The role of the gastrointestinal tract in the pathogenesis of rheumatic diseases

被引：21
|
作者：
Ciccia, Francesco [1 ]
Ferrante, Angelo [1 ]
Guggino, Giuliana [1 ]
Triolo, Giovanni [1 ]
机构：
[1] Univ Palermo, Piazza Clin 2, I-90127 Palermo, Italy
来源：
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2016年 / 30卷 / 05期
关键词：
Rheumatoid arthritis; Spondyloarthropathy; Connective tissue diseases; Gastrointestinal tract; Dysbiosis; SYSTEMIC-LUPUS-ERYTHEMATOSUS; INFLAMMATORY-BOWEL-DISEASE; INNATE LYMPHOID-CELLS; ANKYLOSING-SPONDYLITIS; GUT MICROBIOTA; AXIAL SPONDYLOARTHRITIS; SJOGRENS-SYNDROME; PORPHYROMONAS-GINGIVALIS; INTESTINAL INFLAMMATION; PSORIATIC-ARTHRITIS;
D O I：
10.1016/j.berh.2016.10.003
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Dysregulation of the intestinal epithelial barrier in genetically susceptible individuals may lead to both intestinal and extra intestinal autoimmune disorders. There is emerging literature on the role of microbiota changes in the pathogenesis of systemic rheumatic diseases such as rheumatoid arthritis, spondyloarthr-opathies, and connective tissue diseases. Although the role of the gastrointestinal tract in the pathogenesis of spondyloartr-opathies is well defined and many studies underline the importance of gastrointestinal inflammation in modulating local and systemic inflammation, the data are inconclusive regarding the effect of dysbiosis on rheumatoid arthritis and connective tissue diseases. This review aims to summarize current data on the role of the gastrointestinal involvement and intestinal microbiota in the pathogenesis of systemic rheumatic disease. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码：889 / 900
页数：12
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