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Published on: June 6, 2025
Microbial Infection and Rheumatoid Arthritis
Song Li1, Yangsheng Yu1, Yinshi Yue1
1Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198, USA.
Abstract:
Rheumatoid arthritis (RA) is a complex autoimmune disease affecting 1-2% of general worldwide population. The etiopathogenesis of RA involves the interplay of multiple genetic risk factors and environmental triggers. Microbial infections are believed to play an important role in the initiation and perpetuation of RA. Recent clinical studies have shown the association of microbial infections with RA. Accumulated studies using animal models have also found that microbial infections can induce and/or exaggerate the symptoms of experimental arthritis. In this review, we have identified the most common microbial infections associated with RA in the literature and summarized the current evidence supporting their pathogenic role in RA. We also discussed the potential mechanisms whereby infection may promote the development of RA, such as generation of neo-autoantigens, induction of loss of tolerance by molecular mimicry, and bystander activation of the immune system.
Insights
Microbial infections may trigger rheumatoid arthritis (RA), a complex autoimmune disease. This review summarizes evidence linking infections to RA pathogenesis and discusses potential mechanisms.
Area of Science:
- Immunology
- Rheumatology
- Microbiology
Background:
- Rheumatoid arthritis (RA) is a prevalent autoimmune disease affecting 1-2% of the global population.
- Its development involves genetic and environmental factors, with microbial infections playing a significant role.
- Both clinical and animal studies suggest a link between infections and the initiation or exacerbation of RA.
Purpose of the Study:
- To review common microbial infections associated with rheumatoid arthritis.
- To summarize current evidence supporting the pathogenic role of these infections in RA.
- To discuss potential mechanisms by which infections contribute to RA development.
Main Methods:
- Literature review of clinical studies and animal models.
- Identification of common microbial infections linked to RA.
- Synthesis of evidence on the pathogenic role and proposed mechanisms.
Main Results:
- Multiple microbial infections have been associated with rheumatoid arthritis.
- Evidence from human and animal studies supports a pathogenic role for infections in RA.
- Potential mechanisms include molecular mimicry, bystander activation, and neo-autoantigen generation.
Conclusions:
- Microbial infections are implicated as significant contributors to rheumatoid arthritis pathogenesis.
- Understanding these infectious triggers and mechanisms is crucial for RA research.
- Further investigation into the infection-RA link may reveal novel therapeutic targets.
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