Immunomodulatory and anti-inflammatory effects of probiotics in multiple sclerosis: a systematic review

Mohammad Morshedi*, Reza Hashemi, Sara Moazzen, Amirhossein Sahebkar, Elaheh-Sadat Hosseinifard

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    10 Citations (Scopus)
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    Multiple sclerosis (MS) is an inflammatory and autoimmune neurological disorder which leads to demyelination. Although the etiology of MS is yet to be known, it appears that regulating the immune system and suppressing inflammatory pathways may possibly have a favorable effect on the healing of this disease. Evidence suggests that probiotics consumption via gut microbiome alteration devises beneficial effects in improving immune and inflammatory responses in MS. All articles were systematically searched (in the main databases) for this paper. Two investigators independently scrutinized full texts of the potentially eligible articles. The quality of the study was evaluated using standardized tools. The methodological quality of seven studies included in this review ranged from fair to good. The findings illustrated that there were statistically significant improvements in the static and dynamic balance in patients and animals with MS. In the paper in hand, the effects of probiotics administration on immune and inflammatory markers in MS disease are evaluated. In addition, the limitations and knowledge gaps were reported while proposing a possible mechanism of probiotics therapy in modulating immune and inflammatory responses. This systematic review indicated that the probiotics could improve immune and inflammatory parameters, the cytokines and cells in MS disease. Probiotics may have efficient effects in management and treatment of MS. More studies are required to clarify the effect of supplementation with probiotics and their mechanisms in MS disease.

    Original languageEnglish
    Article number231
    Number of pages11
    JournalJournal of neuroinflammation
    Issue number1
    Publication statusPublished - 21-Nov-2019


    • Probiotics
    • Autoimmune diseases
    • Microbiome
    • Gut-brain axis
    • Gut microbiota
    • Multiple sclerosis
    • Immune
    • inflammatory response
    • Systematic review
    • IN-VITRO
    • T-CELLS
    • IMMUNE
    • DIET
    • HEALTH

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