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Haidmayer, A; Bosch, P; Lackner, A; D'Orazio, M; Fessler, J; Stradner, MH.
Effects of Probiotic Strains on Disease Activity and Enteric Permeability in Psoriatic Arthritis-A Pilot Open-Label Study.
Nutrients. 2020; 12(8):
Doi: 10.3390/nu12082337
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- Führende Autor*innen der Med Uni Graz
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Fessler Johannes
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Haidmayer Andreas Michael
- Co-Autor*innen der Med Uni Graz
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Bosch Philipp
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Dorazio Monica
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Lackner Angelika
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Stradner Martin Helmut
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- Abstract:
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(1) Background: Psoriatic Arthritis (PsA) is a painful disease of the joints and spine. Recent reports observed distinct enteric dysbiosis in PsA; intake of probiotic strains is considered to ameliorate enteric dysbiosis. If probiotics are effective in PsA is elusive. (2) Methods: In this pilot open-label study we enrolled 10 PsA patients with low to medium disease activity who received probiotics for 12 weeks. Analysis of faecal zonulin, α1-antitrypsin and calprotectin, as well as peripheral immune phenotyping was performed at baseline, after 12 weeks and 12 weeks after termination of probiotic intake. (3) Results: All patients showed increased levels of the enteric permeability marker zonulin which correlated with the frequency of peripheral Th17 cells. Calprotectin, a marker for intestinal inflammation was elevated in 6 out of 10 patients. Probiotic intake resulted in a reduction of disease activity and gut permeability. These effects, however, were not sustained beyond termination of probiotic intake. (4) Conclusions: PsA patients suffer from enhanced enteric permeability and inflammation. Probiotics may ameliorate disease activity in PsA by targeting these alterations.
- Find related publications in this database (Keywords)
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psoriasis arthritis
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zonulin
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Th17 cells
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probiotics
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spondyloarthritis