Early and Short-Term Interventions in the Gut Microbiota Affects Lupus Severity, Progression, and Treatment in

Yun Zhang1, Qiuping Liu1, Yiran Yu1

  • 1Institute of Basic Research in Clinical Medicine, College of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China.

Insights

Early gut microbiota interventions impact systemic lupus erythematosus (SLE) severity and treatment. Interventions like antibiotics or fecal microbiota transplantation (FMT) before disease onset significantly alter lupus progression and prednisone efficacy.

Area of Science:

  • Immunology
  • Microbiology
  • Gastroenterology

Background:

  • Systemic lupus erythematosus (SLE) is an autoimmune disease with potential links to gut microbiota dysbiosis.
  • Understanding the role of gut microbiota in SLE pathogenesis and treatment is crucial for developing novel therapeutic strategies.

Purpose of the Study:

  • To investigate the impact of early and short-term gut microbiota interventions on lupus severity and treatment response in MRL/lpr mice.
  • To determine if modulating gut microbiota before disease onset influences lupus progression and the efficacy of prednisone therapy.

Main Methods:

  • MRL/lpr mice were treated with antibiotics or fecal microbiota transplantation (FMT) prior to disease onset.
  • Gut microbiota composition was analyzed using 16S rRNA gene sequencing (V3-V4 region).
  • Prednisone was administered to assess therapeutic efficiency in mice with altered gut microbiota.

Main Results:

  • Early antibiotic exposure aggravated lupus by depleting beneficial bacteria (e.g., Lactobacillus, Bifidobacterium) and enriching harmful bacteria (e.g., Klebsiella, Proteus).
  • FMT alleviated antibiotic-induced gut dysbiosis and suppressed lupus progression.
  • Short-term interventions before onset impaired prednisone's therapeutic effect on lupus.

Conclusions:

  • Gut microbiota composition before disease onset is critical for SLE severity, progression, and treatment outcomes.
  • Early modulation of gut microbiota can significantly influence the course of lupus and response to therapy.
  • Targeting the gut microbiota represents a potential therapeutic avenue for managing SLE.

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