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. Author manuscript; available in PMC: 2024 Jul 3.
Published in final edited form as: Nat Rev Rheumatol. 2020 Mar 10;16(5):282–292. doi: 10.1038/s41584-020-0395-3

Table 1 ∣.

Pharmacomicrobiomic studies in autoimmune and rheumatic diseases

Disease Study design Intervention Result Ref.
Ulcerative colitis Prospective TNF inhibitors Non-responders characterized by high dysbiosis indices and a lower abundance of Faecalibacterium prausnitzii at baseline 80
Ulcerative colitis and Crohn’s disease Prospective Vedolizumab High microbial diversity at baseline, specific taxa (e.g. Roseburia inulinivorans) and several microbial pathways enriched in patients achieving remission 81
Crohn’s disease Prospective Ustekinumab Patients achieving remission had high microbial diversity and enrichment of specific taxa at baseline 82
Axial SpA Prospective TNF inhibitors High relative abundance of the order Burkholderiales at baseline was modestly predictive of future response 92
PsA and SpA Prospective TNF and IL-17A inhibitors Abundance of several specific taxa (e.g. Clostridiales) shifted after treatment with IL-17 blockade (as compared with TNF inhibition); Candida albicans was expanded in a subset of patients following IL-17 blockade 94
Treatment-naive, chronic RA Prospective Herbal remedies with or without methotrexate Oral microbiome (and to a lesser degree the gut microbiome) distinguished responders from non-responders 126
Treatment-naive, new-onset RA Prospective Methotrexate Gut metagenome at baseline could differentiate methotrexate responders from non-responders; ex vivo incubation with methotrexate of samples from patients with treatment-naive, new-onset RA correlated with the magnitude of future clinical response 129

PsA, psoriatic arthritis; RA rheumatic arthritis; SpA, spondyloarthritis.