Microbiome in Rheumatoid Arthritis and Celiac Disease: A Friend or Foe

Cureus. 2021 Jun 9;13(6):e15543. doi: 10.7759/cureus.15543. eCollection 2021 Jun.

Abstract

Rheumatoid arthritis (RA) and celiac disease (CD) are both autoimmune diseases with increasing global prevalence. These two diseases have been connected based on similar HLA mutations, serological markers, rheumatological, and gastrointestinal manifestations. In this review, we discuss the role of the oral and gut microbiome in the development and progression of RA and CD. Here, we highlight similar microbial dysbiosis and how these alterations in composition can lead to worsening disease severity in both CD and RA. Additionally, we analyze the role of probiotics in regulating the microbiome and improving symptoms associated with RA and CD.

Keywords: autoimmune diseases; celiac disease; gut microbiome; gut-joint axis; oral microbiome; probiotics; rheumatoid arthritis.

Publication types

  • Review