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Host-microbiota interactions in immune-mediated diseases.

William E Ruff1,2, Teri M Greiling3, Martin A Kriegel4

  • 1Department of Immunobiology, Yale School of Medicine, New Haven, CT, USA.

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|May 28, 2020
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Summary

Modern lifestyles disrupt host-microbiota interactions, increasing immune-mediated diseases. This review explores how gut, oral, and skin microbiota contribute to these conditions and discusses potential therapies to restore immune tolerance.

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Area of Science:

  • Immunology
  • Microbiology
  • Environmental Health

Background:

  • Host-microbiota interactions are crucial for immune system development.
  • Modern environmental and lifestyle changes have disrupted this balance, leading to increased immune-mediated diseases.
  • Understanding the role of mucosal and skin microbiota in these diseases is critical.

Purpose of the Study:

  • To review the mechanisms by which microbiota contribute to immune-mediated diseases.
  • To highlight recent advancements in metagenomics, host-microorganism interactions, and molecular mechanisms.
  • To explore therapeutic strategies for restoring immune tolerance and homeostasis.

Main Methods:

  • Review of recent human metagenomic studies.
  • Analysis of mechanistic studies in gnotobiotic models and in vitro systems.
  • Examination of molecular mechanisms underlying host-microorganism interactions.

Main Results:

  • Microbiota imbalance is linked to immune-mediated diseases like autoimmune, allergic, and inflammatory disorders.
  • Breaches in immune tolerance and barrier integrity are key mechanisms.
  • Gut, oral, and skin microbiota play significant roles in disease predisposition, initiation, and perpetuation.

Conclusions:

  • Restoring immune tolerance and homeostasis is achievable through targeted therapies.
  • Therapeutic avenues include modulating microbiota, strengthening barrier surfaces, or adjusting the host immune system.
  • Further research is needed to fully elucidate complex host-microbiota interactions in immune-mediated diseases.