The gut microbiota perspective for interventions in MS

Magdalena Zoledziewska1

  • 1Institute of Genetic and Biomedical Research (IRGB), Italian National Research Council (CNR), Cittadella Universitaria di Monserrato, Monserrato 09042, Sardinia, Italy.

Autoimmunity Reviews
|June 10, 2019
PubMed

Insights

Gut microbiota significantly influences multiple sclerosis (MS) development and treatment by altering gut health and immune responses. Understanding these changes can lead to improved microbiome-based therapies for MS and other autoimmune disorders.

Area of Science:

  • Immunology
  • Microbiology
  • Neurology

Background:

  • Autoimmune disorders, including multiple sclerosis (MS), involve complex interactions between genetic and environmental factors.
  • The gut microbiome is increasingly recognized as a significant environmental factor influencing MS etiology and treatment outcomes.
  • Variations in gut microbiota composition and function impact host metabolism, gut barrier integrity, and immune system modulation.

Purpose of the Study:

  • To review the impact of gut microbiome alterations on multiple sclerosis (MS) pathophysiology.
  • To explore the potential of microbiome-targeted therapies for MS and other autoimmune conditions.
  • To highlight the need for improved therapeutic strategies based on a deeper understanding of the gut microbiome's role.

Main Methods:

  • Literature review and synthesis of current research on the gut microbiome and MS.
  • Analysis of studies detailing changes in gut microbiota composition, metabolism, and immune system interactions in MS patients.
  • Examination of existing and potential therapeutic interventions targeting the gut microbiome.

Main Results:

  • Gut microbiome dysbiosis, including quantitative and functional changes, is implicated in MS.
  • Microbiome alterations affect gut permeability, homeostasis, and immune cell modulation relevant to MS.
  • Current microbiome-based interventions for autoimmune disorders are preliminary and require refinement.

Conclusions:

  • The gut microbiome plays a critical role in the pathophysiology of multiple sclerosis.
  • Targeting the gut microbiome offers a promising avenue for novel therapeutic strategies in MS.
  • Further research is needed to translate microbiome knowledge into effective clinical interventions for autoimmune diseases.

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