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. Author manuscript; available in PMC: 2021 Sep 15.
Published in final edited form as: Indian J Rheumatol. 2021 Mar 23;16(1):57–72. doi: 10.4103/injr.injr_210_20

Figure 1:

Figure 1:

Leaky gut syndrome. During a healthy state, there is a diverse gut microbial community (microbiome) which helps in maintaining the homeostasis at mucosal surfaces. Beneficial bacteria metabolize dietary components such as diet-containing fiber and/or phytoestrogens into health-promoting metabolites such as short chain fatty acids and equol. These beneficial metabolites help in creating tolerogenic immune environment by maintaining a balance between anti-inflammatory regulatory T cells and proinflammatory T-helper 17 cells