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Attenuation of immune activation in patients with multiple sclerosis on a wheat-reduced diet: a pilot crossover trial.
- Source :
- Therapeutic Advances in Neurological Disorders; 6/25/2023, p1-12, 12p
- Publication Year :
- 2023
-
Abstract
- Background: Western lifestyle has been associated with an increase in relapsing–remitting multiple sclerosis (RRMS). In mice, dietary wheat amylase–trypsin inhibitors (ATIs) activate intestinal myeloid cells and augment T cell-mediated systemic inflammation. Objective: The aim of this study was to assess whether a wheat- and thus ATI-reduced diet might exert beneficial effects in RRMS patients with modest disease activity. Methods: In this 6-month, crossover, open-label, bicentric proof-of-concept trial, 16 RRMS patients with stable disease course were randomized to either 3 months of a standard wheat-containing diet with consecutive switch to a > 90% wheat-reduced diet, or vice versa. Results: The primary endpoint was negative, as the frequency of circulating pro-inflammatory T cells did not decrease during the ATI-reduced diet. We did, however, observe decreased frequencies of CD14<superscript>+</superscript> CD16<superscript>++</superscript> monocytes and a concomitant increase in CD14<superscript>++</superscript> CD16<superscript>−</superscript> monocytes during the wheat-reduced diet interval. This was accompanied by an improvement in pain-related quality of life in health-related quality of life assessed (SF-36). Conclusion: Our results suggest that the wheat- and thus ATI-reduced diet was associated with changes in monocyte subsets and improved pain-related quality of life in RRMS patients. Thus, a wheat (ATI)-reduced diet might be a complementary approach accompanying immunotherapy for some patients. Registration: German Clinical Trial Register (No. DRKS00027967). [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17562856
- Database :
- Complementary Index
- Journal :
- Therapeutic Advances in Neurological Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 164554487
- Full Text :
- https://doi.org/10.1177/17562864231170928