Crohn’s Disease, Ulcerative Colitis, and Rheumatoid Arthritis: The Relationship Between Gut Microbiota and the Development of Autoimmune Diseases

Main Article Content

Juan Carlos González-Vásquez
Nicole Granados-Rojas
Jimena Juarez-Gonzalez
Juan Pablo Rodríguez-Quesada

Abstract

The gut microbiota is fundamental for immune and homeostatic regulation of various systems. Its imbalance has been associated with autoimmune diseases, which underscores the need to thoroughly investigate its impact on the etiology and systemic complications of these conditions. This study describes how intestinal dysbiosis is a crucial factor in the development or evolution of inflammatory diseases such as Crohn’s disease, ulcerative colitis, and rheumatoid arthritis, mainly through its ability to modulate immune responses, and highlights promising therapeutic strategies. The modulation of gut microbiota offers not only therapeutic potential but also preventive approaches to minimize the occurrence of autoimmune diseases.

Article Details

How to Cite
González-Vásquez, J. C., Granados-Rojas, N., Juarez-Gonzalez, J., & Rodríguez-Quesada, J. P. (2025). Crohn’s Disease, Ulcerative Colitis, and Rheumatoid Arthritis: The Relationship Between Gut Microbiota and the Development of Autoimmune Diseases. Tecnología En Marcha Journal, 38(3), Pág. 106–119. https://doi.org/10.18845/tm.v38i3.7584
Section
Artículo científico

References

M. T. Henke and J. Clardy, “Molecular messages in human microbiota,” Science, vol. 366, no. 6471, pp. 1309–1310, 2019, doi: 10.1126/science.aaz4164.

J. Wilde, E. Slack, and K. R. Foster, “Host control of the microbiome: Mechanisms, evolution, and disease,” Science, vol. 385, no. 6706, p. eadi3338, 2024, doi: 10.1126/science.adi3338.

M. Fuente, “La microbiota. Su función en la fisiología humana,” in Fisiología humana, 5th ed., J. A. Fernández-Tresguerres, V. Cachofeiro, D. P. Cardinali, E. Delpón, E. Díaz-Rubio, E. Escriche, V. Juliá, F. Teruel, and M. Pardo, Eds. McGraw-Hill Education, 2020. [Online]. Available:https://accessmedicina.proxyucr.elogim.com/content.aspxbookid=2987&sectionid=265255676.

K. N. Thompson, K. S. Bonham, N. E. Ilott, G. J. Britton, P. Colmenero, S. J. Bullers, L. J. McIver, S. Ma, L. H. Nguyen, A. Filer, I. Brough, C. Pearson, C. Moussa, V. Kumar, L. H. Lam, M. A. Jackson, A. Pawluk, S. Kiriakidis, P. C. Taylor, and C. Huttenhower, “Alterations in the gut microbiome implicate key taxa and metabolic pathways across inflammatory arthritis phenotypes,” 2023. [Online]. Available: https://discovery.ucl.ac.uk/id/eprint/10175013

J. A. Maisel, “Trastornos que se presentan inicialmente con diarreas,” in Manual de Urgencias Médicas de Tintinalli, 8th ed., R. K. Cydulka, M. T. Fitch, S. A. Joing, V. J. Wang, D. M. Cline, and O. Ma, Eds. McGraw-Hill Education, 2018. [Online]. Available: https://accessmedicina.proxyucr.elogim.com/content.aspx?bookid=2441&sectionid=199581857.

A. Kaser and R. S. Blumberg, “The road to Crohn’s disease,” Science, vol. 357, no. 6355, pp. 976–977, 2017, doi: 10.1126/science.aao4158.

K. G. Greene and D. G. Trembath, “Pathology of the gastrointestinal tract,” in Pathology: A Modern Case Study, 2nd ed., H. M. Reisner, Ed. McGraw-Hill Education, 2020. [Online]. Available: https://accessmedicine.proxyucr.elogim.com/content.aspx?bookid=2748&sectionid=230841869.

R. Luo, J. Liu, Q. Cheng, M. Shionoya, C. Gao, and R. Wang, “Oral microsphere formulation of M2 macrophage-mimetic Janus nanomotor for targeted therapy of ulcerative colitis,” Science Advances, vol. 10, no. 26, p. eado6798, 2024, doi: 10.1126/sciadv.ado6798.

A. T. Mayer, D. R. Holman, A. Sood, U. Tandon, S. S. Bhate, S. Bodapati, G. L. Barlow, J. Chang, S. Black, E. C. Crenshaw, A. N. Koron, S. E. Streett, S. S. Gambhir, W. J. Sandborn, B. S. Boland, T. Hastie, R. Tibshirani, J. T. Chang, G. P. Nolan, and S. Rogalla, “A tissue atlas of ulcerative colitis revealing evidence of sex-dependent differences in disease-driving inflammatory cell types and resistance to TNF inhibitor therapy,” Science Advances, vol. 9, no. 3, p. eadd1166, 2023, doi: 10.1126/sciadv.add1166.

J. He, Y. Chu, J. Li, Q. Meng, Y. Liu, J. Jin, Y. Wang, J. Wang, B. Huang, L. Shi, X. Shi, J. Tian, Y. Zhufeng, R. Feng, W. Xiao, Y. Gan, J. Guo, C. Shao, Y. Su, and Z. Li, “Intestinal butyrate-metabolizing species contribute to autoantibody production and bone erosion in rheumatoid arthritis,” Science Advances, vol. 8, no. 6, p. eabm1511, 2022, doi: 10.1126/sciadv.abm1511.

J. Jameson, A. S. Fauci, D. L. Kasper, S. L. Hauser, D. L. Longo, and J. Loscalzo, Eds., “Artritis reumatoide (RA, rheumatoid arthritis),” in Harrison. Manual de Medicina, 20th ed. McGraw-Hill Education, 2020. [Online]. Available: https://accessmedicina.proxyucr.elogim.com/content.aspx?bookid=2943&sectionid=252750892.

J. R. Marchesi, D. H. Adams, F. Fava, G. D. A. Hermes, G. M. Hirschfield, G. Hold, M. N. Quraishi, J. Kinross, H. Smidt, K. M. Tuohy, L. V. Thomas, E. G. Zoetendal, and A. Hart, “The gut microbiota and host health: A new clinical frontier,” Gut, vol. 65, no. 2, pp. 330–339, 2016, doi: 10.1136/gutjnl-2015-309990.

R. E. Ley, D. A. Peterson, and J. I. Gordon, “Ecological and evolutionary forces shaping microbial diversity in the human intestine,” Cell, vol. 124, no. 4, pp. 837–848, 2006, doi: 10.1016/j.cell.2006.02.017.

J. Álvarez, J. M. Fernández Real, F. Guarnere, M. Gueimonde, J. M. Rodríguez, M. Saenz de Pipaon, and Y. Sanz, “Microbiota intestinal y salud,” Gastroenterología y Hepatología, vol. 44, no. 7, pp. 519–535, 2021, doi: 10.1016/j.gastrohep.2021.01.009.

A. Koh, F. De Vadder, P. Kovatcheva-Datchary, and F. Bäckhed, “From dietary fiber to host physiology: Short-chain fatty acids as key bacterial metabolites,” Cell, vol. 165, no. 6, pp. 1332–1345, 2016, doi: 10.1016/j.cell.2016.05.041.

P. Louis and H. J. Flint, “Formation of propionate and butyrate by the human colonic microbiota,” Environmental Microbiology, vol. 19, no. 1, pp. 29-41, 2017, doi: 10.1111/1462-2920.13589.

I. Rowland, G. Gibson, A. Heinken, K. Scott, J. Swann, I. Thiele, and K. Tuohy, “Gut microbiota functions: Metabolism of nutrients and other food components,” European Journal of Nutrition, vol. 57, no. 1, pp. 1-24, 2018, doi: 10.1007/s00394-017-1445-8.

W. H. Tang and S. L. Hazen, “The contributory role of gut microbiota in cardiovascular disease,” Journal of Clinical Investigation, vol. 124, no. 10, pp. 4204-4211, 2014, doi: 10.1172/JCI72331.

S. A. Smits, J. Leach, E. D. Sonnenburg, C. G. González, J. S. Lichtman, G. Reid, and J. L. Sonnenburg, “Seasonal cycling in the gut microbiome of the Hadza hunter-gatherers of Tanzania,” Science, vol. 357, no. 6353, pp. 802-806, 2017, doi: 10.1126/science.aan4834.

N. Arpaia, C. Campbell, X. Fan, S. Dikiy, J. Van der Veeken, P. de Ross, H. Liu, J. Cross, K. Pfeffer, P. Coffer, and A. Rudensky, “Metabolites produced by commensal bacteria promote peripheral T cell tolerance,” Nature, vol. 504, no. 7480, pp. 446-450, 2013, doi: 10.1038/nature12726.

J. L. Round and S. K. Mazmanian, “The gut microbiota shapes intestinal immune responses during health and disease,” Nature Reviews Immunology, vol. 9, no. 5, pp. 313-323, 2009, doi: 10.1038/nri2515.

Y. Sanz, M. Olivares, A. Moya-Pérez, and C. Agostoni, “Understanding the role of gut microbiome in metabolic disease risk,” Pediatric Research, vol. 83, no. 1, pp. 300–310, 2018, doi: 10.1038/pr.2017.252.

N. Cerf-Bensussan and V. Gaboriau-Routhiau, “The immune system and the gut microbiota: Friends or foes?” Nature Reviews Immunology, vol. 10, no. 10, pp. 735–744, 2010, doi: 10.1038/nri2850.

L. V. Hooper, D. R. Littman, and A. J. Macpherson, “Interactions between the microbiota and the immune system,” Science, vol. 336, no. 6086, pp. 1268–1273, 2012, doi: 10.1126/science.1223490.

M. Schirmer, S. P. Smeekens, H. Vlamakis, M. Jaeger, M. Oosting, E. A. Franzosa, and R. J. Xavier, “Linking the human gut microbiome to inflammatory cytokine production capacity,” Cell, vol. 167, no. 4, pp. 1125-1136, 2016, doi: 10.1016/j.cell.2016.10.020.

A. D. Kostic, M. R. Howitt, and W. S. Garrett, “Exploring host-microbiota interactions in animal models and humans,” Genes & Development, vol. 27, no. 7, pp. 701-718, 2013, doi: 10.1101/gad.212522.112.

C. M. Theriot, M. J. Koenigsknecht, P. E. Carlson, G. E. Hatton, A. M. Nelson, B. Li, et al., “Antibiotic-induced shifts in the mouse gut microbiome and metabolome increase susceptibility to Clostridium difficile infection,” Nature Communications, vol. 5, p. 3114, 2014, doi: 10.1038/ncomms4114.

A. C. Shaw, D. R. Goldstein, and R. R. Montgomery, “Aging and the immune system: The impact of age on immune responses,” Nature Reviews Immunology, vol. 18, no. 10, pp. 649-661, 2018. doi: 10.1038/s41577-018-0041-y.

S. L. Klein, K. L. Flanagan, and K. Davis, “Sex differences in immune responses,” Nature Reviews Immunology, vol. 18, no. 9, pp. 537-549, 2018. doi: 10.1038/s41577-018-0021-1.

M. G. Dominguez-Bello, E. K. Costello, M. Contreras, M. Magris, G. Hidalgo, N. Fierer, and R. Knight, “Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns,” Proceedings of the National Academy of Sciences, vol. 107, no. 26, pp. 11971-11975, 2011. doi: 10.1073/pnas.1002601107.

J. M. Cohen, B. Boursi, and R. Mamtani, “The role of the microbiota in modulating the immune response,” Nature Reviews Immunology, vol. 18, no. 9, pp. 549-560, 2018. doi: 10.1038/s41577-018-0032-y.

J. C. Clemente, L. K. Ursell, L. W. Parfrey, and R. Knight, “The impact of the gut microbiota on human health: An integrative view,” Cell, vol. 148, no. 6, pp. 1258-1270, 2012. doi: 10.1016/j.cell.2012.01.035.

A. M. Mowat, “100 years of immunology: the gut and its microbiota,” Nature Reviews Immunology, vol. 18, no. 2, p. 102, 2018. doi: 10.1038/nri.2017.108.

T. Kawai and S. Akira, “The role of pattern-recognition receptors in innate immunity: update on Toll-like receptors,” Nature Immunology, vol. 11, no. 5, pp. 373-384, 2010. doi: 10.1038/ni0509-373.

J. H. Fritz, R. L. Ferrero, D. J. Philpott, and S. E. Girardin, “Nod-like receptors in the immune system,” Nature Reviews Immunology, vol. 11, no. 10, pp. 689-702, 2011. doi: 10.1038/nri3061.

Mora, J. R., Iwata, M., Eksteen, B., Song, S.-Y., Junt, T., Senman, B., Otipoby, K. L., Yokota, A., Takeuchi, H., Ricciardi-Castagnoli, P., Rajewsky, K., Adams, D. H., and von Andrian, U. H., “Generation of gut-homing IgA-secreting B cells by intestinal dendritic cells,” Nature, vol. 455, no. 7211, pp. 528-532, 2008. doi: 10.1038/nature07255.

A. Chiba, Y. Marusawa, M. Yamada, S. Seno, Y. Watanabe, K. Kobayashi, “Role of Th17 cells and IL-17 in the pathogenesis of inflammatory bowel disease,” Frontiers in Immunology, vol. 13, Art. no. 1055914, 2022. doi: 10.3389/fimmu.2022.1055914

M. F. Tumani, C. Pavez, and A. Parada, “Microbiota, hábitos alimentarios y dieta en enfermedad inflamatoria intestinal,” Revista chilena de nutrición, vol. 47, no. 5, pp. 822-829, 2020. doi: 10.4067/s0717-75182020000500822.

M. E. Icaza-Chávez, “Microbiota intestinal en la salud y la enfermedad,” Revista de Gastroenterología de México, vol. 78, no. 4, pp. 240-248, 2013. doi: 10.1016/j.rgmx.2013.04.004.

G. Pizarro, R. Quera, and C. Figueroa, “Factores pronósticos en colitis ulcerosa de reciente diagnóstico,” Revista médica de Chile, vol. 145, no. 10, pp. 1319-1329, 2017. doi: 10.4067/S0034-98872017001001319.

B. E. Sands, “Inflammation in ulcerative colitis,” Gastroenterology Clinics of North America, vol. 49, no. 4, pp. 647–664, 2020. doi: 10.1016/j.gtc.2020.09.002.

G. Rogler, “Chronic intestinal inflammation: cytokines, reactive oxygen species, and the effects of antioxidant therapy,” Digestive Diseases, vol. 29, no. 4, pp. 379–384, 2011. doi: 10.1159/000331517.

C. Abraham and J. H. Cho, “Inflammatory bowel disease,” New England Journal of Medicine, vol. 361, no. 21, pp. 2066–2078, 2009. doi: 10.1056/NEJMra0804647.

W. W. Piette, “Rheumatoid arthritis, juvenile idiopathic arthritis, adult-onset still disease, and rheumatic fever,” in Fitzpatrick’s Dermatology, S. Kang, M. Amagai, A. L. Bruckner, A. H. Enk, D. J. Margolis, A. J. McMichael, and J. S. Orringer, Eds., 9th ed., McGraw-Hill Education, 2019. [Online]. Available:https://accessmedicine.proxyucr.elogim.com/content.aspxbookid=2570&sectionid=210426944.

S. Crittenden, M. Goepp, J. Pollock, C. T. Robb, D. J. Smyth, Y. Zhou, R. Andrews, V. Tyrrell, K. Gkikas, and A. Adima, “Prostaglandin E2 promotes intestinal inflammation via inhibiting microbiota-dependent regulatory T cells,” Science Advances, vol. 7, no. 7, eabd7954, 2021.

A. Alunno, F. Carubbi, R. Giacomelli, and R. Gerli, “Cytokines in the pathogenesis of rheumatoid arthritis: new players and therapeutic targets,” BMC Rheumatology, vol. 1, no. 1, p. 3, 2017. doi: 10.1186/s41927-017-0001-8.

M. Chang, Y. Tsai, E. J. Liou, C. Tang, T. Wang, H. Liu, M. Liao, S. Yeung, C. Chan, and J. Jeng, “Effect of Butyrate on Collagen Expression, Cell Viability, Cell Cycle Progression and Related Proteins Expression of MG-63 Osteoblastic Cells,” PLOS One, vol. 11, no. 11, e0165438, 2016. doi: 10.1371/journal.pone.0165438.

C. Ariola, A. Severino, S. Porcari, W. Fusco, B. H. Mullish, A. Gasbarrini, G. Cammarota, F. R. Ponziani, and G. Ianiro, “Modulación futura de la microbiota intestinal: de los eubióticos al FMT, las bacterias diseñadas y la terapia con fagos,” Antibióticos, vol. 12, no. 5, p. 868, 2023.

Y. Haneishi, Y. Furuya, M. Hasegawa, A. Picarelli, M. Rossi, and J. Miyamoto, “Enfermedades inflamatorias del intestino y microbiota intestinal,” Revista Internacional de Ciencias Moleculares, vol. 24, no. 4, pp. 4–5, 2023.

E. Zikou, C. Koliaki, and K. Makrilakis, “El papel del trasplante de microbiota fecal (FMT) en el tratamiento de enfermedades metabólicas en humanos: una revisión narrativa,” Biomedicines, vol. 12, no. 8, p. 1871, 2024.

D. Zheng, T. Liwinski, and E. Elinav, “Interaction between microbiota and immunity in health and disease,” Cell Research, vol. 30, no. 6, pp. 492–506, 2020.

K. R. Pandey, S. R. Naik, and B. V. Vakil, “Probióticos, prebióticos y simbióticos: una revisión,” Journal of Food Science and Technology, vol. 52, no. 12, pp. 7577–7587, 2015.

L. Zeng, Y. Deng, K. Yang, J. Chen, Q. He, and H. Chen, “Safety and efficacy of fecal microbiota transplantation for autoimmune diseases and autoinflammatory diseases: A systematic review and meta-analysis,” Frontiers in Immunology, vol. 13, p. 944387, 2022. doi: 10.3389/fimmu.2022.944387.

B. Hsu, T. E. Gibson, V. Yeliseyev, Q. Liu, L. Bry, P. A. Silver, and G. K. Gerber, “Precision microbiota engineering to restore barrier function in an inflamed gut,” Science, vol. 365, no. 6457, 2019.

A. Paule, D. Frezza, and M. Edeas, “Microbiota y terapia con fagos: Desafíos futuros en medicina,” Medical Sciences, vol. 6, no. 4, p. 86, 2018.

S. Federici, S. Kredo, F. Valdés, D. Kviatcovsky, E. Weinstock, Y. Matiuhin, Y. Silberberg, K. Atarashi, M. Furuchi, A. Oka, B. Liu, M. Fibelman, I. Nadav, E. Khabra, N. Cullin, N. Ben, D. Ibar, H. Ben, J. Niceborm, N. Kowalsman, & E. Elinav, “Targeted suppression of human IBD-associated gut microbiota commensals by phage consortia for treatment of intestinal inflammation,” Cell, vol. 185, no. 16, pp. 2879–2898, 2022.

Y. Zhang and Y. Peng, “Autoimmune diseases and gut microbiota: a bibliometric and visual analysis from 2004 to 2022,” Clinical and Experimental Medicine, vol. 23, no. 6, 2023. doi: 10.1007/s10238-023-01028-x. [Online]. Available: https://link.springer.com/article/10.1007/s10238-023-01028-x.

L. Haddad, J. Mendoza, and C. Jobin, “Bacteriophage-mediated manipulations of microbiota in gastrointestinal diseases,” Frontiers in Microbiology, vol. 13, Nov. 2022. doi: 10.3389/fmicb.2022.1055427.

J. Fujiki and B. Schnabl, “Phage therapy: Targeting intestinal bacterial microbiota for the treatment of liver diseases,” JHEP Reports, vol. 5, no. 12, pp. 100909, Sep. 2023. doi: 10.1016/j.jhepr.2023.100909.