Spondyloarthritis & psoriatic arthritis

Evolution of gut microbiota in psoriatic arthritis treated with IL-17 inhibitor revealed by metagenomics

Joint Bone SpinePublished Prospective cohort study

Authors' conclusion

Treatment with IL-17i induces gut microbiota evolution in PsA patients. The key features of this evolution include increased α-diversity, expansion of the Phocaeicola genus, and upregulation of CAZymes.

Study context

Population
PsA patients treated with secukizumab (IL-17i)60 fecal samples
Participants
20 patients
Exposure
Gut microbiota at 1 and 3 months of secukinumab vs before treatment
Outcome
Evolution of gut microbiota in taxonomy and function
Methodological detailslongitudinal, shotgun metagenomic sequencing
  • Longitudinal
  • Shotgun metagenomic sequencing

Main finding

As reported in the abstract

Bacteroidota phylum expanded; Phocaeicola genus abundance increased gradually with treatment time
P<0.05

Observational data: associations, not effects.

Further findings

Disease activity · 1 mo. and 3 mo.

Disease activity decreased significantly

Original publication

Evolution of gut microbiota in psoriatic arthritis treated with IL-17 inhibitor revealed by metagenomics. Joint Bone Spine. Published 25 February 2025. doi:10.1016/j.jbspin.2025.105868

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