| Title | IgG-seq identifies immune-reactive enteric bacteria in Crohn's disease with spondyloarthritis. |
| Publication Type | Journal Article |
| Year of Publication | 2025 |
| Authors | Maldarelli GA, Metz M, Oguntunmibi S, Tran N, Xiang G, Lukin D, Scherl EJ, Longman RS |
| Journal | Gut Microbes |
| Volume | 17 |
| Issue | 1 |
| Pagination | 2464221 |
| Date Published | 2025 Dec |
| ISSN | 1949-0984 |
| Keywords | Adult, Antibodies, Bacterial, Bacteria, Biomarkers, Crohn Disease, Feces, Female, Gastrointestinal Microbiome, Humans, Immunoglobulin G, Male, Middle Aged, Spondylarthritis, Young Adult |
| Abstract | Joint inflammation is the most common extraintestinal manifestation of Crohn's disease (CD). Although alterations in the enteric microbiota are described in CD with spondyloarthritis (CD-SpA), it is not known whether distinct taxa serve as markers for clinical subtypes of axial (AxSpA) or peripheral SpA (pSpA) in CD. Moreover, it is not yet known whether these taxa generate a specific systemic IgG response. Here, we sequenced the fecal microbiome from 106 individuals (44 CD, 39 CD-SpA, 14 CD-AxSpA, and 9 healthy controls [HC]). This unique cohort revealed distinct taxonomic compositions of CD and CD-SpA compared to HC and demonstrates that the composition of the CD-AxSpA microbiome is distinct from that of CD-pSpA. Using autologous serum, we identified enteric bacteria recognized by serum IgG and demonstrate differences in the IgG coating index of specific bacterial genera associated with CD-SpA. The IgG coating index of Mediterraneibacter gnavus differentiated patients with CD-pSpA and is positively associated with joint disease activity. This work illustrates divergent microbiome compositions in CD-SpA subtypes, as well as the recognition of distinct enteric bacteria by serum IgG with the potential to serve as a marker of joint inflammation in CD. |
| DOI | 10.1080/19490976.2025.2464221 |
| Alternate Journal | Gut Microbes |
| PubMed ID | 39949039 |
| PubMed Central ID | PMC11834481 |
| Grant List | T32 AI007613 / AI / NIAID NIH HHS / United States R01 AT013241 / AT / NCCIH NIH HHS / United States UL1 TR002384 / TR / NCATS NIH HHS / United States KL2 TR002385 / TR / NCATS NIH HHS / United States UL1 TR001873 / TR / NCATS NIH HHS / United States R01 DK114252 / DK / NIDDK NIH HHS / United States |
