Gut-CNS-Axis as Possibility to Modulate Inflammatory Disease Activity-Implications for Multiple Sclerosis.
In the last decade the role of environmental factors as modulators of disease activity and progression has received increasing attention. In contrast to classical environmental modulators such as exposure to sun-light or fine dust pollution, nutrition is an ideal tool for a personalized human intervention. Various studies demonstrate a key role of dietary factors in autoimmune diseases including Inflammatory Bowel Disease (IBD), rheumatoid arthritis or inflammatory central nervous system (CNS) diseases such as Multiple Sclerosis (MS). In this review we discuss the connection between diet and inflammatory processes via the gut-CNS-axis. This axis describes a bi-directional communication system and comprises neuronal signaling, neuroendocrine pathways and modulation of immune responses. Therefore, the gut-CNS-axis represents an emerging target to modify CNS inflammatory activity ultimately opening new avenues for complementary and adjunctive treatment of autoimmune diseases such as MS.
['Fleck|Ann-Katrin|AK|', 'Schuppan|Detlef|D|', 'Wiendl|Heinz|H|', 'Klotz|Luisa|L|']
D000818:Animals D002490:Central Nervous System D041981:Gastrointestinal Tract D006801:Humans D007249:Inflammation D008954:Models, Biological D009103:Multiple Sclerosis
multiple sclerosis nutrition gut–CNS-axis immune system microbiota