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肠道丁酸代谢物种有助于类风湿关节炎的自身抗体产生和骨侵蚀。

Intestinal butyrate-metabolizing species contribute to autoantibody production and bone erosion in rheumatoid arthritis.

机构信息

Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing 100044, China.

Beijing Key Laboratory for Rheumatism Mechanism and Immune Diagnosis (BZ0135), Beijing 100044, China.

出版信息

Sci Adv. 2022 Feb 11;8(6):eabm1511. doi: 10.1126/sciadv.abm1511.


DOI:10.1126/sciadv.abm1511
PMID:35148177
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11093108/
Abstract

The imbalance between pathogenic and beneficial species of the intestinal microbiome and metabolism in rheumatoid arthritis (RA) remains unclarified. Here, using shotgun-based metagenome sequencing for a treatment-naïve patient cohort and a "quasi-paired cohort" method, we observed a deficiency of butyrate-producing species and an overwhelming number of butyrate consumers in RA patients. These outcomes mainly occurred in patients with positive ACPA, with a mean AUC of 0.94. This panel was also validated in established RA with an AUC of 0.986 in those with joint deformity. In addition, we showed that butyrate promoted T, while suppressing T and osteoclasts, due to potentiation of the reduction in HDAC expression and down-regulation of proinflammatory cytokine genes. Dietary butyrate supplementation conferred anti-inflammatory benefits in a mouse model by rebalancing T cells and T, as well as reducing antibody production. These findings reveal the critical role of butyrate-metabolizing species and suggest the potential of butyrate-based therapies for RA patients.

摘要

类风湿关节炎(RA)患者的肠道微生物组和代谢的致病性和有益物种之间的失衡仍不清楚。在这里,我们使用针对治疗初治患者队列和“准配对队列”方法的基于鸟枪法的宏基因组测序,观察到 RA 患者中产丁酸物种的缺乏和大量的丁酸消费者。这些结果主要发生在 ACPA 阳性的患者中,AUC 平均值为 0.94。该面板还在已建立的 RA 中得到验证,在存在关节畸形的患者中 AUC 为 0.986。此外,我们表明,由于降低组蛋白去乙酰化酶表达和下调促炎细胞因子基因的作用增强,丁酸促进了 T 细胞,同时抑制了 T 和破骨细胞。丁酸补充剂通过重新平衡 T 细胞和 T 细胞以及减少抗体产生,在小鼠模型中发挥抗炎作用。这些发现揭示了丁酸代谢物种的关键作用,并表明基于丁酸的疗法治疗 RA 患者的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/ee39af14a544/sciadv.abm1511-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/0cdc0e4d0123/sciadv.abm1511-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/fdc5b46345be/sciadv.abm1511-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/6591d1a77131/sciadv.abm1511-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/eaa0e1c58426/sciadv.abm1511-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/a1c5d66e0f26/sciadv.abm1511-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/ee39af14a544/sciadv.abm1511-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/0cdc0e4d0123/sciadv.abm1511-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/fdc5b46345be/sciadv.abm1511-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/6591d1a77131/sciadv.abm1511-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/eaa0e1c58426/sciadv.abm1511-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/a1c5d66e0f26/sciadv.abm1511-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7447/11093108/ee39af14a544/sciadv.abm1511-f6.jpg

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[1]
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引用本文的文献

[1]
Butyrate Reducing Bone Mass Loss by Regulating the Expression of m6A Methyltransferase METTL3 in Implant-Associated Staphylococcus aureus Osteomyelitis.

J Cell Mol Med. 2025-9

[2]
Multi-modal integration of protein interactomes with genomic and molecular data discovers distinct RA endotypes.

medRxiv. 2025-8-5

[3]
From gut to joint: the protective impact of on rheumatoid arthritis.

Front Immunol. 2025-7-25

[4]
VOPP1 as a Novel Susceptibility Gene in Rheumatoid Arthritis: Insights Into Its Mechanisms From Mendelian Randomization and Experimental Validation.

J Inflamm Res. 2025-8-2

[5]
Intermittent fasting in osteoarthritis: from mechanistic insights to therapeutic potential.

Front Nutr. 2025-7-21

[6]
Supramolecular drug-laden hydrogel based on structural tautomerization enhances drug delivery for rheumatoid arthritis treatment.

Bioact Mater. 2025-7-26

[7]
More than a leaky gut: how gut priming shapes arthritis.

Nat Rev Rheumatol. 2025-7-31

[8]
Role of Gut Microbiota and Metabolite Remodeling on the Development and Management of Rheumatoid Arthritis: A Narrative Review.

Vet Sci. 2025-7-5

[9]
Immunomodulatory properties of the gut microbiome: diagnostic and therapeutic potential for rheumatoid arthritis.

Clin Exp Med. 2025-7-1

[10]
Inflammatory macrophage-derived itaconate inhibits DNA demethylase TET2 to prevent excessive osteoclast activation in rheumatoid arthritis.

Bone Res. 2025-6-11

本文引用的文献

[1]
A quasi-paired cohort strategy reveals the impaired detoxifying function of microbes in the gut of autistic children.

Sci Adv. 2020-10

[2]
Microbiota-derived butyrate limits the autoimmune response by promoting the differentiation of follicular regulatory T cells.

EBioMedicine. 2020-8

[3]
Microbiota-Derived Metabolites Suppress Arthritis by Amplifying Aryl-Hydrocarbon Receptor Activation in Regulatory B Cells.

Cell Metab. 2020-4-7

[4]
Metagenome-wide association study of gut microbiome revealed novel aetiology of rheumatoid arthritis in the Japanese population.

Ann Rheum Dis. 2019-11-7

[5]
Elucidating Syntrophic Butyrate-Degrading Populations in Anaerobic Digesters Using Stable-Isotope-Informed Genome-Resolved Metagenomics.

mSystems. 2019-8-6

[6]
Short-chain fatty acids: Bacterial messengers modulating the immunometabolism of T cells.

Eur J Immunol. 2019-5-17

[7]
pldist: ecological dissimilarities for paired and longitudinal microbiome association analysis.

Bioinformatics. 2019-10-1

[8]
Butyrate inhibit collagen-induced arthritis via Treg/IL-10/Th17 axis.

Int Immunopharmacol. 2019-1-16

[9]
Microbiome: Focus on Causation and Mechanism.

Cell. 2018-8-9

[10]
Short-chain fatty acids regulate systemic bone mass and protect from pathological bone loss.

Nat Commun. 2018-1-4

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