☆ 4.8 Review

Prevention and treatment of rheumatoid arthritis through traditional Chinese medicine: role of the gut microbiota

FRONTIERS IN IMMUNOLOGY (2023)

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Summary: This study found that Lycium barbarum polysaccharide (LBP) improved rheumatoid arthritis (RA) by inhibiting pro-inflammatory cytokines in rats with gut microbiota, indicating the importance of intestinal bacteria in the alleviation of RA.

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Metabonomics and 16S rRNA gene sequencing to study the therapeutic mechanism of Danggui Sini decoction on collagen-induced rheumatoid arthritis rats with Cold Bi syndrome

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Summary: In this study, the relationship among gut microbiome, fecal metabolites, and rheumatoid arthritis (RA) was systematically evaluated. The abundance of certain genera and the levels of specific metabolites were found to be significantly altered in RA patients compared to healthy controls. The study also demonstrated the interconnectedness of the gut microbiome and metabolites in RA patients, with Escherichia being identified as the core genera. Overall, this research provides important insights into the pathogenesis of RA and potential targeted therapies.

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Characteristics of the Gut Microbiome and Its Relationship With Peripheral CD4+ T Cell Subpopulations and Cytokines in Rheumatoid Arthritis

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Summary: This study found that the diversity of intestinal microbiota was decreased in rheumatoid arthritis (RA) patients compared to healthy controls, and there were changes in the composition of intestinal microbiota. In addition, dysbiosis of certain bacterial lineages and alterations in gut microbiota metabolism were associated with the pathogenesis of RA.

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Angelica sinensis polysaccharide improves rheumatoid arthritis by modifying the expression of intestinal Cldn5, Slit3 and Rgs18 through gut microbiota

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FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY (2022)

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The science behind TCM and Gut microbiota interaction-their combinatorial approach holds promising therapeutic applications

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Summary: The trend of using herbal medicine as an alternative treatment is increasing globally, but there is insufficient pharmacologic information available for orally taken medicines. Traditional Chinese medicine (TCM) researchers are studying the interaction between herbal medicine and gut microbiome to better understand TCM pharmacology and enhance its efficacy and bioavailability.

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Summary: Gut microbiota dysbiosis may exacerbate rheumatoid arthritis (RA) through the gut-joint axis, but the specific regulatory mechanisms are still unclear.

FRONTIERS IN IMMUNOLOGY (2022)

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Ting Zhao et al.

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FRONTIERS IN IMMUNOLOGY (2022)

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Fen Zhang et al.

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Lycium barbarum polysaccharide modulates gut microbiota to alleviate rheumatoid arthritis in a rat model

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Summary: Lycium barbarum polysaccharide (LBP) alleviated rheumatoid arthritis (RA) by reshaping the composition of intestinal microbiota, possibly inducing DNA hypermethylation of RA-related genes through bacterial metabolite S-adenosyl methionine (SAM), leading to reduced expression.

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