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Mechanisms of intestinal immune activation in RA – consequences for clinical onset

Subject Area Clinical Immunology and Allergology
Term from 2019 to 2023
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 405969122
 
During the first funding period, we showed the existence of a leaky gut in the pre-clinical state of arthritis in mice and men. Moreover, we could identify direct immunological consequences of gut primed immune cells traveling to the joints. This led us to propose new treatment opportunities to maintain functional gut barrier by blocking zonulin mediated tight junction degradation in epithelial cells. This therapeutic intervention is in short reach as the zonulin antagonist larazotide is already used in phase III clinical trials for the treatment of celiac disease and will open a new time window to interfere in the early onset of rheumatoid arthritis (RA). Here, we will go one step further and concentrate on the events triggering the identified breach in intestinal barrier function, the subclinical gut inflammation and the subsequent release of the effector molecule zonulin by epithelial cells in order to unravel underlying mechanisms that bypass cellular and molecular repair responses.
DFG Programme Research Units
Major Instrumentation Zellanalysesystem
Instrumentation Group 3590 Sonstige Geräte für Gewebe- und Zelluntersuchung
 
 

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