Volume 132, Issue 6 pp. 382-415
Review Article

Exploring the significance of microbiota metabolites in rheumatoid arthritis: uncovering their contribution from disease development to biomarker potential

Zi-feng Lu

Zi-feng Lu

Heilongjiang Beidahuang Group General Hospital, Heilongjiang, China

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Chou-Yi Hsu

Corresponding Author

Chou-Yi Hsu

Department of Pharmacy, Chia Nan University of Pharmacy and Science, Tainan, Taiwan

Chou-Yi Hsu, Department of Pharmacy, Chia Nan University of Pharmacy and Science, Tainan, Taiwan. e-mail: [email protected]

Nada Khairi Younis, Department of Pharmacy, Al-Noor University College, Nineveh, Iraq. e-mail: [email protected]

Yassien Hussain Owaied Al-Juboory, National University of Science and Technology, Dhi Qar, Iraq. e-mail: [email protected]

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Nada Khairi Younis

Corresponding Author

Nada Khairi Younis

Department of Pharmacy, Al-Noor University College, Nineveh, Iraq

Chou-Yi Hsu, Department of Pharmacy, Chia Nan University of Pharmacy and Science, Tainan, Taiwan. e-mail: [email protected]

Nada Khairi Younis, Department of Pharmacy, Al-Noor University College, Nineveh, Iraq. e-mail: [email protected]

Yassien Hussain Owaied Al-Juboory, National University of Science and Technology, Dhi Qar, Iraq. e-mail: [email protected]

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Mohammed Ahmed Mustafa

Mohammed Ahmed Mustafa

Department of Medical Laboratory Technology, University of Imam Jaafar AL-Sadiq, Kirkuk, Iraq

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Elena A. Matveeva

Elena A. Matveeva

Department of Orthopaedic Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation

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Yassien Hussain Owaied Al-Juboory

Corresponding Author

Yassien Hussain Owaied Al-Juboory

National University of Science and Technology, Dhi Qar, Iraq

Chou-Yi Hsu, Department of Pharmacy, Chia Nan University of Pharmacy and Science, Tainan, Taiwan. e-mail: [email protected]

Nada Khairi Younis, Department of Pharmacy, Al-Noor University College, Nineveh, Iraq. e-mail: [email protected]

Yassien Hussain Owaied Al-Juboory, National University of Science and Technology, Dhi Qar, Iraq. e-mail: [email protected]

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Mohaned Adil

Mohaned Adil

Pharmacy College, Al-Farahidi University, Baghdad, Iraq

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Zainab H. Athab

Zainab H. Athab

Department of Pharmacy, Al-Zahrawi University College, Karbala, Iraq

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Mustafa Nasrat Abdulraheem

Mustafa Nasrat Abdulraheem

College of Education, University of Anbar, Ramadi, Iraq

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First published: 12 March 2024
Citations: 1

Abstract

Rheumatoid arthritis (RA) is a multifaceted autoimmune disorder characterized by chronic inflammation and joint destruction. Recent research has elucidated the intricate interplay between gut microbiota and RA pathogenesis, underscoring the role of microbiota-derived metabolites as pivotal contributors to disease development and progression. The human gut microbiota, comprising a vast array of microorganisms and their metabolic byproducts, plays a crucial role in maintaining immune homeostasis. Dysbiosis of this microbial community has been linked to numerous autoimmune disorders, including RA. Microbiota-derived metabolites, such as short-chain fatty acids (SCFAs), tryptophan derivatives, Trimethylamine-N-oxide (TMAO), bile acids, peptidoglycan, and lipopolysaccharide (LPS), exhibit immunomodulatory properties that can either exacerbate or ameliorate inflammation in RA. Mechanistically, these metabolites influence immune cell differentiation, cytokine production, and gut barrier integrity, collectively shaping the autoimmune milieu. This review highlights recent advances in understanding the intricate crosstalk between microbiota metabolites and RA pathogenesis and also discusses the potential of specific metabolites to trigger or suppress autoimmunity, shedding light on their molecular interactions with immune cells and signaling pathways. Additionally, this review explores the translational aspects of microbiota metabolites as diagnostic and prognostic tools in RA. Furthermore, the challenges and prospects of translating these findings into clinical practice are critically examined.

DATA AVAILABILITY STATEMENT

Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.

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