THE ROLE OF MICROBIOME IN IMMUNE-MEDIATED UVEITIS
-literature review-
Abstract
The microbiome has important physiological functions and is an essential element in the control of the immune response in the body. Its dysbiosis is today associated with the pathogenesis of a number of diseases, including non-infectious uveitis. These are immunologically mediated conditions, where disruption of autotolerance towards intraocular structures and immune mimicry are the basis of the pathophysiological mechanism. The aim of this paper is to present the current knowledge related to this complex interaction between the microbiome and intraocular homeostasis, as well as directions for possible therapeutic solutions through quantitative and qualitative modification of the microbiota. During the preparation of this literature review, a meta-analysis of data obtained from several large databases was approached: PubMed, Medline and EMBASE. Keywords such as: non-infectious uveitis, microbiome, intestinal microbiome, probiotics, immune-mediated diseases, human microbiota were used in the search. The obtained results were selected, processed and didactically arranged in order to present relevant current scientific views.
Keywords: non-infectious uveitis, microbiome, microbiota, dysbiosis, microbiome modulation.
References
2. Eckburg PB, Bik EM, Bernstein CN, Purdom E, Dethlefsen L, Sargent M et al. Diversity of the human intestinal microbial flora. Science. 2005 Jun 10;308(5728):1635-8.
3. Matenchuk BA, Mandhane PJ, Kozyrskyj AL. Sleep, circadian rhythm, and gut microbiota. Sleep Med Rev. 2020 Oct;53:101340.
4. Kc D, Sumner R, Lippmann S. Gut microbiota and health. Postgrad Med. 2020 Apr;132(3):274.
5. Rodríguez-Fernández CA, Iglesias MB, de Domingo B, Conde-Pérez K, Vallejo JA, Rodríguez-Martínez L et al. Microbiome in Immune-Mediated Uveitis. Int J Mol Sci. 2022 Jun 24;23(13):7020.
6. Aragona P, Baudouin C, Benitez Del Castillo JM, Messmer E, Barabino S, Merayo-Lloves J, Brignole-Baudouin F et al. The ocular microbiome and microbiota and their effects on ocular surface pathophysiology and disorders. Surv Ophthalmol. 2021 Nov-Dec;66(6):907-925.
7. Gomes JÁP, Frizon L, Demeda VF. Ocular Surface Microbiome in Health and Disease. Asia Pac J Ophthalmol (Phila). 2020 Dec;9(6):505-511.
8. Forrester JV, Xu H. Good news-bad news: the Yin and Yang of immune privilege in the eye. Front Immunol. 2012 Nov 27;3:338.
9. Mölzer C, Heissigerova J, Wilson HM, Kuffova L, Forrester JV. Immune Privilege: The Microbiome and Uveitis. Front Immunol. 2021 Jan 25;11:608377.
10. Gery I, Caspi RR. Tolerance Induction in Relation to the Eye. Front Immunol. 2018 Oct 9;9:2304.
11. Cone RE, Pais R. Anterior Chamber-Associated Immune Deviation (ACAID): An Acute Response to Ocular Insult Protects from Future Immune-Mediated Damage? Ophthalmol Eye Dis. 2009 Nov 17;1:33-40.
12. Niederkorn JY. The induction of anterior chamber-associated immune deviation. Chem Immunol Allergy. 2007;92:27-35.
13. Spadoni I, Fornasa G, Rescigno M. Organ-specific protection mediated by cooperation between vascular and epithelial barriers. Nat Rev Immunol. 2017 Dec;17(12):761-773.
14. Stein-Streilein J. Mechanisms of immune privilege in the posterior eye. Int Rev Immunol. 2013 Feb;32(1):42-56.
15. Yang S, Zhang J, Chen L. The cells involved in the pathological process of diabetic retinopathy. Biomed Pharmacother. 2020 Dec;132:110818.
16. Díaz-Coránguez M, Ramos C, Antonetti DA. The inner blood-retinal barrier: Cellular basis and development. Vision Res. 2017 Oct;139:123-137.
17. Floyd JL, Grant MB. The Gut-Eye Axis: Lessons Learned from Murine Models. Ophthalmol Ther. 2020 Sep;9(3):499-513.
18. Scuderi G, Troiani E, Minnella AM. Gut Microbiome in Retina Health: The Crucial Role of the Gut-Retina Axis. Front Microbiol. 2022 Jan 14;12:726792.
19. Horai R, Caspi RR. Microbiome and Autoimmune Uveitis. Front Immunol. 2019 Feb 19;10:232.
20. Caspi RR. Understanding autoimmune uveitis through animal models. The Friedenwald Lecture. Invest Ophthalmol Vis Sci. 2011 Mar 30;52(3):1872-9.
21. Rojas M, Restrepo-Jiménez P, Monsalve DM, Pacheco Y, Acosta-Ampudia Y, Ramírez-Santana C et al. Molecular mimicry and autoimmunity. J Autoimmun. 2018 Dec;95:100-123.
22. Rodríguez-Fernández CA, Iglesias MB, de Domingo B, Conde-Pérez K, Vallejo JA, Rodríguez-Martínez L et al. Microbiome in Immune-Mediated Uveitis. Int J Mol Sci. 2022 Jun 24;23(13):7020.
23. Ciccia F, Guggino G, Rizzo A, Alessandro R, Luchetti MM, Milling S et al. Dysbiosis and zonulin upregulation alter gut epithelial and vascular barriers in patients with ankylosing spondylitis. Ann Rheum Dis. 2017 Jun;76(6):1123-1132.
24. Janowitz C, Nakamura YK, Metea C, Gligor A, Yu W, Karstens L et al. Disruption of Intestinal Homeostasis and Intestinal Microbiota During Experimental Autoimmune Uveitis. Invest Ophthalmol Vis Sci. 2019 Jan 2;60(1):420-429.
25. Zhuang Z, Wang Y, Zhu G, Gu Y, Mao L, Hong M et al. Imbalance of Th17/Treg cells in pathogenesis of patients with human leukocyte antigen B27 associated acute anterior uveitis. Sci Rep. 2017 Jan 16;7:40414.
26. Nakamura YK, Janowitz C, Metea C, Asquith M, Karstens L, Rosenbaum JT, Lin P. Short chain fatty acids ameliorate immune-mediated uveitis partially by altering migration of lymphocytes from the intestine. Sci Rep. 2017 Sep 18;7(1):11745.
27. Fu X, Chen Y, Chen D. The Role of Gut Microbiome in Autoimmune Uveitis. Ophthalmic Res. 2021;64(2):168-177.