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