Lupus Nephritis and Dysbiosis

Lupus nephritis (LN) is one of the most common and serious complications of systemic lupus erythematosus (SLE). The risk factors for developing LN by SLE patients are not fully understood. They are considered to be a mix of genetic and environmental variables, one of them being dysbiosis, proposed r...

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Main Authors: Marta Monticolo, Krzysztof Mucha, Bartosz Foroncewicz
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/4/1165
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author Marta Monticolo
Krzysztof Mucha
Bartosz Foroncewicz
author_facet Marta Monticolo
Krzysztof Mucha
Bartosz Foroncewicz
author_sort Marta Monticolo
collection DOAJ
description Lupus nephritis (LN) is one of the most common and serious complications of systemic lupus erythematosus (SLE). The risk factors for developing LN by SLE patients are not fully understood. They are considered to be a mix of genetic and environmental variables, one of them being dysbiosis, proposed recently to interfere with autoimmunity. As of yet, the relations between the human microbiome, its genetic determinants, individual variability and clinical consequences remain to be established. One of the major obstacles in studying them is the magnitude of confounders, such as diet, drugs, infections or antibiotics use. They also make comparison between the studies extremely complicated. We reviewed the available evidence for the interplay between microbiome, dysbiosis and mechanisms triggering the autoimmune responses and potentially contributing to LN development. One such mechanism is the stimulation of autoimmune responses by bacterial metabolites that can mimic autoantigens and cause antibody production. These mimicking microbial antigens seem to be a promising target for future interventions.
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spelling doaj.art-7a96b29084b64fc6b027164beaef7ddd2023-11-17T18:27:25ZengMDPI AGBiomedicines2227-90592023-04-01114116510.3390/biomedicines11041165Lupus Nephritis and DysbiosisMarta Monticolo0Krzysztof Mucha1Bartosz Foroncewicz2Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, 02-006 Warsaw, PolandDepartment of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, 02-006 Warsaw, PolandDepartment of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, 02-006 Warsaw, PolandLupus nephritis (LN) is one of the most common and serious complications of systemic lupus erythematosus (SLE). The risk factors for developing LN by SLE patients are not fully understood. They are considered to be a mix of genetic and environmental variables, one of them being dysbiosis, proposed recently to interfere with autoimmunity. As of yet, the relations between the human microbiome, its genetic determinants, individual variability and clinical consequences remain to be established. One of the major obstacles in studying them is the magnitude of confounders, such as diet, drugs, infections or antibiotics use. They also make comparison between the studies extremely complicated. We reviewed the available evidence for the interplay between microbiome, dysbiosis and mechanisms triggering the autoimmune responses and potentially contributing to LN development. One such mechanism is the stimulation of autoimmune responses by bacterial metabolites that can mimic autoantigens and cause antibody production. These mimicking microbial antigens seem to be a promising target for future interventions.https://www.mdpi.com/2227-9059/11/4/1165lupus nephritissystemic lupus erythematosusdysbiosismicrobiome
spellingShingle Marta Monticolo
Krzysztof Mucha
Bartosz Foroncewicz
Lupus Nephritis and Dysbiosis
Biomedicines
lupus nephritis
systemic lupus erythematosus
dysbiosis
microbiome
title Lupus Nephritis and Dysbiosis
title_full Lupus Nephritis and Dysbiosis
title_fullStr Lupus Nephritis and Dysbiosis
title_full_unstemmed Lupus Nephritis and Dysbiosis
title_short Lupus Nephritis and Dysbiosis
title_sort lupus nephritis and dysbiosis
topic lupus nephritis
systemic lupus erythematosus
dysbiosis
microbiome
url https://www.mdpi.com/2227-9059/11/4/1165
work_keys_str_mv AT martamonticolo lupusnephritisanddysbiosis
AT krzysztofmucha lupusnephritisanddysbiosis
AT bartoszforoncewicz lupusnephritisanddysbiosis