2022
DOI: 10.3389/fimmu.2022.1010572
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Role of the microbiome and its metabolites in ankylosing spondylitis

Abstract: Ankylosing spondylitis (AS), a chronic condition that commonly influences the spine and sacroiliac joints, usually progresses to stiffness and progressive functional limitation. Its fundamental etiology and pathogenesis are likely multifactorial and remain elusive. As environmental factors, gut microbiota performs critical functions in the pathogenesis of AS through various mechanisms, including interacting with genes, enhancing intestinal permeability, activating the gut mucosa immune system, and affecting th… Show more

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Cited by 30 publications
(25 citation statements)
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“…Studies have found that AS is closely related to gut inflammation, and approximately 70% of AS patients have subclinical gut inflammation ( 33 ), which suggests that gut dysbiosis may contribute to this phenomenon. In recent years, many studies have shown that the occurrence of AS is influenced by the gut microbiota ( 1 , 34 ). The gut microbiota mainly consists of bacteria, archaea, viruses, fungi and parasites.…”
Section: Discussionmentioning
confidence: 99%
“…Studies have found that AS is closely related to gut inflammation, and approximately 70% of AS patients have subclinical gut inflammation ( 33 ), which suggests that gut dysbiosis may contribute to this phenomenon. In recent years, many studies have shown that the occurrence of AS is influenced by the gut microbiota ( 1 , 34 ). The gut microbiota mainly consists of bacteria, archaea, viruses, fungi and parasites.…”
Section: Discussionmentioning
confidence: 99%
“…Its root cause of the “three high” lies in our insufficient understanding of the occurrence and development of AS. Although the “arthritogenic peptide” theory has been proposed on the mechanism of HLA-B27 induced AS in recent years ( 2 ), and some scholars have also proposed that AS and HLA-B27 may be related to deficiency gut immunity ( 3 ), however, the exact pathogenesis of AS remains unclear, so far it has not been effectively treated. Therefore, it is still necessary to conduct in-depth research on the pathogenesis of AS, open new directions for the development of more effective therapeutic drugs and promote the final victory over AS.…”
Section: Introductionmentioning
confidence: 99%
“…Gut microbiota regulate bone growth, gastrointestinal permeability, and inflammation through various mechanisms [ 7 , 8 ]. Among the potential mechanisms, increased permeability between intestinal epithelial cells (IECs) contributes to the progression of AS [ 9 ]. In addition, gut microbiota promote new bone formation in AS by regulating the balance of helper T cells (Th17) and regulatory T cells (Treg) in the lamina propria (LP) to reduce the Th17/Treg ratio [ 10 , 11 ].…”
Section: Introductionmentioning
confidence: 99%