Dietary Short-Term Fiber Interventions in Arthritis Patients Increase Systemic SCFA Levels and Regulate Inflammation

Chronic inflammatory diseases are often initiated and guided by the release of proinflammatory mediators. Rheumatoid arthritis (RA) is caused by an imbalance between the pro- and anti-inflammatory mediators in the joints, thereby favoring chronic inflammation and joint damage. Here, we investigate i...

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Main Authors: Kerstin Dürholz, Jörg Hofmann, Aida Iljazovic, Julian Häger, Sébastien Lucas, Kerstin Sarter, Till Strowig, Holger Bang, Jürgen Rech, Georg Schett, Mario M. Zaiss
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/10/3207
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author Kerstin Dürholz
Jörg Hofmann
Aida Iljazovic
Julian Häger
Sébastien Lucas
Kerstin Sarter
Till Strowig
Holger Bang
Jürgen Rech
Georg Schett
Mario M. Zaiss
author_facet Kerstin Dürholz
Jörg Hofmann
Aida Iljazovic
Julian Häger
Sébastien Lucas
Kerstin Sarter
Till Strowig
Holger Bang
Jürgen Rech
Georg Schett
Mario M. Zaiss
author_sort Kerstin Dürholz
collection DOAJ
description Chronic inflammatory diseases are often initiated and guided by the release of proinflammatory mediators. Rheumatoid arthritis (RA) is caused by an imbalance between the pro- and anti-inflammatory mediators in the joints, thereby favoring chronic inflammation and joint damage. Here, we investigate if short-term high-fiber dietary intervention shifts this towards anti-inflammatory mediators. Healthy controls (<i>n</i> = 10) and RA patients (<i>n</i> = 29) under routine care received daily high-fiber bars for 15 or 30 days, respectively. Stool and sera were analyzed for pro- and anti-inflammatory mediators. A high-fiber dietary intervention resulted in increased anti-inflammatory short-chain fatty acids (SCFA), decreased proarthritic cytokine concentrations, along with a durable shift in the Firmicutes-to-Bacteroidetes ratio. Together, these results further strengthen high-fiber dietary interventions as a practical approach complementing existing pharmacological therapies.
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spelling doaj.art-185ca1515c284d7ab449c6ac48ff466c2023-11-20T17:51:25ZengMDPI AGNutrients2072-66432020-10-011210320710.3390/nu12103207Dietary Short-Term Fiber Interventions in Arthritis Patients Increase Systemic SCFA Levels and Regulate InflammationKerstin Dürholz0Jörg Hofmann1Aida Iljazovic2Julian Häger3Sébastien Lucas4Kerstin Sarter5Till Strowig6Holger Bang7Jürgen Rech8Georg Schett9Mario M. Zaiss10Department of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, GermanyDepartment of Biology, Division of Biochemistry, Friedrich-Alexander University (FAU), 91058 Erlangen, GermanyHelmholtz Centre for Infection Research, 38124 Braunschweig, GermanyDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, GermanyDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, GermanyDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, GermanyHelmholtz Centre for Infection Research, 38124 Braunschweig, GermanyMelio.Care GmbH, 91080 Marloffstein, GermanyDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, GermanyDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, GermanyDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, 91054 Erlangen, GermanyChronic inflammatory diseases are often initiated and guided by the release of proinflammatory mediators. Rheumatoid arthritis (RA) is caused by an imbalance between the pro- and anti-inflammatory mediators in the joints, thereby favoring chronic inflammation and joint damage. Here, we investigate if short-term high-fiber dietary intervention shifts this towards anti-inflammatory mediators. Healthy controls (<i>n</i> = 10) and RA patients (<i>n</i> = 29) under routine care received daily high-fiber bars for 15 or 30 days, respectively. Stool and sera were analyzed for pro- and anti-inflammatory mediators. A high-fiber dietary intervention resulted in increased anti-inflammatory short-chain fatty acids (SCFA), decreased proarthritic cytokine concentrations, along with a durable shift in the Firmicutes-to-Bacteroidetes ratio. Together, these results further strengthen high-fiber dietary interventions as a practical approach complementing existing pharmacological therapies.https://www.mdpi.com/2072-6643/12/10/3207high-fiber diet (HFD)microbial metabolitesshort chain fatty acids (SCFA)
spellingShingle Kerstin Dürholz
Jörg Hofmann
Aida Iljazovic
Julian Häger
Sébastien Lucas
Kerstin Sarter
Till Strowig
Holger Bang
Jürgen Rech
Georg Schett
Mario M. Zaiss
Dietary Short-Term Fiber Interventions in Arthritis Patients Increase Systemic SCFA Levels and Regulate Inflammation
Nutrients
high-fiber diet (HFD)
microbial metabolites
short chain fatty acids (SCFA)
title Dietary Short-Term Fiber Interventions in Arthritis Patients Increase Systemic SCFA Levels and Regulate Inflammation
title_full Dietary Short-Term Fiber Interventions in Arthritis Patients Increase Systemic SCFA Levels and Regulate Inflammation
title_fullStr Dietary Short-Term Fiber Interventions in Arthritis Patients Increase Systemic SCFA Levels and Regulate Inflammation
title_full_unstemmed Dietary Short-Term Fiber Interventions in Arthritis Patients Increase Systemic SCFA Levels and Regulate Inflammation
title_short Dietary Short-Term Fiber Interventions in Arthritis Patients Increase Systemic SCFA Levels and Regulate Inflammation
title_sort dietary short term fiber interventions in arthritis patients increase systemic scfa levels and regulate inflammation
topic high-fiber diet (HFD)
microbial metabolites
short chain fatty acids (SCFA)
url https://www.mdpi.com/2072-6643/12/10/3207
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