Gut microbe-derived short-chain fatty acids regulate alphavirus arthritis and macrophage activation in mice

Fang R Zhao1, Maksim Kleverov2, Emma S Winkler1

  • 1Department of Medicine and.

Insights

Oral antibiotics worsen alphavirus arthritis by disrupting gut bacteria and reducing beneficial short-chain fatty acids (SCFAs). Restoring SCFAs can mitigate this joint inflammation, highlighting the gut-immune axis in musculoskeletal health.

Area of Science:

  • Immunology
  • Microbiology
  • Rheumatology

Background:

  • Oral antibiotics can trigger joint inflammation, a process not fully understood.
  • Gut microbiota and its metabolites play a role in host immunity and inflammation.

Purpose of the Study:

  • To investigate how gut dysbiosis induced by oral antibiotics affects alphavirus-induced arthritis.
  • To identify the immune mechanisms and microbial factors involved in antibiotic-associated joint inflammation.

Main Methods:

  • Utilized mouse models of chikungunya (CHIKV) and Mayaro virus-induced arthritis.
  • Administered oral antibiotics and analyzed effects on arthritis severity, gut permeability, and immune cell activation.
  • Investigated the role of short-chain fatty acids (SCFAs) and TLR4 signaling.
  • Performed single-cell RNA sequencing (scRNA-seq) on joint tissues.

Main Results:

  • Antibiotic treatment exacerbated CHIKV and Mayaro virus arthritis, correlating with SCFA loss and increased intestinal permeability.
  • This worsened arthritis required TLR4, MyD88, monocytes, CD4+ T cells, and proinflammatory cytokines.
  • Exogenous SCFAs or SCFA-producing bacteria reduced CHIKV-induced joint inflammation.
  • SCFAs modulated the inflammatory profiles of synovial CD4+ T cells, monocytes, and osteoclast-like cells.

Conclusions:

  • Antibiotic-induced gut dysbiosis exacerbates alphavirus arthritis.
  • Gut-derived SCFAs ameliorate joint inflammation by influencing immune cell phenotypes in the joint.
  • The gut-immune axis is a critical factor in alphavirus-induced musculoskeletal inflammation.

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