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. 2024 Dec 19;18:6145–6164. doi: 10.2147/DDDT.S489454

Table 2.

Clinical Trials of Modulating Gut Microbiota for MS

Study Detail Intervention Results
Relapsing-remitting MS (n=9),
healthy controls (n=13);
evaluations prior to, at discontinuation, and three months post-therapy.
VSL3 Probiotic: 3×1011 CFU /g,
8 strains—
4 Lactobacillus,
3 Bifidobacterium,
1 Streptococcus.
MS:Intermediate monocytes↓
MS:HLA-DR on dendritic cells↓
MS:Anti-inflammatory response halted post-probiotic
162
Relapsing-remitting MS patients on interferon beta-1α:
probiotic (n=30);
placebo comparison(n=30)
Probiotic: 2×109 CFU /g,
L. acidophilus,
L. casei, B. bifidum,
L. fermentum.
Probiotic: EDSS↓Probiotic: high-sensitivity CRP serum level↓ 163
Relapsing-remitting MS patients on interferon beta-1α:
probiotic (n=24);
placebo comparison(n=24)
Probiotic:2×109 CFU /g,
B. infantis, B. lactis,
L. reuteri, L. casei,
L. plantarum,
L. fermentum
Probiotic: EDSS↓Probiotic: IL-6↓, IL-10↑ 164
Secondary progressive MS (n=1)  FMT from her partner EDSS score stabilized 165
MS (n=179),
healthy controls (n=68);
SCFAs: propionic acid for 14 days Tregs induction and function↑ 166

Note: “↑” for increase, “↓” for decrease.

Abbreviation: EDSS, Expanded Disability Status Scale.