Potential role of indolelactate and butyrate in multiple sclerosis revealed by integrated microbiome-metabolome

Izhak Levi1,2, Michael Gurevich3, Gal Perlman1,2

  • 1Department of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot 7610001, Israel.

Insights

Individuals with multiple sclerosis (MS) have unique gut microbiome patterns and lower levels of neuroprotective compounds like indolepropionate. These findings suggest potential microbial and metabolite targets for future MS research and therapies.

Area of Science:

  • Neuroimmunology
  • Microbiome Research
  • Metabolomics

Background:

  • Multiple sclerosis (MS) is an immune-mediated neurological disease with unknown causes.
  • Alterations in the gut microbiome are observed in MS patients, but their functional role remains unclear.

Purpose of the Study:

  • To investigate distinct microbial and metabolite profiles in individuals with MS.
  • To explore the functional consequences of microbiome differences on host metabolism in MS.

Main Methods:

  • Analysis of the gut microbiome composition in 129 individuals with MS and controls.
  • Measurement of 1,251 serum metabolites in a subgroup of MS patients and controls.
  • Correlation analysis between microbial patterns and metabolite levels.

Main Results:

  • Distinct microbial patterns were identified in individuals with MS compared to controls.
  • A unique serum metabolite signature effectively differentiated MS patients (AUC = 0.97).
  • MS patients showed depletion in butyrate-producing bacteria and indolelactate producers, with lower serum indolepropionate levels.

Conclusions:

  • The study identifies specific microbial and metabolite candidates potentially contributing to MS pathogenesis.
  • These findings highlight the role of the gut microbiome and its metabolites in MS.
  • Further research into these microbial and metabolite candidates may reveal therapeutic strategies for MS.

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