Evidence map›Paper›PMID 38864582›Full record

ReviewImmunological reviews2024

The impact of the human gut microbiome on the treatment of autoimmune disease.

Renuka R Nayak, Diego A Orellana

Abstract readReview
In one paragraph

Review in Immunological reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Alcohol Consumption and Autoimmune Diseases.International journal of molecular sciences · 2025
    Review
  12. Article
  13. Autoimmunity and the microbiome.Immunological reviews · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Renuka R NayakRheumatology Division, Department of Medicine, University of California, San Francisco, California, USA.ORCID 0000-0002-1123-4668
Diego A OrellanaRheumatology Division, Department of Medicine, University of California, San Francisco, California, USA.

Funding

Employing the gut microbiome to accelerate effective initiation of rheumatoid arthritis therapyR01AR074500 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Renuka Rajendra Nayak, Jose U. Scher · 2019 to 2026
$4.1M
From here to eternity: gut microbial response to drug therapy and inflammationR35GM151349 · NIGMS · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI Renuka Rajendra Nayak · 2023 to 2026
$1.5M
The impact of the gut microbiome on rheumatoid arthritis treatmentK08AR073930 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NAYAK, RENUKA RAJENDRA · 2018 to 2022
$981k
Microbial metabolites impacting the response to methotrexate in rheumatoid arthritisR03AR082036 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NAYAK, RENUKA RAJENDRA · 2023 to 2024
$159k
Identifying and targeting gut microbial mechanisms that contribute to methotrexate response in rheumatoid arthritisI01CX002557 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI Renuka Rajendra Nayak · 2024 to 2026
–
Arthritis National Research FoundationCSRD VA I01 CX002557NIAMS NIH HHS 3K08AR073930-05S1NIAMS NIH HHS 5R01AR074500NIAMS NIH HHS K08 AR073930NIAMS NIH HHS K08AR073930NIAMS NIH HHS R01 AR074500NIAMS NIH HHS R03 AR082036NIAMS NIH HHS R03AR082036NIGMS NIH HHS R35 GM151349NIGMS NIH HHS R35GM151349NIH Office of the DirectorRussell/Engleman Rheumatology Research CenterU.S. Department of Veterans Affairs I01CX002557
6 · The paper itself

Abstract

Autoimmune (or rheumatic) diseases are increasing in prevalence but selecting the best therapy for each patient proceeds in trial-and-error fashion. This strategy can lead to ineffective therapy resulting in irreversible damage and suffering; thus, there is a need to bring the promise of precision medicine to patients with autoimmune disease. While host factors partially determine the therapeutic response to immunosuppressive drugs, these are not routinely used to tailor therapy. Thus, non-host factors likely contribute. Here, we consider the impact of the human gut microbiome in the treatment of autoimmunity. We propose that the gut microbiome can be manipulated to improve therapy and to derive greater benefit from existing therapies. We focus on the mechanisms by which the human gut microbiome impacts treatment response, provide a framework to interrogate these mechanisms, review a case study of a widely-used anti-rheumatic drug, and discuss challenges with studying multiple complex systems: the microbiome, the human immune system, and autoimmune disease. We consider open questions that remain in the field and speculate on the future of drug-microbiome-autoimmune disease interactions. Finally, we present a blue-sky vision for how the microbiome can be used to bring the promise of precision medicine to patients with rheumatic disease.

Indexed as

Autoimmune DiseasesGastrointestinal MicrobiomePrecision MedicineAnimalsAutoimmunityHumansImmunosuppressive AgentsImmunosuppressive Agentsautoimmunitydrug–microbiota interactionshost–microbe interactionsmicrobiomepharmacomicrobiomics

Identifiers

PMID38864582
PMCPMC11338731

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.