Successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changes

IntroductionThe role of gut microbiome dysbiosis in the pathogenesis of psoriasis has gained increasing attention in recent years. Secukinumab, targeting interleukin (IL)-17, has a promising efficacy in psoriasis treatment. However, it remains unclear the gut microbiota alteration and related functi...

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Main Authors: Xueshan Du, Cong Yan, Shuzhen Kong, Delu Che, Bin Peng, Longfei Zhu, Songmei Geng, Kun Guo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2023.1227309/full
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author Xueshan Du
Cong Yan
Shuzhen Kong
Delu Che
Delu Che
Bin Peng
Longfei Zhu
Songmei Geng
Songmei Geng
Kun Guo
author_facet Xueshan Du
Cong Yan
Shuzhen Kong
Delu Che
Delu Che
Bin Peng
Longfei Zhu
Songmei Geng
Songmei Geng
Kun Guo
author_sort Xueshan Du
collection DOAJ
description IntroductionThe role of gut microbiome dysbiosis in the pathogenesis of psoriasis has gained increasing attention in recent years. Secukinumab, targeting interleukin (IL)-17, has a promising efficacy in psoriasis treatment. However, it remains unclear the gut microbiota alteration and related functional changes caused by successful secukinumab therapy in psoriatic patients.MethodsIn our study, we compared the fecal microbiome profile between psoriatic patients after secukinumab successful treatment (AT) and the other two groups, psoriatic patients without therapy (BT) and healthy people (H), respectively, by using next-generation sequencing targeting 16S ribosomal RNA. Then, shotgun metagenomic sequencing was first used to characterize bacterial gut microbial communities and related functional changes in the AT group.ResultsWe found that the diversity and structure of the microbial community in the AT group were significantly changed compared to those in the BT group and the H group. The AT group showed a microbiota profile characterized by increased proportions of the phylum Firmicute, families Ruminococcaceae, and a reduction in the phylum Bacteroidota (elevated F/B ratio). To detect functional alteration, we discovered that secukinumab treatment may construct a more stable homeostasis of the gut microbiome with functional alteration. There were different KEGG pathways, such as the downregulated cardiovascular diseases pathway and the upregulated infectious diseases in the AT group. By metagenomic analysis, the metabolic functional pathway was changed after secukinumab therapy.DiscussionIt seems that gut microbiota investigation during biologic drug treatment is useful for predicting the efficacy and risks of drug treatment in disease.
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spelling doaj.art-86122df025d94617a0ecab1378aeda262023-08-09T08:27:16ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2023-08-011410.3389/fmicb.2023.12273091227309Successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changesXueshan Du0Cong Yan1Shuzhen Kong2Delu Che3Delu Che4Bin Peng5Longfei Zhu6Songmei Geng7Songmei Geng8Kun Guo9Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaDepartment of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaDepartment of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaDepartment of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaCenter for Dermatology Disease, Precision Medical Institute, Xi'an, ChinaDepartment of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaDepartment of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaDepartment of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaCenter for Dermatology Disease, Precision Medical Institute, Xi'an, ChinaDepartment of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaIntroductionThe role of gut microbiome dysbiosis in the pathogenesis of psoriasis has gained increasing attention in recent years. Secukinumab, targeting interleukin (IL)-17, has a promising efficacy in psoriasis treatment. However, it remains unclear the gut microbiota alteration and related functional changes caused by successful secukinumab therapy in psoriatic patients.MethodsIn our study, we compared the fecal microbiome profile between psoriatic patients after secukinumab successful treatment (AT) and the other two groups, psoriatic patients without therapy (BT) and healthy people (H), respectively, by using next-generation sequencing targeting 16S ribosomal RNA. Then, shotgun metagenomic sequencing was first used to characterize bacterial gut microbial communities and related functional changes in the AT group.ResultsWe found that the diversity and structure of the microbial community in the AT group were significantly changed compared to those in the BT group and the H group. The AT group showed a microbiota profile characterized by increased proportions of the phylum Firmicute, families Ruminococcaceae, and a reduction in the phylum Bacteroidota (elevated F/B ratio). To detect functional alteration, we discovered that secukinumab treatment may construct a more stable homeostasis of the gut microbiome with functional alteration. There were different KEGG pathways, such as the downregulated cardiovascular diseases pathway and the upregulated infectious diseases in the AT group. By metagenomic analysis, the metabolic functional pathway was changed after secukinumab therapy.DiscussionIt seems that gut microbiota investigation during biologic drug treatment is useful for predicting the efficacy and risks of drug treatment in disease.https://www.frontiersin.org/articles/10.3389/fmicb.2023.1227309/fullsecukinumabgut microbiotapsoriasis16S rRNA gene sequencingshotgun metagenomic analysis
spellingShingle Xueshan Du
Cong Yan
Shuzhen Kong
Delu Che
Delu Che
Bin Peng
Longfei Zhu
Songmei Geng
Songmei Geng
Kun Guo
Successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changes
Frontiers in Microbiology
secukinumab
gut microbiota
psoriasis
16S rRNA gene sequencing
shotgun metagenomic analysis
title Successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changes
title_full Successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changes
title_fullStr Successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changes
title_full_unstemmed Successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changes
title_short Successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changes
title_sort successful secukinumab therapy in plaque psoriasis is associated with altered gut microbiota and related functional changes
topic secukinumab
gut microbiota
psoriasis
16S rRNA gene sequencing
shotgun metagenomic analysis
url https://www.frontiersin.org/articles/10.3389/fmicb.2023.1227309/full
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