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Regulatory T cell-microbiota axis

Molecular classification
Other (biological axis/system), Contains elements of:, Immune cell lineage (regulatory T cell, FOXP3+ T cell), Microbial metabolites (short-chain fatty acids, polysaccharide A), Signaling pathways (e.g., TGF-beta, retinoic acid)
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Overview

The **Regulatory T cell-microbiota axis** refers to the intricate and bidirectional relationship between regulatory T cells (FOXP3+ CD4+ T cells) and the gut microbiota. The microbiota influences the differentiation, expansion, and suppressive function of Tregs via microbial metabolites (short-chain fatty acids, polysaccharide A) and structural components acting on specific signaling pathways (e.g., TGF-beta, retinoic acid). Tregs, in turn, maintain immune tolerance to commensal microbes, prevent excessive inflammation, and support host-microbe mutualism. Dysregulation of this axis can result in inflammatory and autoimmune diseases, including IBD, and potentially influences extraintestinal diseases such as neurological disorders. Although the axis is therapeutically relevant and an active area of research, it cannot be classed as a single molecular target for drug development, but rather as a system or interface influencing multiple molecular and cellular targets.

Other names
Treg-microbiota axisMicrobiota-Treg axisRegulatory T cell/gut microbiota axisGut microbiota-immune axis
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Mechanism of action

Modulation of immune responses via: - Microbiota-derived metabolites (short-chain fatty acids, polysaccharide A) promoting Treg differentiation and suppressive function - Epigenetic regulation of Foxp3 and IL-10 expression in T cells - Receptor-mediated signaling (SCFA receptors, TGF-beta receptors)

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Biological functions

Immune toleranceRegulation of immune responseMaintenance of intestinal homeostasisPrevention of inflammationModulation of central and peripheral immune toleranceEpigenetic regulation of T cell phenotype
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Disease associations

Inflammatory bowel disease (IBD)AutoimmunityInfectionNeurological disorders (via gut-brain axis)Other inflammatory diseases (arthritis, MS)Allergic disease (potentially)
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Safety considerations

Interventions altering the axis (e.g., fecal transplantation, immune modulation) may risk immune dysregulation, unintended infections, loss of tolerance, or triggering autoimmune/inflammatory diseasesOversuppression of immune responses may increase susceptibility to infection or cancer
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Interacting drugs

No direct drugs target this “axis” as a whole

1 more in the full profile.

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Biomarkers

Treg frequency (especially FOXP3+ CD4+ T cells)SCFA levels in stool or serumMicrobiota composition (relative abundance of Clostridia, Bacteroides, etc.)IL-10 levels or expressionFoxp3 expression in peripheral T cells

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