Pemphigus vulgaris (PV) is an autoimmune disease characterized by the production of IgG autoantibodies owing to an imbalance in the Th1/Th2 and Th17/Tregs cell pathways. The role of gut microbiota in the development of immune system and autoimmune diseases has been unraveled in the last two decades. However, data pertaining to gut microbiota of PV patients is largely lacking. We aimed to compare the gut microbiota of PV patients and healthyâcontrols and assessed potential correlation with circulating cytokines of Th1/Th2/Th17 cell. Faecal bacterial diversity was analysed in 18 PV patients and 14 ageâ and genderâmatched healthy individuals using hypervariableâtagâsequencingâof theâV3âV4 regionâof theâ16SârRNAâgene. Plasma levels of 20 inflammatory cytokines were assessed using the Luminex screening system. As a result, we identified 10 differentially abundant taxa between patients and controls. At the genera level, Lachnospiracea_incertae_sedis and Coprococcus decreased, while Granulicatella, Flavonifractor enriched in PV. Plasma levels of C5a, interleukin (IL)â2R, ILâ6, ILâ8, ILâ7, ILâ1ÎČ, IL17A, ILâ5 and ILâ21 were significantly increased in PV Flavonifractor exhibited a positive correlation with C5a, ILâ6, ILâ8, ILâ7, ILâ1ÎČ, IL17A and ILâ21. Lachnospiracea_incertae_sedis and Coprococcus showed a negative correlation with ILâ17A. Our results are consistent with the hypothesis that PV patients have gut microbial dysbiosis which might contribute to the immune disorder and the development of PV.