Dysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia

The primary cause of chronic autoimmune diseases is elusive both in somatic medicine and psychiatry. Examples of such conditions are rheumatoid arthritis and schizophrenic disorders. Immune disturbances occur in both diseases, but it is difficult to combine them into a meaningful pathogenetic model....

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Autores principales: Maria Maślińska, Beata Trędzbor, Marek Krzystanek
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Lenguaje:EN
Publicado: Termedia Publishing House 2021
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Acceso en línea:https://doaj.org/article/38bddeac4bfc4350b0b987a81ef2dc89
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spelling oai:doaj.org-article:38bddeac4bfc4350b0b987a81ef2dc892021-12-02T17:46:04ZDysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia0034-62332084-983410.5114/reum.2021.107588https://doaj.org/article/38bddeac4bfc4350b0b987a81ef2dc892021-07-01T00:00:00Zhttps://www.termedia.pl/Dysbiosis-gut-blood-barrier-rupture-and-autoimmune-response-in-rheumatoid-arthritis-and-schizophrenia,18,44638,1,1.htmlhttps://doaj.org/toc/0034-6233https://doaj.org/toc/2084-9834The primary cause of chronic autoimmune diseases is elusive both in somatic medicine and psychiatry. Examples of such conditions are rheumatoid arthritis and schizophrenic disorders. Immune disturbances occur in both diseases, but it is difficult to combine them into a meaningful pathogenetic model. The immunological hypothesis of schizophrenia is based on non-specific changes in the cytokine system and exponents of chronic inflammation in some patients. In rheumatoid arthritis the cytokine network is much better known than in schizophrenia, and interleukin-6, tumor necrosis factor or Janus kinases became a target of treatment. Microbiome dysbiosis and disturbances of the blood–gut barrier may be a new hypothesis of the pathogenesis of somatic and psychiatric diseases. The purpose of this narrative review was to show, using the example of two chronic diseases – rheumatoid arthritis and schizophrenic disorders – that disturbances in the blood barrier of the intestine can be a common mechanism of somatic and mental disorders. The paper presents the current state of knowledge on the hypothetical relationship between microbiome dysbiosis and the pathogenesis of schizophrenia and rheumatoid arthritis. In conclusion, in the light of discoveries regarding the microbiome–gut–brain axis the immunological model of rheumatoid arthritis and schizophrenia formation may gain importance and contribute to the creation of new strategies for causal treatment of these still incurable diseases.Maria MaślińskaBeata TrędzborMarek KrzystanekTermedia Publishing Housearticlerheumatoid arthritis schizophrenia microbiome dysbiosis autoimmune modulation gastrointestinal-blood barrier.MedicineRENRheumatology, Vol 59, Iss 3, Pp 180-187 (2021)
institution DOAJ
collection DOAJ
language EN
topic rheumatoid arthritis
schizophrenia
microbiome dysbiosis
autoimmune modulation
gastrointestinal-blood barrier.
Medicine
R
spellingShingle rheumatoid arthritis
schizophrenia
microbiome dysbiosis
autoimmune modulation
gastrointestinal-blood barrier.
Medicine
R
Maria Maślińska
Beata Trędzbor
Marek Krzystanek
Dysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia
description The primary cause of chronic autoimmune diseases is elusive both in somatic medicine and psychiatry. Examples of such conditions are rheumatoid arthritis and schizophrenic disorders. Immune disturbances occur in both diseases, but it is difficult to combine them into a meaningful pathogenetic model. The immunological hypothesis of schizophrenia is based on non-specific changes in the cytokine system and exponents of chronic inflammation in some patients. In rheumatoid arthritis the cytokine network is much better known than in schizophrenia, and interleukin-6, tumor necrosis factor or Janus kinases became a target of treatment. Microbiome dysbiosis and disturbances of the blood–gut barrier may be a new hypothesis of the pathogenesis of somatic and psychiatric diseases. The purpose of this narrative review was to show, using the example of two chronic diseases – rheumatoid arthritis and schizophrenic disorders – that disturbances in the blood barrier of the intestine can be a common mechanism of somatic and mental disorders. The paper presents the current state of knowledge on the hypothetical relationship between microbiome dysbiosis and the pathogenesis of schizophrenia and rheumatoid arthritis. In conclusion, in the light of discoveries regarding the microbiome–gut–brain axis the immunological model of rheumatoid arthritis and schizophrenia formation may gain importance and contribute to the creation of new strategies for causal treatment of these still incurable diseases.
format article
author Maria Maślińska
Beata Trędzbor
Marek Krzystanek
author_facet Maria Maślińska
Beata Trędzbor
Marek Krzystanek
author_sort Maria Maślińska
title Dysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia
title_short Dysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia
title_full Dysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia
title_fullStr Dysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia
title_full_unstemmed Dysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia
title_sort dysbiosis, gut-blood barrier rupture and autoimmune response in rheumatoid arthritis and schizophrenia
publisher Termedia Publishing House
publishDate 2021
url https://doaj.org/article/38bddeac4bfc4350b0b987a81ef2dc89
work_keys_str_mv AT mariamaslinska dysbiosisgutbloodbarrierruptureandautoimmuneresponseinrheumatoidarthritisandschizophrenia
AT beatatredzbor dysbiosisgutbloodbarrierruptureandautoimmuneresponseinrheumatoidarthritisandschizophrenia
AT marekkrzystanek dysbiosisgutbloodbarrierruptureandautoimmuneresponseinrheumatoidarthritisandschizophrenia
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