌群平衡和优化代谢产物的产生可能成为治疗RA的新策略。本文就肠道菌群及其代谢产物在RA免疫应答中的作用进行综述,探讨它们如何通过调节免疫细胞和关键免疫因子影响RA的免疫病理过程。这也为未来基于肠道菌群调节的治疗策略提供了理论基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.40
自引率
3.60%
发文量
935
审稿时长
53 days
期刊介绍: International Immunopharmacology is the primary vehicle for the publication of original research papers pertinent to the overlapping areas of immunology, pharmacology, cytokine biology, immunotherapy, immunopathology and immunotoxicology. Review articles that encompass these subjects are also welcome. The subject material appropriate for submission includes: • Clinical studies employing immunotherapy of any type including the use of: bacterial and chemical agents; thymic hormones, interferon, lymphokines, etc., in transplantation and diseases such as cancer, immunodeficiency, chronic infection and allergic, inflammatory or autoimmune disorders. • Studies on the mechanisms of action of these agents for specific parameters of immune competence as well as the overall clinical state. • Pre-clinical animal studies and in vitro studies on mechanisms of action with immunopotentiators, immunomodulators, immunoadjuvants and other pharmacological agents active on cells participating in immune or allergic responses. • Pharmacological compounds, microbial products and toxicological agents that affect the lymphoid system, and their mechanisms of action. • Agents that activate genes or modify transcription and translation within the immune response. • Substances activated, generated, or released through immunologic or related pathways that are pharmacologically active. • Production, function and regulation of cytokines and their receptors. • Classical pharmacological studies on the effects of chemokines and bioactive factors released during immunological reactions.
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