Rheumatoid arthritis

A predictive model based on the gut microbiota improves the diagnostic effect in patients with rheumatoid arthritis

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

Notable differences in gut microbiota exist between RA patients and healthy individuals.

Study context

Population
Rheumatoid arthritis (RA) patients and healthy controls; validation in European Nucleotide Archive (ENA) dataset PRJNA450,340
Participants
262 vs 475
Comparison
RA vs healthy controls; microbiome-based diagnostic models
  • RAn = 262
  • Healthy controls (HCs)n = 475reference
Outcome
Diagnostic performance (AUC) of gut microbiota-based models for RA
Methodological detailscase-control, 16S rRNA sequencing, external validation dataset (PRJNA450340)
  • Case-control
  • 16S rRNA sequencing
  • External validation dataset (PRJNA450340)

Performance

As reported in the abstract

AUC of GLM model based on seven key genera

Generalized Linear Model (GLM) AUC, training set

71.03%

GLM AUC, validation set

74.71%

Further findings

Gut microbial diversity

Significantly reduced α-diversity in RA vs HCs
Notable distinctions in β-diversity between RA and HCs

Original publication

A predictive model based on the gut microbiota improves the diagnostic effect in patients with rheumatoid arthritis. Rheumatology (Oxford). Published 28 January 2025. doi:10.1093/rheumatology/keae706

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