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Diet mimicking fasting promotes regeneration and reduces autoimmunity and multiple sclerosis symptoms #MMPMID27239035
Choi IY; Piccio L; Childress P; Bollman B; Ghosh A; Brandhorst S; Suarez J; Michalsen A; Cross AH; Morgan TE; Wei M; Paul F; Bock M; Longo VD
Cell Rep 2016[Jun]; 15 (10): 2136-46 PMID27239035show ga
Dietary interventions have not been effective in the treatment of multiple sclerosis (MS). Here we show that periodic 3 day cycles of a fasting mimicking diet (FMD) are effective in ameliorating demyelination and symptoms in a murine experimental autoimmune encephalomyelitis (EAE) model. The FMD reduced clinical severity in all mice, and completely reversed symptoms in 20% of the animals. These improvements were associated with increased corticosterone levels and Treg cell number, reduced levels of pro-inflammatory cytokines, TH1 and TH17 cells, and antigen presenting cells (APCs). Moreover, the FMD promoted oligodendrocyte precursor cell regeneration and remyelination in axons in response to both EAE and cuprizone MS models, supporting its effects on both suppression of autoimmunity and remyelination. We also report preliminary data suggesting that a FMD or a chronic ketogenic diet are safe, feasible and potentially effective in the treatment of relapsing remitting multiple sclerosis (RRMS) patients (NCT01538355).