Osteoarthritis

Altered gut microbiota and host pathways in obesity-related knee osteoarthritis

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

OB+OA+ patients exhibited significant gut microbial dysbiosis associated with systemic metabolic and proteomic alterations relevant to OA pathophysiology.

Study context

Population
Knee osteoarthritis (OA) patients and OA-free controls, classified by obesity and OA status91 knee OA, 12 controls
Participants
66 / 25 / 5 / 7
Exposure
Obesity (OB)+OA+ vs OB-OA+
  • OB+OA+n = 66
  • OB-OA+n = 25reference
  • OB+OA-n = 5
  • OB-OA-n = 7
Outcome
Gut microbiota alterations in OB+OA+
Methodological detailsmulti-omics integration (16S rRNA microbiome, plasma metabolomics, proteomics, dietary data), MaAsLin2 modelling, Plasma metabolomics (n=630 metabolites) and proteomics (n=5,416 proteins) integrated with microbial signatures
  • Multi-omics integration (16S rRNA microbiome, plasma metabolomics, proteomics, dietary data)
  • MaAsLin2 modelling
  • Plasma metabolomics (n=630 metabolites) and proteomics (n=5,416 proteins) integrated with microbial signatures

Main finding

As reported in the abstract

Microbial taxa significantly associated with OB+OA+ (all p<7.65×10-5 after correcting tests for 654 ASVs)

17

Taxa remaining significant after adjustment for age, sex, antibiotic use and dietary intake

16

Metabolites correlated with these taxa (p<0.05); enrichment in fatty acid biosynthesis, linoleic/arachidonic acid metabolism, propanoate metabolism

376

Proteins associated with these taxa (p<0.001); enrichment in PI3K-Akt signalling, ECM-receptor interaction, lipid/atherosclerosis

146

Observational data: associations, not effects.

Original publication

Altered gut microbiota and host pathways in obesity-related knee osteoarthritis. Clin Exp Rheumatol. Published 24 October 2025. doi:10.55563/clinexprheumatol/ksopba

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