Gut bacteria can be the hidden cause of rheumatoid arthritis

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Scientists from the University of Colorado have made an exciting discovery about what might cause rheumatoid arthritis (RA), a painful disease where the body’s immune system attacks the joints by mistake.

Their research shows that a certain type of bacteria in the gut could be the reason why some people develop RA. This finding could lead to new ways to prevent or treat this condition in the future.

Rheumatoid arthritis is an autoimmune disease, which means the body’s defense system turns against its own tissues. People with RA often suffer from joint pain, swelling, stiffness, and damage over time. Until now, doctors and scientists haven’t been sure what causes the immune system to act this way.

In this study, researchers focused on people who were not yet diagnosed with RA but had signs in their blood that showed they were at risk. These signs are called autoantibodies, and they suggest the immune system is already becoming too active.

To investigate, scientists collected immune cells from these people and studied the antibodies they produced. Then, they mixed the antibodies with samples of the people’s stool (poop), which contains many different bacteria from the gut. The goal was to see if any of the bacteria would react with the antibodies.

Why look at gut bacteria? Because scientists have found that the bacteria living in our digestive system, called the microbiome, are very important for our overall health. These bacteria help with digestion and play a big role in how the immune system works. Problems in the gut can sometimes lead to problems in other parts of the body.

The results of the experiment were surprising. The antibodies reacted strongly with one specific type of gut bacteria. To find out more, the researchers put this bacteria into lab animals.

The animals started to show the same blood signs as the people who were at risk for RA. Some even developed the disease. This means that the bacteria might actually cause the immune system to attack the body, leading to RA.

Interestingly, the bacteria don’t seem to cause harm in healthy people. But in people with certain risk factors, the immune system reacts differently, creating a dangerous chain reaction.

This finding could change the way doctors think about RA. If this gut bacteria really helps trigger the disease, it might be possible to treat or prevent RA by targeting the bacteria early—before the disease starts.

The study was led by Dr. Kristine Kuhn and took five years to complete. It was made possible by volunteers who gave blood and stool samples, knowing they were at risk for RA. Thanks to their help, scientists have taken a big step toward understanding this complex illness.

Researchers are now working to learn more about how the bacteria cause the immune system to react. They also hope to find new treatments that stop this process before it leads to joint damage.

This study is a powerful reminder of how closely everything in the body is connected. Even tiny bacteria in the gut can play a huge role in our health.

The results of this research were published in the journal Science Translational Medicine.

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