Vasculitis & polymyalgia rheumatica

Alterations of Gut Microbiome, Metabolome, and Lipidome in Takayasu Arteritis

Arthritis RheumatolPublished Case-control study

Authors' conclusion

This study first identifies the discriminatory gut microbes in TAK. Dysbiotic microbes are also linked to TAK phenotypes directly or indirectly via metabolic and lipid modules.

Study context

Population
TAK patients, healthy controls and controls with Behçet's disease (BD); fecal metagenome, plasma and fecal metabolomics/lipidomicsdiscovery n = 97
Comparison
TAK patients vs healthy controls and BD controls
Outcome
Discrimination of TAK from controls by a combined model of gut bacterial species
Methodological detailsshotgun metagenomic sequencing, untargeted metabolomics and lipidomics, discovery and independent validation cohorts, external validation
  • Shotgun metagenomic sequencing
  • Untargeted metabolomics and lipidomics
  • Discovery and independent validation cohorts
  • External validation

Main finding

As reported in the abstract

Discrimination of TAK patients from controls by a combined model of gut bacterial species (shotgun fecal metagenome)

AUC, training set

87.8%

AUC, test set

85.9%

AUC, validation set including healthy controls

81.1%

AUC, validation set including BD controls

71.1%

Observational data: associations, not effects.

Further findings

Correlation of diagnostic species with TAK phenotypes

Diagnostic species directly or indirectly (via metabolites or lipids) correlated with vascular involvement, inflammation, discharge medication and prognosis

External validation vs public metagenomic studies (hypertension, AF, healthy controls; n = 184)

Diagnostic accuracy of the model for TAK confirmed

Original publication

Alterations of Gut Microbiome, Metabolome, and Lipidome in Takayasu Arteritis. Arthritis Rheumatol. Published 14 December 2022. doi:10.1002/art.42331

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.