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Updated: Jun 12, 2025

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Causal associations between gut microbiota and rheumatoid arthritis: A two-sample Mendelian randomization study
Feiran Wei1, Meng Zhao2, Xiaohui Sun3
1Key Laboratory of Environmental Medicine Engineering, Ministry of Education, School of Public Health, Southeast University, Nanjing, Jiangsu, China.
Medicine
|May 29, 2025
Summary
Genetic analysis suggests specific gut bacteria may causally influence rheumatoid arthritis (RA) risk. Certain microbes like Catenibacterium and Desulfovibrio may increase RA risk, while Lachnospiraceae may be protective.
Area of Science:
- Microbiome research
- Immunology
- Genetics
Background:
- The gut microbiota's role in rheumatoid arthritis (RA) pathogenesis is increasingly recognized.
- However, establishing causal links between specific gut microbes and RA development has been challenging.
Purpose of the Study:
- To investigate the potential causal effects of gut microbial taxa on rheumatoid arthritis (RA) risk using a two-sample Mendelian randomization approach.
Main Methods:
- Utilized summary-level data from the MiBioGen consortium (13,266 individuals) and a large RA genome-wide association study (97,173 individuals).
- Employed multiple Mendelian randomization methods and sensitivity analyses to ensure robust findings.
Main Results:
- Four microbial taxa exhibited nominal associations with RA risk.
- Increased abundance of Catenibacterium, Desulfovibrio, and Ruminiclostridium 6 was associated with higher RA risk.
- Lachnospiraceae (UCG008) showed a potential protective effect against RA.
Conclusions:
- This study provides genetic evidence supporting a potential causal relationship between specific gut microbes and RA risk.
- Findings suggest host immune modulation as a key pathway linking the gut microbiome to RA.
- Identified candidate microbial taxa for further mechanistic and therapeutic investigations in RA.
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