Adalimumab Therapy Restores the Gut Microbiota in Patients With Ankylosing Spondylitis

Growing evidence suggests that the gut microbiota is involved in the initiation and progression of ankylosing spondylitis (AS). In this study, we aimed to explore the gut microbiome alterations during adalimumab therapy and verify microbiome biomarkers predicting treatment response. By evaluating th...

Full description

Bibliographic Details
Main Authors: Zena Chen, Xuqi Zheng, Xinyu Wu, Jialing Wu, Xiaomin Li, Qiujing Wei, Xi Zhang, Linkai Fang, Ou Jin, Jieruo Gu
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.700570/full
_version_ 1819139306063659008
author Zena Chen
Xuqi Zheng
Xinyu Wu
Jialing Wu
Xiaomin Li
Qiujing Wei
Xi Zhang
Linkai Fang
Ou Jin
Jieruo Gu
author_facet Zena Chen
Xuqi Zheng
Xinyu Wu
Jialing Wu
Xiaomin Li
Qiujing Wei
Xi Zhang
Linkai Fang
Ou Jin
Jieruo Gu
author_sort Zena Chen
collection DOAJ
description Growing evidence suggests that the gut microbiota is involved in the initiation and progression of ankylosing spondylitis (AS). In this study, we aimed to explore the gut microbiome alterations during adalimumab therapy and verify microbiome biomarkers predicting treatment response. By evaluating the gut microbial features of 30 AS patients before and after adalimumab therapy for 6 months and 24 healthy controls, we confirmed that the microbiome was restored remarkably after 6 months of adalimumab therapy in AS patients. We then compared the baseline gut microbiome of 22 adalimumab responders with 8 non-responders, a higher abundance of Comamonas was revealed in the latter, although no statistical difference was found after adjusting for the false discovery rate. These results suggested that adalimumab therapy restored the gut microbiome in AS patients and indicated the utility of gut microbiome to be potential biomarkers for therapeutic evaluation. These findings provided an insight into the development of predictive tools and the establishment of precise medical interventions for clinical practice.
first_indexed 2024-12-22T11:20:34Z
format Article
id doaj.art-5a8752dcfc3a49faa6c558b194fbe2e6
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-12-22T11:20:34Z
publishDate 2021-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-5a8752dcfc3a49faa6c558b194fbe2e62022-12-21T18:27:52ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-09-011210.3389/fimmu.2021.700570700570Adalimumab Therapy Restores the Gut Microbiota in Patients With Ankylosing SpondylitisZena ChenXuqi ZhengXinyu WuJialing WuXiaomin LiQiujing WeiXi ZhangLinkai FangOu JinJieruo GuGrowing evidence suggests that the gut microbiota is involved in the initiation and progression of ankylosing spondylitis (AS). In this study, we aimed to explore the gut microbiome alterations during adalimumab therapy and verify microbiome biomarkers predicting treatment response. By evaluating the gut microbial features of 30 AS patients before and after adalimumab therapy for 6 months and 24 healthy controls, we confirmed that the microbiome was restored remarkably after 6 months of adalimumab therapy in AS patients. We then compared the baseline gut microbiome of 22 adalimumab responders with 8 non-responders, a higher abundance of Comamonas was revealed in the latter, although no statistical difference was found after adjusting for the false discovery rate. These results suggested that adalimumab therapy restored the gut microbiome in AS patients and indicated the utility of gut microbiome to be potential biomarkers for therapeutic evaluation. These findings provided an insight into the development of predictive tools and the establishment of precise medical interventions for clinical practice.https://www.frontiersin.org/articles/10.3389/fimmu.2021.700570/fulladalimumabTNFgut microbiomeankylosing spondylitisbiomarker
spellingShingle Zena Chen
Xuqi Zheng
Xinyu Wu
Jialing Wu
Xiaomin Li
Qiujing Wei
Xi Zhang
Linkai Fang
Ou Jin
Jieruo Gu
Adalimumab Therapy Restores the Gut Microbiota in Patients With Ankylosing Spondylitis
Frontiers in Immunology
adalimumab
TNF
gut microbiome
ankylosing spondylitis
biomarker
title Adalimumab Therapy Restores the Gut Microbiota in Patients With Ankylosing Spondylitis
title_full Adalimumab Therapy Restores the Gut Microbiota in Patients With Ankylosing Spondylitis
title_fullStr Adalimumab Therapy Restores the Gut Microbiota in Patients With Ankylosing Spondylitis
title_full_unstemmed Adalimumab Therapy Restores the Gut Microbiota in Patients With Ankylosing Spondylitis
title_short Adalimumab Therapy Restores the Gut Microbiota in Patients With Ankylosing Spondylitis
title_sort adalimumab therapy restores the gut microbiota in patients with ankylosing spondylitis
topic adalimumab
TNF
gut microbiome
ankylosing spondylitis
biomarker
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.700570/full
work_keys_str_mv AT zenachen adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT xuqizheng adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT xinyuwu adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT jialingwu adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT xiaominli adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT qiujingwei adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT xizhang adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT linkaifang adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT oujin adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis
AT jieruogu adalimumabtherapyrestoresthegutmicrobiotainpatientswithankylosingspondylitis