Disease ⇒ Psoriasis ⇒ Psoriatic Arthritis {40000279} Record Keys Type:Disease Parent:Psoriasis Definition:Psoriatic Arthritis Details Initialisation date:[ ] Other Terms:[ ] Meta Information MedDra ID:10076674 MedDra Level:pt ICD:[ ] Category:[ ] Zone:[ ] Mechanism:[ ] Notes: [ ]Shared Reference Notes [1.1] [#Acute anterior uveitis, #Ankylosing spondylitis, #Crohn’s disease, #HLA-B27-associated disease, #Psoriasis, #Ulcerative Colitis] - HLA-B27 transgenic rats that develop a spontaneous spondyloarthropathy-like illness do not develop disease when raised in a germ-free environment, but mono-association with #Phocaeicola vulgatus is sufficient to induce disease. [1.2] - #Kocuria and #Cutibacterium were enriched in healthy subjects, while #Staphylococcus was enriched in psoriatic disease. - The relative abundance of #Corynebacterium was higher in NL psoriatic arthritis (PsA). samples compared with NL #Psoriasis (PsO) samples. [1.3] [#Inflamatory bowel disease] - HLA-B27 spondyloarthropathies (SpA) > #Ankylosing spondylitis, #Reactive arthritis, psoriatic arthritis, #Juvenile idiopathic arthritis, inflammatory bowel disease, #Acute anterior uveitis, and undifferentiated SpA > segmented filamentous bacteria (SFB) have been illustrated to be a common culprit in initiating an arthritogenic reaction. - The Th17 response, induced in the mesenteric lymph nodes by dendritic cells, in such patients specifically targets SFB, resulting in a breach in the mucosal barrier. - This is thought to result from cross-reactivity between HLA-B27 and pathogenic surface antigens. - Other enteric gram-negative pathogens, which mimic HLA-B27, associated with SpA and uveitis include #Shigella, #Chlamydia and #Yersinia [1.4] - In patients with psoriatic arthritis, there was a decrease in the abundance of certain bacteria such as #Akkermansia, #Ruminococcus, #Pseudobotyrivibrio, #Paraacteroides, #Alistipes, and #CoprococcusReferences Notes[ ]