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Updated: Jan 3, 2026

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Published on: June 2, 2022
The gut microbiome in epilepsy
Birol Şafak1, Bengü Altunan2, Birol Topçu3
1Department of Medical Microbiology, Tekirdağ Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
Epilepsy patients show distinct gut microbiome differences, with higher Proteobacteria and Fusobacteria. These findings suggest the gut microbiome may influence epilepsy development and inflammation.
Area of Science:
- Microbiology
- Neurology
- Immunology
Background:
- Epilepsy is linked to autoimmune diseases.
- Idiopathic epilepsy accounts for 60% of cases.
- Intestinal microbiota may influence epilepsy etiology.
Purpose of the Study:
- To compare intestinal microbiota composition in epilepsy patients and healthy controls.
- To investigate the role of gut microbiome in idiopathic focal epilepsy.
Main Methods:
- 16S ribosomal DNA sequencing was used.
- Intestinal microbiota composition was analyzed.
- Patients with idiopathic focal epilepsy (n=30) and healthy volunteers (n=10) were studied.
Main Results:
- Proteobacteria phylum was significantly higher in epilepsy patients (25.4%) vs. controls (1.5%).
- Specific genera (Campylobacter, Delftia, Haemophilus, Lautropia, Neisseria) were elevated in epilepsy patients.
- Fusobacteria phylum (Leptotrichia, Fusobacterium) was present in epilepsy patients but absent in controls.
Conclusions:
- Significant differences in gut microbiota suggest a role for autoimmune mechanisms and inflammation in epilepsy.
- Taxonomic drift in the gut microbiome is observed in epilepsy.
- Further research is needed to confirm the role of the intestinal microbiome in epilepsy prevention and treatment.
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