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HLA-B27-associated gut microbiota and amino acid perturbations promote ankylosing spondylitis through M1 macrophage activation - PubMed

5 days ago
  • #Macrophage activation
  • #Ankylosing spondylitis
  • #Gut microbiota
  • HLA-B27-associated gut microbiota and amino acid perturbations contribute to ankylosing spondylitis (AS) pathogenesis.
  • Study involved 88 participants, including HLA-B27-positive AS patients and healthy controls, revealing microbial and metabolic shifts.
  • Key disrupted pathways in AS: tryptophan metabolism, cysteine metabolism, and pyruvate-centered biosynthesis of branched-chain amino acids.
  • Fecal microbiota transplantation (FMT) in mice replicated AS features, including M1 macrophage polarization and bone loss.
  • Cinnabarinic acid identified as a microbial metabolite suppressing M1 macrophage polarization via the AhR pathway.
  • Findings suggest microbial-metabolic pathways as potential therapeutic targets for AS.