“…With a few exceptions (e.g., Sardinia, Italy), autoimmune disease incidence follows a north-south trajectory, with higher incidences found in Nordic countries, such as Finland, Sweden and Norway (42,43). Gut microbiota studies on the effect of extreme climate conditions (i.e., polar expeditions) (44) and birth month/place (45,46) illustrate how climate, particularly sunlight exposure, affects microbiota composition and immune dysregulation. Factors prominent in northern populationscircadian rhythm disruption and vitamin D deficiencieshave also been shown to result in immune dysregulation via shifts in gut microbiota, leading to autoimmune diseases like T1D (47)(48)(49).…”