Protective potential of Bacillus subtilis (NMCC-path-14) against extraarticular manifestations during acute and

Muhammad Usama Mazhar1, Sadaf Naz1, Jehan Zeb Khan1

  • 1Department of Pharmacy, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, Pakistan.

Insights

Bacillus subtilis NMCC-path-14 effectively managed rheumatoid arthritis extra-articular manifestations in mice, unlike dexamethasone. This probiotic offers a safe and potentially alternative treatment for systemic arthritis symptoms.

Area of Science:

  • Microbiology
  • Immunology
  • Pharmacology

Background:

  • Extra-articular manifestations (EAM) significantly impact rheumatoid arthritis (RA) patient quality of life and survival.
  • Current treatments for RA and associated EAM often have limitations or adverse effects.

Purpose of the Study:

  • To evaluate Bacillus subtilis NMCC-path-14 as a therapeutic agent for managing EAM in a collagen-induced arthritis mouse model.
  • To compare the efficacy of Bacillus subtilis NMCC-path-14 with dexamethasone in treating acute and sub-acute phases of arthritis and EAM.

Main Methods:

  • Arthritis was induced using complete Freund's adjuvant (CFA) in mice.
  • Mice received Bacillus subtilis NMCC-path-14 either concurrently with CFA or as a pre-treatment, alongside a dexamethasone control group.
  • Evaluated parameters included body weight, organ weight, colon length, hematology, serum biochemistry, antioxidant capacity, histopathology, and stress markers.

Main Results:

  • Dexamethasone exacerbated EAM in arthritic mice.
  • Bacillus subtilis NMCC-path-14 significantly reduced EAM without notable side effects, demonstrating safety and efficacy.
  • The probiotic treatment improved various physiological and biochemical markers associated with arthritis.

Conclusions:

  • Bacillus subtilis NMCC-path-14 shows promise as a safe and effective alternative therapeutic agent for rheumatoid arthritis, particularly for managing systemic extra-articular manifestations.
  • Further research is warranted to elucidate the precise mechanisms by which Bacillus subtilis NMCC-path-14 mitigates EAM.

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