Immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory T cells in rheumatoid arthritis

Rheumatoid arthritis (RA) is an autoimmune disease, in which the abnormal activation and proliferation of effector T cells play a pivotal role in its pathogenesis. Regulatory T cells (Tregs) are a unique subset of immune cells with immunosuppressive functions, which help to inhibit the differentiati...

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Main Authors: Xuan Xu, Jingying Zhou, Haihua Xie, Ruhan Zhang, Bowen Gu, Li Liu, Mi Liu, Xiaorong Chang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1610254/full
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author Xuan Xu
Jingying Zhou
Haihua Xie
Ruhan Zhang
Bowen Gu
Li Liu
Mi Liu
Xiaorong Chang
author_facet Xuan Xu
Jingying Zhou
Haihua Xie
Ruhan Zhang
Bowen Gu
Li Liu
Mi Liu
Xiaorong Chang
author_sort Xuan Xu
collection DOAJ
description Rheumatoid arthritis (RA) is an autoimmune disease, in which the abnormal activation and proliferation of effector T cells play a pivotal role in its pathogenesis. Regulatory T cells (Tregs) are a unique subset of immune cells with immunosuppressive functions, which help to inhibit the differentiation and proliferation of effector T cells in RA and maintain immune tolerance. The interaction between gut microbiota and immune cells has long been a research hotspot in autoimmune diseases. Although gut microbiota metabolites are considered to regulate the host’s immune system as a bridge of the gut-joint axis, how gut microbiota acts on immunosuppressive Tregs remains unclear. This review summarizes that how the gut microbiota directly or indirectly (via metabolites) enhances the immunosuppressive capacity of Tregs. This enhancement is primarily achieved through pathways such as promoting the induction of Tregs, upregulating the expression of characteristic transcription factors of Tregs, and facilitating their secretion of anti-inflammatory cytokines, thereby ameliorating the inflammatory microenvironment and subsequently improving autoimmune conditions in RA.
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spelling doaj-art-d6e3323378664db3a3d43f68d296931a2025-07-07T05:26:46ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.16102541610254Immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory T cells in rheumatoid arthritisXuan Xu0Jingying Zhou1Haihua Xie2Ruhan Zhang3Bowen Gu4Li Liu5Mi Liu6Xiaorong Chang7School of Acupuncture & Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, ChinaSchool of Acupuncture & Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, ChinaSchool of Acupuncture & Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, ChinaSchool of Acupuncture & Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, ChinaSchool of Acupuncture & Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, ChinaThe First Affiliated Hospital, Hunan University of Chinese Medicine, Changsha, ChinaSchool of Acupuncture & Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, ChinaSchool of Acupuncture & Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, ChinaRheumatoid arthritis (RA) is an autoimmune disease, in which the abnormal activation and proliferation of effector T cells play a pivotal role in its pathogenesis. Regulatory T cells (Tregs) are a unique subset of immune cells with immunosuppressive functions, which help to inhibit the differentiation and proliferation of effector T cells in RA and maintain immune tolerance. The interaction between gut microbiota and immune cells has long been a research hotspot in autoimmune diseases. Although gut microbiota metabolites are considered to regulate the host’s immune system as a bridge of the gut-joint axis, how gut microbiota acts on immunosuppressive Tregs remains unclear. This review summarizes that how the gut microbiota directly or indirectly (via metabolites) enhances the immunosuppressive capacity of Tregs. This enhancement is primarily achieved through pathways such as promoting the induction of Tregs, upregulating the expression of characteristic transcription factors of Tregs, and facilitating their secretion of anti-inflammatory cytokines, thereby ameliorating the inflammatory microenvironment and subsequently improving autoimmune conditions in RA.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1610254/fullgut microbiotametabolitesrheumatoid arthritisregulatory T cellsautoimmune
spellingShingle Xuan Xu
Jingying Zhou
Haihua Xie
Ruhan Zhang
Bowen Gu
Li Liu
Mi Liu
Xiaorong Chang
Immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory T cells in rheumatoid arthritis
Frontiers in Immunology
gut microbiota
metabolites
rheumatoid arthritis
regulatory T cells
autoimmune
title Immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory T cells in rheumatoid arthritis
title_full Immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory T cells in rheumatoid arthritis
title_fullStr Immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory T cells in rheumatoid arthritis
title_full_unstemmed Immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory T cells in rheumatoid arthritis
title_short Immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory T cells in rheumatoid arthritis
title_sort immunomodulatory mechanisms of the gut microbiota and metabolites on regulatory t cells in rheumatoid arthritis
topic gut microbiota
metabolites
rheumatoid arthritis
regulatory T cells
autoimmune
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1610254/full
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