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Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era

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Resumo:Rheumatoid arthritis (RA) is a chronic immune-mediated inflammatory disease that ultimately leads to joint destruction and functional disability. Although the exact etiology of RA is not fully understood, it is well established that gut microbiota (GM) plays a vital role in the pathogenesis of RA, with accumulating evidence suggesting that gut dysbiosis induces a chronic inflammatory response that may be linked to disease development. Of interest, patients with RA have significant changes in the intestinal microbiota compared to healthy controls, and several studies have suggested the use of probiotics as a possible adjuvant therapy for RA. Benefits of probiotic supplementation were reported in animal models of arthritis and human studies, but the current evidence regarding the effect of probiotic supplementation in the management of RA remains insufficient to make definite recommendations. Several different strains of Lactobacillus and Bifidobacteria, as single species or in mixed culture, have been investigated, and some have demonstrated beneficial effects on disease activity in RA human subjects. As of now, L.casei probiotic bacteria seems to be the strongest candidate for application as adjuvant therapy for RA patients. In this review, we highlight the role of GM in the development and progression of RA and summarize the current knowledge on the use of probiotics as a potential adjuvant therapy for RA. We also review the proposed mechanisms whereby probiotics regulate inflammation. Finally, the role of fermented foods is discussed as a possible alternative to probiotic supplements since they have also been reported to have health benefits.
Autores principais:Ferro, Margarida
Outros Autores:Charneca, Sofia; Dourado, Eduardo; Guerreiro, Catarina Sousa; Fonseca, João Eurico
Assunto:Autoimmunity Dysbiosis Fermented foods Inflammation Rheumatology
Ano:2021
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
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author Ferro, Margarida
author2 Charneca, Sofia
Dourado, Eduardo
Guerreiro, Catarina Sousa
Fonseca, João Eurico
author2_role author
author
author
author
author_facet Ferro, Margarida
Charneca, Sofia
Dourado, Eduardo
Guerreiro, Catarina Sousa
Fonseca, João Eurico
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Ferro, Margarida\",\"Person.identifier.orcid\":\"0000-0002-7549-2391\"},{\"Person.name\":\"Charneca, Sofia\"},{\"Person.name\":\"Dourado, Eduardo\",\"Person.identifier.orcid\":\"0000-0003-2186-2833\"},{\"Person.name\":\"Guerreiro, Catarina Sousa\",\"Person.identifier.orcid\":\"0000-0002-8730-6517\"},{\"Person.name\":\"Fonseca, João Eurico\",\"Person.identifier.orcid\":\"0000-0003-1432-3671\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Ferro, Margarida
Charneca, Sofia
Dourado, Eduardo
Guerreiro, Catarina Sousa
Fonseca, João Eurico
datacite.date.Accepted.fl_str_mv 2021-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2021-10-28T14:32:59Z
datacite.date.embargoed.fl_str_mv 2021-10-28T14:32:59Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Autoimmunity
Dysbiosis
Fermented foods
Inflammation
Rheumatology
datacite.titles.title.fl_str_mv Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Ferro, Margarida
Charneca, Sofia
Dourado, Eduardo
Guerreiro, Catarina Sousa
Fonseca, João Eurico
dc.date.Accepted.fl_str_mv 2021-01-01T00:00:00Z
dc.date.available.fl_str_mv 2021-10-28T14:32:59Z
dc.date.embargoed.fl_str_mv 2021-10-28T14:32:59Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/50049
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Frontiers
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Autoimmunity
Dysbiosis
Fermented foods
Inflammation
Rheumatology
dc.title.fl_str_mv Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Rheumatoid arthritis (RA) is a chronic immune-mediated inflammatory disease that ultimately leads to joint destruction and functional disability. Although the exact etiology of RA is not fully understood, it is well established that gut microbiota (GM) plays a vital role in the pathogenesis of RA, with accumulating evidence suggesting that gut dysbiosis induces a chronic inflammatory response that may be linked to disease development. Of interest, patients with RA have significant changes in the intestinal microbiota compared to healthy controls, and several studies have suggested the use of probiotics as a possible adjuvant therapy for RA. Benefits of probiotic supplementation were reported in animal models of arthritis and human studies, but the current evidence regarding the effect of probiotic supplementation in the management of RA remains insufficient to make definite recommendations. Several different strains of Lactobacillus and Bifidobacteria, as single species or in mixed culture, have been investigated, and some have demonstrated beneficial effects on disease activity in RA human subjects. As of now, L.casei probiotic bacteria seems to be the strongest candidate for application as adjuvant therapy for RA patients. In this review, we highlight the role of GM in the development and progression of RA and summarize the current knowledge on the use of probiotics as a potential adjuvant therapy for RA. We also review the proposed mechanisms whereby probiotics regulate inflammation. Finally, the role of fermented foods is discussed as a possible alternative to probiotic supplements since they have also been reported to have health benefits.
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eu_rights_str_mv openAccess
format article
fulltext.url.fl_str_mv https://repositorio.ulisboa.pt/bitstreams/1efa827c-c88a-46ad-936c-a781242fefc8/download
id ul_4b287c235f0fe3bc751cfc7c56596cba
identifier.url.fl_str_mv http://hdl.handle.net/10451/50049
instacron_str ul
institution Universidade de Lisboa
instname_str Universidade de Lisboa
language eng
network_acronym_str ul
network_name_str Repositório da Universidade de Lisboa
oai_identifier_str oai:repositorio.ulisboa.pt:10451/50049
organization_str_mv urn:organizationAcronym:ul
person_str_mv Ferro, Margarida
Ferro, Margarida
https://www.ciencia-id.pt/B111-4ED5-F8E6
B111-4ED5-F8E6
http://orcid.org/0000-0002-7549-2391
0000-0002-7549-2391
Charneca, Sofia
Dourado, Eduardo
Dourado, Eduardo
https://www.ciencia-id.pt/531B-BA03-FCA0
531B-BA03-FCA0
http://orcid.org/0000-0003-2186-2833
0000-0003-2186-2833
Guerreiro, Catarina Sousa
Guerreiro, Catarina Sousa
https://www.ciencia-id.pt/311F-89E5-532C
311F-89E5-532C
http://orcid.org/0000-0002-8730-6517
0000-0002-8730-6517
Fonseca, João Eurico
Fonseca, João Eurico
https://www.ciencia-id.pt/F310-B85D-57C7
F310-B85D-57C7
http://orcid.org/0000-0003-1432-3671
0000-0003-1432-3671
publishDate 2021
publisher.none.fl_str_mv Frontiers
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
service_str_mv urn:repositoryAcronym:ul
spelling engFrontierspt_PTRheumatoid arthritis (RA) is a chronic immune-mediated inflammatory disease that ultimately leads to joint destruction and functional disability. Although the exact etiology of RA is not fully understood, it is well established that gut microbiota (GM) plays a vital role in the pathogenesis of RA, with accumulating evidence suggesting that gut dysbiosis induces a chronic inflammatory response that may be linked to disease development. Of interest, patients with RA have significant changes in the intestinal microbiota compared to healthy controls, and several studies have suggested the use of probiotics as a possible adjuvant therapy for RA. Benefits of probiotic supplementation were reported in animal models of arthritis and human studies, but the current evidence regarding the effect of probiotic supplementation in the management of RA remains insufficient to make definite recommendations. Several different strains of Lactobacillus and Bifidobacteria, as single species or in mixed culture, have been investigated, and some have demonstrated beneficial effects on disease activity in RA human subjects. As of now, L.casei probiotic bacteria seems to be the strongest candidate for application as adjuvant therapy for RA patients. In this review, we highlight the role of GM in the development and progression of RA and summarize the current knowledge on the use of probiotics as a potential adjuvant therapy for RA. We also review the proposed mechanisms whereby probiotics regulate inflammation. Finally, the role of fermented foods is discussed as a possible alternative to probiotic supplements since they have also been reported to have health benefits.application/pdfpt_PTProbiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome eraPersonalFerro, MargaridaDSpacehttp://dspace.org/items/08686949-1e8c-482a-8078-ce208285cb1aDSpacehttp://dspace.org/items/08686949-1e8c-482a-8078-ce208285cb1aFerroMargaridaCiência IDhttps://www.ciencia-id.ptB111-4ED5-F8E6ORCIDhttp://orcid.org0000-0002-7549-2391Charneca, SofiaPersonalDourado, EduardoDSpacehttp://dspace.org/items/6ea62930-47c0-4ac2-a51c-7122f1f570a5DSpacehttp://dspace.org/items/6ea62930-47c0-4ac2-a51c-7122f1f570a5DOURADO DOMINGUESEDUARDO JORGECiência IDhttps://www.ciencia-id.pt531B-BA03-FCA0ORCIDhttp://orcid.org0000-0003-2186-2833PersonalGuerreiro, Catarina SousaDSpacehttp://dspace.org/items/cd573b0e-731c-474b-b158-6d9cf011289bDSpacehttp://dspace.org/items/cd573b0e-731c-474b-b158-6d9cf011289bsousa guerreirocatarinaCiência IDhttps://www.ciencia-id.pt311F-89E5-532CORCIDhttp://orcid.org0000-0002-8730-6517PersonalFonseca, João EuricoDSpacehttp://dspace.org/items/1772dc12-7c55-4c76-ae2d-c23270172480DSpacehttp://dspace.org/items/1772dc12-7c55-4c76-ae2d-c23270172480FonsecaJoãoCiência IDhttps://www.ciencia-id.ptF310-B85D-57C7ORCIDhttp://orcid.org0000-0003-1432-3671Scopus Author IDhttps://www.scopus.com7101983519Scopus Author IDhttps://www.scopus.com55881559500HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptDOIIsPartOf10.3389/fphar.2021.7117882021-10-28T14:32:59Z20212021-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/50049http://purl.org/coar/access_right/c_abf2open accessAutoimmunityDysbiosisFermented foodsInflammationRheumatology1491559 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2021http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/1efa827c-c88a-46ad-936c-a781242fefc8/downloadFrontiers in Pharmacology12
spellingShingle Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
Ferro, Margarida
Autoimmunity
Dysbiosis
Fermented foods
Inflammation
Rheumatology
status SINGLETON
subject.fl_str_mv Autoimmunity
Dysbiosis
Fermented foods
Inflammation
Rheumatology
title Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
title_full Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
title_fullStr Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
title_full_unstemmed Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
title_short Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
title_sort Probiotic supplementation for Rheumatoid Arthritis: a promising adjuvant therapy in the gut microbiome era
topic Autoimmunity
Dysbiosis
Fermented foods
Inflammation
Rheumatology
topic_facet Autoimmunity
Dysbiosis
Fermented foods
Inflammation
Rheumatology
url http://hdl.handle.net/10451/50049
visible 1