REVIEW article

Front. Immunol.

Sec. Autoimmune and Autoinflammatory Disorders : Autoimmune Disorders

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1614304

This article is part of the Research TopicIntestinal microenvironment and autoimmune diseasesView all 8 articles

Gut microbiome dysregulation in noninfectious uveitis

Provisionally accepted
Mingzhu  LiuMingzhu LiuJiawei  GengJiawei GengTao  LiuTao LiuXiaoli  LiuXiaoli Liu*
  • Department of Ophthalmology, Second Affiliated Hospital of Jilin University, Changhcun, Jilin Province, China

The final, formatted version of the article will be published soon.

Noninfectious uveitis (NIU) is a vision-threatening autoimmune disease of the eye, but its pathogenesis is still not fully understood. Recently, accumulating evidence suggests that gut microbiome dysbiosis may affect the development and progression of NIU through potential mechanisms, including translocation, molecular mimicry, and bystander activation. Understanding the mechanisms of gut microbiome-host interactions, especially the gut-eye axis regulation, can offer a theoretical foundation for developing novel therapeutic strategies. We summarized current evidence on the dysregulation of gut microbiome and metabolites in NIU, and explored potential mechanisms involved. Furthermore, possible therapeutic measures are discussed, including probiotics, prebiotics, dietary modifications, antibiotic interventions, as well as fecal microbial transplantation, aiming to exert beneficial effects on NIU progression by reshaping the gut microbial composition.

Keywords: Noninfectious uveitis, gut microbiome, Gut-eye axis, Dysregulation, T regulatory cells, T helper 1/17 cell, Treatment intervention

Received: 18 Apr 2025; Accepted: 07 Jul 2025.

Copyright: © 2025 Liu, Geng, Liu and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xiaoli Liu, Department of Ophthalmology, Second Affiliated Hospital of Jilin University, Changhcun, 130041, Jilin Province, China

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