Faecalibacterium prausnitzii and Akkermansia muciniphila: driving the multiple sclerosis-a systematic review

Somayeh Ahmadi1,2, Farzaneh Rafie Sedaghat1,2,3, Yalda Mohammadzadeh Asl3

  • 1Students Research Committee, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Insights

Gut microbiota alterations, particularly changes in F. prausnitzii and A. muciniphila, are linked to multiple sclerosis (MS). This review highlights their altered levels in MS patients, suggesting therapeutic potential.

Area of Science:

  • Microbiology
  • Neuroimmunology
  • Gastroenterology

Background:

  • The gut microbiota (GM) is a complex ecosystem implicated in various diseases.
  • Gut dysbiosis is increasingly linked to the development and progression of neurodegenerative conditions like multiple sclerosis (MS).
  • Specific bacterial species, notably F. prausnitzii and A. muciniphila, are identified as key players in MS pathogenesis.

Purpose of the Study:

  • To systematically review and synthesize existing research on the roles of F. prausnitzii and A. muciniphila in multiple sclerosis.
  • To compare the prevalence and levels of these bacteria in MS patients versus healthy individuals.
  • To explore the implications of these findings for understanding MS etiology and developing novel therapeutic strategies.

Main Methods:

  • Systematic literature search conducted across PubMed, MEDLINE, EMBASE, and Web of Science databases.
  • Inclusion criteria focused on studies published between January 2010 and January 2023, comparing F. prausnitzii and A. muciniphila in MS patients and controls.
  • Analysis of 16 selected studies from diverse international origins.

Main Results:

  • Most studies reported a decrease in F. prausnitzii levels in individuals with MS compared to healthy controls.
  • Conversely, an increase in A. muciniphila levels was frequently observed in MS patients.
  • These alterations suggest a significant association between these specific gut bacteria and the disease state.

Conclusions:

  • F. prausnitzii and A. muciniphila play a crucial role in the pathophysiology of MS, potentially contributing to chronic inflammation.
  • Understanding their involvement offers insights into MS etiology and progression.
  • Targeting these gut bacteria presents promising avenues for novel treatment strategies and biomarker development for MS.