Osteoarthritis

Oral microbiome dysbiosis and oral-gut microbial network disruption in hand osteoarthritis: data from the Xiangya Osteoarthritis Study

RMD OpenPublished Cross-sectional study

Main finding · Oral microbiome richness, composition and taxa abundanceResult — go to the resultβ 0.437 95% CI 0.174–0.699

Authors' conclusion

Oral microbiome dysbiosis and disruption of the oral-gut microbiome network are associated with prevalent SHOA.

Study context

Population
Participants of the Xiangya Osteoarthritis (XO) Study, an ongoing community-based observational study
Participants
712 vs 52
Exposure
Symptomatic hand OA vs controls without symptomatic hand osteoarthritis (SHOA)
  • Controlsn = 712reference
  • SHOAn = 52
Outcome
Oral microbiome richness, composition and taxa abundance
Methodological detailscommunity-based observational study, 16S ribosomal RNA gene sequencing of saliva
  • Community-based observational study
  • 16S ribosomal RNA gene sequencing of saliva

Main finding

As reported in the abstract

β

0.437

95% CI 0.174–0.699

P = 0.001

Significantly lower oral microbial richness in SHOA
P = 0.007
Altered oral microbial composition in SHOA
P = 0.007

Observational data: associations, not effects.

Further findings

Oral Trichococcus abundance vs gut KEGG pathway of tyrosine metabolism, r
0.137
Number of significant correlations within the oral-gut microbiome network markedly reduced in SHOA vs controls
  • p=0.001, Q=0.047

Original publication

Oral microbiome dysbiosis and oral-gut microbial network disruption in hand osteoarthritis: data from the Xiangya Osteoarthritis Study. RMD Open. Published 21 July 2026. doi:10.1136/rmdopen-2026-006962

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