Microbial orchestra in juvenile idiopathic arthritis: Sounds of disarray?

被引:21
作者
Arvonen, Miika [1 ,2 ]
Vanni, Petri [2 ,3 ]
Sarangi, Aditya Narayan [4 ]
Tejesvi, Mysore, V [3 ,5 ]
Vahasalo, Paula [2 ,6 ,7 ]
Aggarwal, Amita [8 ]
Stoll, Matthew L. [9 ]
机构
[1] Univ Eastern Finland, Kuopio Univ Hosp, Dept Pediat, Kuopio, Finland
[2] Univ Oulu, Fac Med, PEDEGO Res Unit, Oulu, Finland
[3] Genobi LLC, Oulu, Finland
[4] Sanjay Gandhi Postgrad Inst Med Sci, Biomed Informat Ctr, Lucknow, Uttar Pradesh, India
[5] Univ Oulu, Dept Ecol & Genet, Oulu, Finland
[6] Oulu Univ Hosp, Dept Children & Adolescents, Oulu, Finland
[7] Med Res Ctr Oulu, Oulu, Finland
[8] Sanjay Gandhi Postgrad Inst Med Sci, Dept Clin Immunol & Rheumatol, Lucknow, Uttar Pradesh, India
[9] Univ Alabama Birmingham, Dept Pediat, Birmingham, AL 35294 USA
关键词
antibiotics; diet; immunology; juvenile idiopathic arthritis; microbiota; ENTHESITIS-RELATED ARTHRITIS; INFLAMMATORY-BOWEL-DISEASE; EXCLUSIVE ENTERAL NUTRITION; PEDIATRIC CROHNS-DISEASE; FECAL MICROBIOTA; GUT MICROBIOTA; EARLY-LIFE; RHEUMATOID-ARTHRITIS; ANKYLOSING-SPONDYLITIS; ULCERATIVE-COLITIS;
D O I
10.1111/imr.12826
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The role of the microbiota in multiple autoimmune diseases, including juvenile idiopathic arthritis (JIA) has earned substantial attention in the last 10 years. Increasing evidence suggests that the microbiota's link to JIA begins in early childhood, as early life events that influence the nature of the microbiota also appear to influence disease risk. In this review, we discuss these early life events including mode of delivery, infant feeding practice, antibiotics exposure, and other events and their impacts on the microbiota and on disease risk; reported abnormalities of the microbiota in children with JIA; mechanisms by which an altered microbiota at birth and later on in childhood may influence disease risk; and the prospects for therapeutic alteration of the microbiota in children with JIA.
引用
收藏
页码:9 / 26
页数:18
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