Increased Gut Microbiota Diversity in Patients With Retinitis Pigmentosa and Implications for Disease Phenotypes and

Tomoko Hasegawa1,2, Sachiko Iwai1, Hanako Ohashi Ikeda1,3

  • 1Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Abstract

Insights

Retinitis pigmentosa (RP) patients show altered gut bacteria. Antibiotic treatment in RP mice improved retinal health by reducing inflammation, suggesting gut microbiota modulation as a potential therapy for RP.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Immunology

Background:

  • Inflammation is a common feature in retinitis pigmentosa (RP), impacting visual outcomes.
  • The gut microbiota significantly influences inflammatory processes in the body.

Purpose of the Study:

  • To investigate the association between gut microbiota composition and retinitis pigmentosa.
  • To explore the therapeutic potential of modulating gut microbiota in RP.

Main Methods:

  • 16S rRNA gene sequencing of stool samples from 103 RP patients and 64 healthy controls.
  • Comparison of gut microbiota diversity and abundance between groups, including RP patients with and without cystoid macular edema (CME).
  • Evaluation of retinal structure and function in RP model mice treated with antibiotics.

Main Results:

  • RP patients exhibited significantly higher gut microbiota diversity than healthy individuals.
  • RP patients with CME showed greater diversity and increased abundance of specific bacteria (Romboutsia, Ruminococcus).
  • Antibiotic treatment in RP mice preserved retinal function, reduced photoreceptor loss, suppressed apoptosis, and downregulated NLRP3 inflammasome pathway components.

Conclusions:

  • Distinct gut microbiota profiles are observed in RP patients compared to healthy individuals.
  • Antibiotic administration attenuated disease progression in an RP mouse model.
  • Targeting the gut microbiota represents a promising therapeutic avenue for retinitis pigmentosa.

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