2021
DOI: 10.3389/fcell.2021.719235
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Critical Role of Gut Microbiota and Epigenetic Factors in the Pathogenesis of Behçet’s Disease

Abstract: Behçet’s disease (BD) is a chronic refractory multisystem autoinflammatory disease, characterized by typical clinical features of non-specific vasculitis, oral and genital ulcers, uveitis, as well as skin lesions. The exact etiopathogenesis of BD remains unknown, existing studies have indicated that genetics and environmental factors contribute to the increased development of BD. Recently, several studies have shown that external environmental factors can affect the process of epigenetic modification, and abno… Show more

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Cited by 9 publications
(9 citation statements)
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“…These epigenetic factors could be a mediator in coordinating GM of the host 23 . Any alteration of GM affects the beneficial microflora and this interferes with normal epigenetic control mechanisms in addition to the suppression of the immune system 24 . For instance, the regulation of T‐helper 17 (Th17)/regulatory T cells (Tregs) by GM and the process of EM are both involved in the etio pathogenesis of Behçet's disease 25 .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…These epigenetic factors could be a mediator in coordinating GM of the host 23 . Any alteration of GM affects the beneficial microflora and this interferes with normal epigenetic control mechanisms in addition to the suppression of the immune system 24 . For instance, the regulation of T‐helper 17 (Th17)/regulatory T cells (Tregs) by GM and the process of EM are both involved in the etio pathogenesis of Behçet's disease 25 .…”
Section: Discussionmentioning
confidence: 99%
“…23 Any alteration of GM affects the beneficial microflora and this interferes with normal epigenetic control mechanisms in addition to the suppression of the immune system. 24 For instance, the regulation of T-helper 17 (Th17)/regulatory T cells (Tregs) by GM and the process of EM are both involved in the etio pathogenesis of Behçet's disease. 25 Both fecal microbiota transplantation (FMT) for GM and epigenetic modulators have higher response rates and antitumor efficacies for antibodies targeting programmed cell death protein-1.…”
Section: Epigenetics and Gmmentioning
confidence: 99%
“…Based on our results and the literature ( 40 ), the possible mechanisms are shown in Figure 10 . Studies ( 41 , 42 ) suggest that intestinal dysbacteriosis may promote the pathogenesis of BD through various mechanisms, such as damaging the intestinal mucosal barrier, inducing the overactivation of Th1 and Th17 responses, and reducing the number of Tregs. In addition to oral ulcers, BD patients have systemic manifestations different from those of RAU.…”
Section: Discussionmentioning
confidence: 99%
“…Histone modifications have been found to play a role in the activation of the NLRP3 inflammasome and subsequently in the manifestation of multiple autoimmune and autoinflammatory disorders, such as systemic lupus erythematosus [ 47 ], rheumatoid arthritis [ 48 ], Behçet disease (BD) [ 49 ], atherosclerosis, and Alzheimer’s disease [ 50 ]. Nevertheless, to date, no study has investigated the role of histone modifications in FMF, despite the relevant implication of the NLRP3 inflammasome in the pathogenesis of this disease.…”
Section: Histone Modificationmentioning
confidence: 99%