Systemic sclerosis & Raynaud's

Gut microbiota in very early systemic sclerosis: the first case-control taxonomic and functional characterisation highlighting an altered butyric acid profile

RMD OpenPublished Case-control study

Authors' conclusion

A GM dysbiosis with depletion of beneficial anti-inflammatory bacteria (especially butyrate-producing) and a significant decrease in faecal butyrate was identified in patients with VEDOSS.

Study context

Population
Patients with very early diagnosis of SSc (VEDOSS) and definite systemic sclerosis (SSc), and healthy controlsstool samples
Participants
18 / 26 / 20
Comparison
VEDOSS and definite SSc vs healthy controls
  • VEDOSSn = 18
  • SScn = 26
  • Healthy controls (HC)n = 20reference
Outcome
Gut microbiota composition, faecal short-chain fatty acids and host-derived free fatty acids
Methodological details16S rRNA sequencing, gas chromatography-mass spectrometry
  • 16S rRNA sequencing
  • Gas chromatography-mass spectrometry

Main finding

As reported in the abstract

Gut microbiota and faecal fatty acids
  • VEDOSS vs HC: increased Bacteroidales and Oscillospirales; decreased Bacilli, Blautia, Romboutsia, Streptococcus and Turicibacter
  • SSc vs HC: increased Acidaminococcaceae and Sutterellaceae; decreased Peptostreptococcaceae, Anaerostipes, Blautia, Romboutsia and Turicibacter
  • SSc and VEDOSS vs HC: significantly lower butyrate and higher acetate
  • VEDOSS vs SSc: increased Oscillospiraceae and Anaerostipes; decreased Alphaproteobacteria and Lactobacillales
  • VEDOSS vs SSc: higher acetate and lower valerate

Observational data: associations, not effects.

Original publication

Gut microbiota in very early systemic sclerosis: the first case-control taxonomic and functional characterisation highlighting an altered butyric acid profile. RMD Open. Published 18 November 2024. doi:10.1136/rmdopen-2024-004647

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