Alterations in Gut Microbiota and Metabolomic Profiles in Myasthenia Gravis: Findings from 16S rRNA Sequencing and Untargeted Metabolomics Analysis - Report - MDSpire

Alterations in Gut Microbiota and Metabolomic Profiles in Myasthenia Gravis: Findings from 16S rRNA Sequencing and Untargeted Metabolomics Analysis

  • By

  • Yunan Shan

  • Wei Chen

  • Yanbin Li

  • April 23, 2026

  • 0 min

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Clinical Report: Alterations in Gut Microbiota and Metabolomic Profiles in Myasthenia Gravis

Overview

This study identifies significant alterations in gut microbiota and metabolomic profiles in myasthenia gravis (MG) patients compared to healthy controls. Key findings include reduced microbial diversity and specific metabolic disturbances that may serve as potential diagnostic biomarkers.

Background

Myasthenia gravis (MG) is an autoimmune disorder characterized by impaired neuromuscular transmission, leading to muscle weakness. The role of gut microbiota in autoimmune diseases is increasingly recognized, with dysbiosis potentially contributing to disease pathogenesis. Understanding the gut microbiome's influence on MG could unveil new diagnostic and therapeutic strategies.

Data Highlights

FindingDetails
Patient DiversityReduced alpha- and beta-diversity in MG patients
Discriminative Taxa232 taxa identified, including depletion of butanoic acid-producing species
Altered Metabolites567 metabolites altered, with 424 downregulated
Correlation with SeverityPositive correlation of lithocholic and allocholic acids with clinical severity
Model PerformanceRandom Forest model achieved AUC = 1.0

Key Findings

  • MG patients exhibited significantly reduced alpha- and beta-diversity in gut microbiota.
  • 232 discriminative microbial taxa were identified, including a depletion of beneficial butanoic acid-producing commensals.
  • 567 metabolites were found to be altered in MG patients, with a majority being downregulated.
  • Positive correlations were observed between specific bile acids and clinical severity measures.
  • The Random Forest model demonstrated excellent performance in identifying potential biomarkers.

Clinical Implications

The distinct gut microbiota and metabolomic profiles in MG patients may provide new avenues for diagnostic biomarker development. Understanding these alterations could inform future microbiota-targeted therapies to improve patient outcomes.

Conclusion

This study highlights the significant role of gut dysbiosis and metabolic changes in myasthenia gravis, suggesting potential biomarkers for diagnosis and treatment strategies. Further research is warranted to explore therapeutic interventions targeting the gut microbiome.

References

  1. Journal of Gastroenterology, 2025 -- Identification of Novel Biomarkers for Ulcerative Colitis and Its Progression
  2. Journal of Gastroenterology, 2022 -- Alterations in Fecal and Oral Microbiota Profiles in Diarrhea-Predominant IBS
  3. Acta Neuropathologica, 2024 -- Acquired Mitochondrial Disorder with Respiratory Chain Deficiency Linked to Sertraline Treatment
  4. Acta Neuropathologica, 2024 -- Heavy Chain H3 of Inter-alpha-trypsin Inhibitor as a Potential Indicator of Disease Activity in MG
  5. International Consensus Guidance for Management of Myasthenia Gravis: 2020 Update - PMC
  6. Efficacy and safety of complement inhibitors and FcRn blockers in generalized AChR antibody-positive MG: a meta-analysis - PubMed
  7. Frontiers | Dysbiosis of Gut Microbiota and Metabolomic Alterations in Myasthenia Gravis
  8. International Consensus Guidance for Management of Myasthenia Gravis: 2020 Update - PMC
  9. Efficacy and safety of complement inhibitors and FcRn blockers in generalized AChR antibody-positive myasthenia gravis: a meta-analysis - PubMed
  10. Frontiers | Dysbiosis of Gut Microbiota and Metabolomic Alterations in Myasthenia Gravis: Insights from 16S rRNA Sequencing and Untargeted Metabolomics

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