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Research Article

Distinct oral DNA viral signatures in rheumatoid arthritis: a Pilot study

ORCID Icon &
Article: 2348260 | Received 15 Oct 2023, Accepted 23 Apr 2024, Published online: 01 May 2024
 

ABSTRACT

Background

Despite evidence linking viruses and oral microbiome to rheumatoid arthritis (RA), limited whole genome sequencing research has been conducted on the oral virome (a viral component of the microbiome) of untreated RA patients. This pilot research seeks to address this knowledge gap by comparing the oral virome of untreated rheumatoid arthritis patients (RAs) and healthy individuals (HCs).

Method

Whole genome DNA sequence of saliva samples from 45 participants including 21 RAs and 24 age and gender matched HCs was obtained from the BioProject: PRJEB6997. Metaphlan3 pipeline and LEfSe analysis were used for the viral signature detection. Wilcoxon pairwise test and ROC analysis were used to validate and predict signatures.

Results

RA exhibits higher alpha diversity compared to HCs. Callitrichine gammaherpesvirus 3, Human gammaherpesvirus 4 (EBV), Murid betaherpesvirus 8, and Suid alphaherpesvirus 1 were enriched in RAs, while Aotine betaherpesvirus 1 from the Cytomegalovirus genus was enriched in HCs. In addition, Saccharomyces cerevisiae killer virus M1 (ScV-M1) was found to be enriched in RAs, whereas bacteriophage Hk97virus (Siphoviridae) and Cd119virus (Myoviridae) were enriched in HCs.

Conclusion

This study identifies significant DNA oral viral signatures at species level as potential biomarkers for the early detection and diagnosis of rheumatoid arthritis.

Abbreviations

ACPAs=

Anti-citrullinated peptide antibodies

AUR=

Area under curve

bDMARD=

biological disease-modifying antirheumatic drugs

EBNA=

Epstein-Barr nuclear antigen

EBV=

Epstein-Barr virus

γHV68=

Gammaherpesvirus 68

HCMV=

Human Cytomegalovirus

LEfSe=

Linear discriminant analysis Effect Size

NMDS=

Non-metric multidimensional scaling

ROC=

Receiver operating characteristic

RA=

Rheumatoid arthritis

RF=

Rheumatoid factor

ScV-M1=

Saccharomyces cerevisiae killer virus M1

TSS=

Total Sum Scaling

TFNI=

Tumor necrosis factor inhibitor

VCA=

Viral capsid antigen

WGS=

Whole genome sequence

Disclosure statement

No potential conflict of interest was reported by the author(s).

Supplementary material

Supplemental data for this article can be accessed online at https://doi.org/10.1080/20002297.2024.2348260.

Additional information

Funding

The work was supported by the Karolinska Institutet [funding for publication].