Spondyloarthritis & psoriatic arthritis

The faecal microbiota is distinct in HLA-B27+ ankylosing spondylitis patients versus HLA-B27+ healthy controls

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

Consistent with some previous studies, our study demonstrates in patients with AS associations with Coprococcus, Bacteroides, and Ruminococcus.

Study context

Population
Patients with HLA-B27+ AS and healthy adults who underwent 16S sequencing and genotyping as part of the TwinsUK Programme
Participants
29 vs 43
Exposure
HLA-B27+ AS patients vs HLA-B27+ healthy controls
  • ASn = 29
  • Healthy controlsn = 43reference
Outcome
Contents of the faecal microbiota

Main finding

As reported in the abstract

Faecal microbiota composition
  • Substantial clustering based upon diagnosis
  • Decreased richness in AS patients; measures of evenness similar
  • Faecalibacterium prausnitzii and Coprococcus elevated in AS vs controls (after correction for multiple comparisons), even when restricted to female subjects
  • Bacteroides fragilis, Ruminococcus and Akkermansia muciniphila depleted in AS
  • After correction for multiple comparisons

Observational data: associations, not effects.

Original publication

The faecal microbiota is distinct in HLA-B27+ ankylosing spondylitis patients versus HLA-B27+ healthy controls. Clin Exp Rheumatol. Published 12 May 2022. doi:10.55563/clinexprheumatol/nlsj0o

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