Reduced Mass and Diversity of the Colonic Microbiome in Patients with Multiple Sclerosis and Their Improvement with Ketogenic Diet
Open accessAbstract
Background: Colonic microbiome is thought to be involved in auto-immune multiple sclerosis (MS). Interactions between diet and the colonic microbiome in MS are unknown. Methods: We compared the composition of the colonic microbiota quantitatively in 25 MS patients and 14 healthy controls. Fluorescence in situ hybridization (FISH) with 162 ribosomal RNA derived bacterial FISH probes was used. Ten of the MS patients received a ketogenic diet for 6 months. Changes in concentrations of 35 numerically substantial bacterial groups were monitored at baseline and at 2, 12 and 23/24 weeks. Results: No MS typical microbiome pattern was apparent. The total concentrations and diversity of substantial bacterial groups were reduced in MS patients (P<0.001). Bacterial groups detected with EREC (mainly Roseburia), Bac303 (Bacteroides), and Fprau (Faecalibacterium prausnitzii) probes were diminished the most. The individual changes were multidirectional and inconsistent. The effects of a ketogenic diet were biphasic. In the short term, bacterial concentrations and diversity were further reduced. They started to recover at week 12 and exceeded significantly the baseline values after 23-24 weeks on the ketogenic diet. Conclusions: Colonic biofermentative function is markedly impaired in MS patients. The ketogenic diet normalized concentrations of the colonic microbiome after 6 months.
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- Authors
- Swidsinski, A., Dörffel, Y., Loening-Baucke, V., Gille, C., Göktas, Ö., Reißhauer, A., Neuhaus, J., Weylandt, K.-H., Guschin, A., & Bock, M.
- Affiliations
- Sechenov University (RU)
- Charité – Universitätsmedizin Berlin (DE)
- Stiftung Charité (DE)
- Leipzig University (DE)
- Russian Research Center for Molecular Diagnostics and Therapy (RU)
- Corresponding author
- Swidsinski, Alexander
- Venue
- Frontiers in Microbiology
- Publisher
- Frontiers Media SA
- Published
- 2017-06-28
- Volume
- 8
- Pages
- 1141-1141
- ISSN
- 1664-302X (ISSN-L)
- PMC
- PMC5488402
- OpenAlex
- W2725049099
- Cited by
- 196
- References
- 18
- Citations by year
- 2026: 12 · 2025: 16 · 2024: 34 · 2023: 30 · 2022: 40 · 2021: 20 · 2020: 21 · 2019: 14 · 2018: 9
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Microbiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- MDC Repository (Max-Delbrueck-Center for Molecular Medicine) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Refubium (Universitätsbibliothek der Freien Universität Berlin) (submittedVersion, cc-by)
- Universitätsbibliothek der FU Berlin Hochschulschriftenstelle u. Dokumentenserver (cc-by)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- multiple sclerosis, colonic microbiome, ketogenic diet, gut microbiota diversity, bacterial abundance, Faecalibacterium prausnitzii, Bacteroides, Roseburia, diet-microbiome interactions, autoimmunity
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