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    1. V. A. Nasonova Research Institute of Rheumatology, 115522 Moscow, Russia

    Keywords: digestive tract; spondiloarthritis; microbiome

    Abstract:The range of causal combinations of various types of intestinal lesions and spondyloarthritis (SpA) is extremely wide: from subclinical pathology to manifest manifestations of Crohn’s disease and ulcerative colitis. In studies of the last decade it is assumed that not only infl ammatory bowel diseases (IBD), psoriasis, but also SpA are diseases with activated innate immunity, which provides an early non-specifi c response mediated by the barrier function of the epithelium. Modern data on the cellular and molecular mechanisms of SpA pathogenesis allow rheumatologists to hypothesize the concept of a “barrier organ disease” as the preclinical stage of development of diseases belonging to the SpA group, which is based on impaired immune tolerance to autologous synanthropic microfl ora in genetically predisposed individuals.Key words: microbiome; spondyloarthritis; infl ammatory bowel disease, pathogenesis

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    Full text is published :
    Galushko E. A., Gordeev A. V. Gut microbiome and spondyloarthritis. Experimental and Clinical Gastroenterology. 2019;162(2): 120–124. (In Russ.) DOI: 10.31146/1682-8658-ecg-162-2-120-124
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