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Multiple sclerosis (MS) gut microbiota varies by disease subtype and treatment. Lower microbial richness and altered enterotypes are linked to specific MS forms, suggesting microbiome biomarkers for disease activity.

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Area of Science:

  • Neuroimmunology
  • Microbiome Research
  • Gastroenterology

Background:

  • Multiple sclerosis (MS) is a complex central nervous system inflammatory disease.
  • Gut microbiota alterations are observed in MS patients, but findings are inconsistent.
  • Understanding these variations is crucial for identifying disease biomarkers.

Purpose of the Study:

  • To investigate gut microbiota diversity, enterotypes, and specific taxa in MS patients compared to healthy controls (HC).
  • To analyze variations within MS subgroups based on phenotype, disease course, and treatment.
  • To explore the relationship between microbial composition and clinical symptoms/disease severity.

Main Methods:

  • 16S rRNA gene amplicon sequencing of stool samples from 98 MS patients and 120 HC.
  • Analysis of alpha and beta diversity, enterotype profiling, and relative abundance of microbial taxa.
  • Controlled for potential confounders and stratified MS subgroups by clinical characteristics.

Main Results:

  • Microbial richness was lower in interferon-treated and untreated relapsing-remitting MS during relapse compared to benign and primary progressive MS.
  • Enterotypes, specifically Bacteroides 2, were more prevalent in interferon-treated relapsing-remitting MS.
  • Lower abundance of Butyricicoccus was observed in primary progressive MS and interferon-treated relapsing-remitting MS, correlating inversely with symptoms and disease severity.

Conclusions:

  • Phenotypic subcategorization is essential for consistent MS-microbiome research.
  • Gut microbiota composition differs significantly across MS subtypes.
  • Microbiome-based biomarkers show potential for assessing MS disease activity and severity.