Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease

<p>The gut microbiota plays an important role in systemic immune homeostasis and is increasingly implicated in autoimmune thyroid disease (AITD). Evidence suggests that gut dysbiosis, impaired intestinal barrier function, and altered microbial metabolites particularly short-chain fatty acids c...

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Main Author: Mubeen Hussein Arawker (12965954) (author)
Other Authors: Fitrat Habibullah (22688382) (author), Shantanu Baral (12965951) (author), Lijun Fu (120480) (author), Ning Sun (162468) (author), Hongting Li (9275336) (author), Feihong Ji (9598514) (author), Xinguang Qiu (6059762) (author)
Published: 2025
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author Mubeen Hussein Arawker (12965954)
author2 Fitrat Habibullah (22688382)
Shantanu Baral (12965951)
Lijun Fu (120480)
Ning Sun (162468)
Hongting Li (9275336)
Feihong Ji (9598514)
Xinguang Qiu (6059762)
author2_role author
author
author
author
author
author
author
author_facet Mubeen Hussein Arawker (12965954)
Fitrat Habibullah (22688382)
Shantanu Baral (12965951)
Lijun Fu (120480)
Ning Sun (162468)
Hongting Li (9275336)
Feihong Ji (9598514)
Xinguang Qiu (6059762)
author_role author
dc.creator.none.fl_str_mv Mubeen Hussein Arawker (12965954)
Fitrat Habibullah (22688382)
Shantanu Baral (12965951)
Lijun Fu (120480)
Ning Sun (162468)
Hongting Li (9275336)
Feihong Ji (9598514)
Xinguang Qiu (6059762)
dc.date.none.fl_str_mv 2025-11-26T10:00:03Z
dc.identifier.none.fl_str_mv 10.6084/m9.figshare.30719787.v1
dc.relation.none.fl_str_mv https://figshare.com/articles/figure/Microbiome_Mediated_Immune_Crosstalk_on_the_Gut-Thyroid_Axis_in_Autoimmune_Thyroid_Disease/30719787
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biochemistry
Medicine
Microbiology
Ecology
Immunology
Cancer
Chemical Sciences not elsewhere classified
Gastrointestinal microbiome
Hashimoto disease
graves Disease
short-chain fatty acids
intestinal permeability
regulatory T-Lymphocytes
Th17 cells
molecular mimicry
dc.title.none.fl_str_mv Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease
dc.type.none.fl_str_mv Image
Figure
info:eu-repo/semantics/publishedVersion
image
description <p>The gut microbiota plays an important role in systemic immune homeostasis and is increasingly implicated in autoimmune thyroid disease (AITD). Evidence suggests that gut dysbiosis, impaired intestinal barrier function, and altered microbial metabolites particularly short-chain fatty acids contribute to immune imbalance along the gut-thyroid axis. Although molecular mimicry between microbial and thyroid antigens has been proposed, current human evidence remains associative rather than causal.</p> <p>This review synthesized current observational, translational, and preclinical studies evaluating microbial composition, barrier integrity, microbial metabolites, and immune pathways relevant to AITD. Mechanistic insights into T-lymphocyte regulation and microbial-host interactions were integrated with emerging interventional data.</p> <p>Gut dysbiosis in AITD is linked to reduced regulatory T-lymphocytes, expansion of Th17 cells, increased intestinal permeability, and the loss of short-chain-fatty-acid-producing taxa. Observational studies consistently report disease-associated taxonomic alterations, while preclinical models support causal pathways through barrier disruption and microbiota-driven immune activation. Early interventional approaches such as high-fiber dietary patterns, probiotics, prebiotics, and experimental fecal microbiota transplantation show modest reductions in thyroid autoantibodies in small trials, though effects are strain-specific, short-term, and not disease-modifying.</p> <p>Despite largely associative human evidence, converging mechanistic findings highlight the gut microbiota as a modifiable contributor to thyroid autoimmunity. Future priorities include clarifying causality, identifying keystone microbial taxa and metabolites, and establishing standardized interventional frameworks to facilitate translation into endocrine practice.</p>
eu_rights_str_mv openAccess
id Manara_8e00ae85d697e6d99438c9a18eebbee2
identifier_str_mv 10.6084/m9.figshare.30719787.v1
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/30719787
publishDate 2025
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rights_invalid_str_mv CC BY 4.0
spelling Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid DiseaseMubeen Hussein Arawker (12965954)Fitrat Habibullah (22688382)Shantanu Baral (12965951)Lijun Fu (120480)Ning Sun (162468)Hongting Li (9275336)Feihong Ji (9598514)Xinguang Qiu (6059762)BiochemistryMedicineMicrobiologyEcologyImmunologyCancerChemical Sciences not elsewhere classifiedGastrointestinal microbiomeHashimoto diseasegraves Diseaseshort-chain fatty acidsintestinal permeabilityregulatory T-LymphocytesTh17 cellsmolecular mimicry<p>The gut microbiota plays an important role in systemic immune homeostasis and is increasingly implicated in autoimmune thyroid disease (AITD). Evidence suggests that gut dysbiosis, impaired intestinal barrier function, and altered microbial metabolites particularly short-chain fatty acids contribute to immune imbalance along the gut-thyroid axis. Although molecular mimicry between microbial and thyroid antigens has been proposed, current human evidence remains associative rather than causal.</p> <p>This review synthesized current observational, translational, and preclinical studies evaluating microbial composition, barrier integrity, microbial metabolites, and immune pathways relevant to AITD. Mechanistic insights into T-lymphocyte regulation and microbial-host interactions were integrated with emerging interventional data.</p> <p>Gut dysbiosis in AITD is linked to reduced regulatory T-lymphocytes, expansion of Th17 cells, increased intestinal permeability, and the loss of short-chain-fatty-acid-producing taxa. Observational studies consistently report disease-associated taxonomic alterations, while preclinical models support causal pathways through barrier disruption and microbiota-driven immune activation. Early interventional approaches such as high-fiber dietary patterns, probiotics, prebiotics, and experimental fecal microbiota transplantation show modest reductions in thyroid autoantibodies in small trials, though effects are strain-specific, short-term, and not disease-modifying.</p> <p>Despite largely associative human evidence, converging mechanistic findings highlight the gut microbiota as a modifiable contributor to thyroid autoimmunity. Future priorities include clarifying causality, identifying keystone microbial taxa and metabolites, and establishing standardized interventional frameworks to facilitate translation into endocrine practice.</p>2025-11-26T10:00:03ZImageFigureinfo:eu-repo/semantics/publishedVersionimage10.6084/m9.figshare.30719787.v1https://figshare.com/articles/figure/Microbiome_Mediated_Immune_Crosstalk_on_the_Gut-Thyroid_Axis_in_Autoimmune_Thyroid_Disease/30719787CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307197872025-11-26T10:00:03Z
spellingShingle Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease
Mubeen Hussein Arawker (12965954)
Biochemistry
Medicine
Microbiology
Ecology
Immunology
Cancer
Chemical Sciences not elsewhere classified
Gastrointestinal microbiome
Hashimoto disease
graves Disease
short-chain fatty acids
intestinal permeability
regulatory T-Lymphocytes
Th17 cells
molecular mimicry
status_str publishedVersion
title Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease
title_full Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease
title_fullStr Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease
title_full_unstemmed Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease
title_short Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease
title_sort Microbiome Mediated Immune Crosstalk on the Gut-Thyroid Axis in Autoimmune Thyroid Disease
topic Biochemistry
Medicine
Microbiology
Ecology
Immunology
Cancer
Chemical Sciences not elsewhere classified
Gastrointestinal microbiome
Hashimoto disease
graves Disease
short-chain fatty acids
intestinal permeability
regulatory T-Lymphocytes
Th17 cells
molecular mimicry