{"id":23185,"date":"2026-06-16T13:54:07","date_gmt":"2026-06-16T13:54:07","guid":{"rendered":"https:\/\/www.drfz.de\/?p=23185"},"modified":"2026-06-16T15:06:32","modified_gmt":"2026-06-16T15:06:32","slug":"microbiota-fingerprint-helps-in-the-diagnosis-of-igg4-related-diseases","status":"publish","type":"post","link":"https:\/\/www.drfz.de\/en\/neuigkeiten\/microbiota-fingerprint-helps-in-the-diagnosis-of-igg4-related-diseases\/","title":{"rendered":"Microbiota fingerprint helps in the diagnosis of IgG4-related diseases"},"content":{"rendered":"\n<p class=\"alignwide wp-block-paragraph\"><strong>Researchers at the DRFZ, Charit\u00e9 and TU Berlin have identified a characteristic intestinal microbiota signature in patients with IgG4-related disease. Using single-cell analysis and machine learning, the disease can be detected with high accuracy via a non-invasive stool sample. The findings provide proof of concept for new complementary diagnostics that enable earlier detection and reduce organ damage caused by late diagnosis. The results were published in the journal <em>eBioMedicine<\/em>.<\/strong><\/p>\n\n\n\n<p class=\"alignwide wp-block-paragraph\">IgG4-related disease (IgG4 RD) is a rare, chronic inflammatory systemic disorder that can affect organs such as the pancreas, salivary glands, bile ducts and kidneys. As the clinical presentation mimics many other conditions, most patients already have permanent organ damage by the time of diagnosis.<\/p>\n\n\n\n<p class=\"alignwide wp-block-paragraph\"><br>The teams led by PD Dr Tobias Alexander (DRFZ and Charit\u00e9) and Prof. Dr Hyun-Dong Chang (DRFZ and TU Berlin) compared stool samples from IgG4-RD patients and healthy control subjects using two complementary methods: established 16S rRNA gene sequencing to determine the taxonomic bacterial composition, and single-cell flow cytometry developed at the DRFZ to investigate bacterial surface properties.<\/p>\n\n\n\n<p class=\"alignwide wp-block-paragraph\"><br>Based on the phenotypic microbiota characteristics microbiota fingerprint, IgG4-RD patients could be classified with 80\u201390% certainty. Classification based on taxonomic composition could not be validated, with a probability of less than 60%.<\/p>\n\n\n\n<p class=\"alignwide wp-block-paragraph\"><br>This study provides proof of concept that a microbiota fingerprint can classify IgG4-related diseases with considerable accuracy using a non-invasive stool sample. Although tissue biopsy remains the diagnostic gold standard, these results pave the way for complementary tools that could accelerate diagnosis and reduce organ damage.<br>This study was funded by the Rolf M. Schwiete Foundation, the ERDF project BacFlow, the DFG and the <em>IMI2 Joint Undertaking <\/em>(3TR, grant number 831434).<br><br><a id=\"_msocom_1\"><\/a> &nbsp;<\/p>\n\n\n\n  <section id=\"original-publication\" class=\"section links-list  alignwide  toc-item\">\n    <div class=\"container container--center\">\n                        <h2 class=\"section__heading launimation slideBottom\">Original publication<\/h2>\n        \n              \n      <div class=\"links-list__items-wrap\">\n        \n<div class=\"links-list__items links-list__items--row \">\n      <div class=\"links-list__item  launimation slideBottom\">\n      \n      <a href=\"https:\/\/www.thelancet.com\/journals\/ebiom\/article\/PIIS2352-3964(26)00208-2\/fulltext\" target=\"_self\" class=\"h6 links-list__item-title\">Budzinski L, Beenken AE, Sempert T, Kang GU, Abbas A, Lietz L, Maier R, Mashreghi MF, Chang HD, Alexander T. IgG4-related disease has a specific intestinal microbiota signature. EBioMedicine. 2026 Jun 11;129:106326. doi: 10.1016\/j.ebiom.2026.106326. Epub ahead of print. PMID: 42276012.<\/a>\n\n      \n      <a href=\"https:\/\/www.thelancet.com\/journals\/ebiom\/article\/PIIS2352-3964(26)00208-2\/fulltext\" target=\"_self\" class=\"links-list__item-link\">\n        <span class=\"button button--arrow button--arrow-nw button--arrow-link\" ><\/span>\n      <\/a>\n    <\/div>\n  <\/div>\n      <\/div>\n    <\/div>\n  <\/section>\n\n\n\n\n  <section id=\"wissenschaftler\"    class=\"section grid-heads alignwide toc-item\">\n    <div class=\"container container--center\">\n              <div class=\"grid-heads__header\">\n                      <h2 class=\"section__heading launimation slideBottom\">Scientists involved<\/h2>\n          \n                  <\/div>\n      \n              <div class=\"grid-heads__items grid grid--4\">\n          \n<article\n  id=\"post-3869\" class=\"teaser-head launimation slideBottom  post-3869 head type-head status-publish has-post-thumbnail hentry department-pa-4-translational-rheumatology liaison-tu-berlin-en programme-area-tax-programme-area-4 working-group-function-group-leader working-group-tax-schwiete-lab-for-microbiota-and-inflammation-en\">\n  <div class=\"teaser-head__image\">\n          <img decoding=\"async\" loading=\"lazy\" sizes=\"auto, 520px\" src=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Chang_Hyun-Dong-150x100.jpg\" data-src=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Chang_Hyun-Dong-1024x683.jpg\" data-srcset=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Chang_Hyun-Dong-1920x1281.jpg 1920w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Chang_Hyun-Dong-1600x1067.jpg 1600w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Chang_Hyun-Dong-1366x911.jpg 1366w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Chang_Hyun-Dong-1024x683.jpg 1024w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Chang_Hyun-Dong-768x512.jpg 768w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Chang_Hyun-Dong-550x367.jpg 550w\" class=\"image image--landscape\" alt=\"\"  width=\"1024\"  height=\"683\">      <\/div>\n  <div class=\"teaser-head__header\">\n    <!--    -->    <!--      -->    <!--    -->    <h2 class=\"h6 teaser-head__title launimation slideBottom\">Prof. Dr. Hyun-Dong Chang<\/h2>\n          <div class=\"teaser-head__role\">\n                          <p class=\"text-label programme_area_function programme_area department\">\n            Programme Area 4, PA 4 \u2013 Translational Rheumatology          <\/p>\n                          <p class=\"text-label working_group_function working_group\">\n            Group leader: Schwiete Lab for Microbiota and inflammation          <\/p>\n                          <p\n            class=\"text-label liaison\">Liaison working group with TU Berlin<\/p>\n              <\/div>\n      <\/div>\n\n      <div class=\"teaser-head__contact\">\n              <p class=\"text-label\"><a href=\"mailto:chang@drfz.de\"\">chang@drfz.de<\/a><\/p>\n          <\/div>\n    <a href=\"https:\/\/www.drfz.de\/en\/koepfe\/hyun-dong-chang\/\"\n    aria-describedby=\"post-3869\"\n    title=\"Gehe zum Beitrag\" rel=\"bookmark\"\n    class=\"teaser-head__link button button--small button--arrow button--arrow-link\"><span\n      class=\"visually-hidden\">Prof. Dr. Hyun-Dong Chang<\/span><\/a>\n<\/article>\n<article\n  id=\"post-3991\" class=\"teaser-head launimation slideBottom  post-3991 head type-head status-publish has-post-thumbnail hentry department-pa-3-systems-rheumatology programme-area-function-leader programme-area-tax-programme-area-3 working-group-function-group-leader working-group-tax-therapeutic-gene-regulation\">\n  <div class=\"teaser-head__image\">\n          <img decoding=\"async\" loading=\"lazy\" sizes=\"auto, 520px\" src=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Mashreghi_Mir-Farzin-150x100.jpg\" data-src=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Mashreghi_Mir-Farzin-1024x684.jpg\" data-srcset=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Mashreghi_Mir-Farzin-1920x1282.jpg 1920w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Mashreghi_Mir-Farzin-1600x1068.jpg 1600w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Mashreghi_Mir-Farzin-1366x912.jpg 1366w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Mashreghi_Mir-Farzin-1024x684.jpg 1024w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Mashreghi_Mir-Farzin-768x513.jpg 768w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Mashreghi_Mir-Farzin-550x367.jpg 550w\" class=\"image image--landscape\" alt=\"\"  width=\"1024\"  height=\"684\">      <\/div>\n  <div class=\"teaser-head__header\">\n    <!--    -->    <!--      -->    <!--    -->    <h2 class=\"h6 teaser-head__title launimation slideBottom\">Dr. Mir-Farzin Mashreghi<\/h2>\n          <div class=\"teaser-head__role\">\n                          <p class=\"text-label programme_area_function programme_area department\">\n            Leader: Programme Area 3, PA 3 \u2013 Systems Rheumatology          <\/p>\n                          <p class=\"text-label working_group_function working_group\">\n            Group leader: Therapeutic Gene Regulation          <\/p>\n                      <\/div>\n      <\/div>\n\n      <div class=\"teaser-head__contact\">\n              <p class=\"text-label\"><a href=\"mailto:mashreghi@drfz.de\"\">mashreghi@drfz.de<\/a><\/p>\n          <\/div>\n    <a href=\"https:\/\/www.drfz.de\/en\/koepfe\/mir-farzin-mashreghi\/\"\n    aria-describedby=\"post-3991\"\n    title=\"Gehe zum Beitrag\" rel=\"bookmark\"\n    class=\"teaser-head__link button button--small button--arrow button--arrow-link\"><span\n      class=\"visually-hidden\">Dr. Mir-Farzin Mashreghi<\/span><\/a>\n<\/article>\n<article\n  id=\"post-4013\" class=\"teaser-head launimation slideBottom  post-4013 head type-head status-publish has-post-thumbnail hentry department-pa-4-translational-rheumatology liaison-charite-rheumatology-and-clinical-immunology programme-area-function-leader programme-area-tax-programme-area-4 working-group-function-group-leader working-group-tax-autoimmunology\">\n  <div class=\"teaser-head__image\">\n          <img decoding=\"async\" loading=\"lazy\" sizes=\"auto, 520px\" src=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Alexander_Tobias-150x100.jpg\" data-src=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Alexander_Tobias-1024x684.jpg\" data-srcset=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Alexander_Tobias-1920x1282.jpg 1920w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Alexander_Tobias-1600x1068.jpg 1600w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Alexander_Tobias-1366x912.jpg 1366w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Alexander_Tobias-1024x684.jpg 1024w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Alexander_Tobias-768x513.jpg 768w, https:\/\/www.drfz.de\/wp-content\/uploads\/2024\/12\/Alexander_Tobias-550x367.jpg 550w\" class=\"image image--landscape\" alt=\"\"  width=\"1024\"  height=\"684\">      <\/div>\n  <div class=\"teaser-head__header\">\n    <!--    -->    <!--      -->    <!--    -->    <h2 class=\"h6 teaser-head__title launimation slideBottom\">PD Dr. med. Tobias Alexander<\/h2>\n          <div class=\"teaser-head__role\">\n                          <p class=\"text-label programme_area_function programme_area department\">\n            Leader: Programme Area 4, PA 4 \u2013 Translational Rheumatology          <\/p>\n                          <p class=\"text-label working_group_function working_group\">\n            Group leader: Autoimmunology          <\/p>\n                          <p\n            class=\"text-label liaison\">Liaison working group with Charit\u00e9 &#8211; Rheumatology and Clinical Immunology<\/p>\n              <\/div>\n      <\/div>\n\n      <div class=\"teaser-head__contact\">\n              <p class=\"text-label\"><a href=\"mailto:tobias.alexander@charite.de\"\">tobias.alexander@charite.de<\/a><\/p>\n          <\/div>\n    <a href=\"https:\/\/www.drfz.de\/en\/koepfe\/tobias-alexander\/\"\n    aria-describedby=\"post-4013\"\n    title=\"Gehe zum Beitrag\" rel=\"bookmark\"\n    class=\"teaser-head__link button button--small button--arrow button--arrow-link\"><span\n      class=\"visually-hidden\">PD Dr. med. Tobias Alexander<\/span><\/a>\n<\/article>\n<article\n  id=\"post-22760\" class=\"teaser-head launimation slideBottom  post-22760 head type-head status-publish has-post-thumbnail hentry department-scientific-staff function-scientist liaison-tu-berlin-en programme-area-tax-programme-area-4 working-group-tax-schwiete-lab-for-microbiota-and-inflammation-en\">\n  <div class=\"teaser-head__image\">\n          <img decoding=\"async\" loading=\"lazy\" sizes=\"auto, 520px\" src=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2026\/05\/JAH2165-150x93.jpg\" data-src=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2026\/05\/JAH2165-1024x636.jpg\" data-srcset=\"https:\/\/www.drfz.de\/wp-content\/uploads\/2026\/05\/JAH2165-1920x1193.jpg 1920w, https:\/\/www.drfz.de\/wp-content\/uploads\/2026\/05\/JAH2165-1600x994.jpg 1600w, https:\/\/www.drfz.de\/wp-content\/uploads\/2026\/05\/JAH2165-1366x849.jpg 1366w, https:\/\/www.drfz.de\/wp-content\/uploads\/2026\/05\/JAH2165-1024x636.jpg 1024w, https:\/\/www.drfz.de\/wp-content\/uploads\/2026\/05\/JAH2165-768x477.jpg 768w, https:\/\/www.drfz.de\/wp-content\/uploads\/2026\/05\/JAH2165-550x342.jpg 550w\" class=\"image image--landscape\" alt=\"Portrait von Toni Sempert\"  width=\"1024\"  height=\"636\">      <\/div>\n  <div class=\"teaser-head__header\">\n    <!--    -->    <!--      -->    <!--    -->    <h2 class=\"h6 teaser-head__title launimation slideBottom\">Toni Sempert<\/h2>\n          <div class=\"teaser-head__role\">\n                  <p class=\"text-label function\">Scientist<\/p>\n                          <p class=\"text-label programme_area_function programme_area department\">\n            Programme Area 4, Scientific staff          <\/p>\n                          <p class=\"text-label working_group_function working_group\">\n            Schwiete Lab for Microbiota and inflammation          <\/p>\n                          <p\n            class=\"text-label liaison\">Liaison working group with TU Berlin<\/p>\n              <\/div>\n      <\/div>\n\n      <div class=\"teaser-head__contact\">\n              <p class=\"text-label\"><a href=\"mailto:toni.sempert@drfz.de\"\">toni.sempert@drfz.de<\/a><\/p>\n          <\/div>\n    <a href=\"https:\/\/www.drfz.de\/en\/koepfe\/toni-sempert\/\"\n    aria-describedby=\"post-22760\"\n    title=\"Gehe zum Beitrag\" rel=\"bookmark\"\n    class=\"teaser-head__link button button--small button--arrow button--arrow-link\"><span\n      class=\"visually-hidden\">Toni Sempert<\/span><\/a>\n<\/article>        <\/div>\n          <\/div>\n  <\/section>\n\n\n\n  <section id=\"arbeitsgruppen\" class=\"section links-list  alignwide  toc-item\">\n    <div class=\"container container--center\">\n                        <h2 class=\"section__heading launimation slideBottom\">Working groups involved<\/h2>\n        \n              \n      <div class=\"links-list__items-wrap\">\n        \n<div class=\"links-list__items links-list__items--row \">\n      <div class=\"links-list__item  launimation slideBottom\">\n      \n      <a href=\"https:\/\/www.drfz.de\/en\/arbeitsgruppen\/autoimmunologie\/\" target=\"_self\" class=\"h6 links-list__item-title\">AG Autoimmunology<\/a>\n\n      \n      <a href=\"https:\/\/www.drfz.de\/en\/arbeitsgruppen\/autoimmunologie\/\" target=\"_self\" class=\"links-list__item-link\">\n        <span class=\"button button--arrow button--arrow-nw button--arrow-link\" ><\/span>\n      <\/a>\n    <\/div>\n      <div class=\"links-list__item  launimation slideBottom\">\n      \n      <a href=\"https:\/\/www.drfz.de\/en\/arbeitsgruppen\/schwiete-labor-fuer-mikrobiota-und-entzuendungen\/\" target=\"_self\" class=\"h6 links-list__item-title\">Schwiete Laboratory for Microbiota and Inflammation<\/a>\n\n      \n      <a href=\"https:\/\/www.drfz.de\/en\/arbeitsgruppen\/schwiete-labor-fuer-mikrobiota-und-entzuendungen\/\" target=\"_self\" class=\"links-list__item-link\">\n        <span class=\"button button--arrow button--arrow-nw button--arrow-link\" ><\/span>\n      <\/a>\n    <\/div>\n  <\/div>\n      <\/div>\n    <\/div>\n  <\/section>\n\n","protected":false},"excerpt":{"rendered":"<p>Researchers at the DRFZ, Charit\u00e9 and TU Berlin have identified a characteristic intestinal microbiota signature in patients with IgG4-related disease. Using single-cell analysis and machine\u2026<\/p>\n","protected":false},"author":4,"featured_media":23214,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[288,291],"tags":[390,446,497,434,480],"programme-area-tax":[182],"working-group-tax":[240,236],"class_list":["post-23185","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-for-patients","category-publications","tag-autoimmunology","tag-chang-en","tag-program-area-4","tag-schwiete-lab-for-microbiota-and-inflammation","tag-tobias-alexander","programme-area-tax-programme-area-4","working-group-tax-autoimmunology","working-group-tax-schwiete-lab-for-microbiota-and-inflammation-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Microbiota fingerprint helps in the diagnosis of IgG4-related 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