The role of the gut and microbes in the pathogenesis of spondyloarthritis.

The role of the gut and microbes in the pathogenesis of spondyloarthritis.
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DOI:
10.1016/j.berh.2014.10.018
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发表时间:
2014-10
期刊:
Best practice & research. Clinical rheumatology
影响因子:
--
通讯作者:
Rosenbaum JT
Rosenbaum JT
中科院分区:
其他
文献类型:
--
作者:
Asquith M;Elewaut D;Lin P;Rosenbaum JT

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The intestinal microbiota is firmly implicated not only in the pathogenesis of inflammatory bowel disease (IBD) but increasingly also in the development of inflammation at extraintestinal tissue sites. Significant clinical, genetic, immunological, and microbio-logical overlap exists between IBD and spondyloarthritis (SpA), which indicates that pathophysiological mechanisms are shared between these diseases and may center on the intestinal micro-biota. Recently, culture-independent techniques have enabled the microbiota in health and disease to be described in increasing detail. Moreover, functional studies have identified myriad host effector and regulatory pathways that shape or are shaped by this microbial community. We consider the complex relationship between SpA pathogenesis and gut microbes, with a discussion of how manipulation of the gut microbiota itself may be a promising future target for SpA therapy.
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