The potential role of interventions impacting on gut-microbiota in epilepsy.

The potential role of interventions impacting on gut-microbiota in epilepsy. Expert Rev Clin Pharmacol. 2020 Apr 22;: Authors: Iannone LF, Gómez-Eguílaz M, Citaro R, Russo E Abstract Introduction: The gut microbiota seems to be implicated in the functioning and development of basic physiological processes and might also influence central neural processes, through the microbiota-gut-brain (MGB) axis. Pre- and clinical studies support the role of the microbiome in seizure modulation and in the pathogenesis of epilepsy. Acting through different interventions (e.g. diet, supplementations, drugs) could perturb directly and indirectly the MGB axis. Investigating the effects of these interventions might possibly allow better understanding of epilepsy itself, identify biomarkers or providing new therapeutic options.Areas covered: PubMed and Google Scholar searches were used to compile a list of relevant publications until January 2020, using data form preclinical studies and clinical trials and gut microbiome/microbiota projects. Furthermore, we evaluate the impact of the antiepileptic drugs on gut microbiota and the influence of intestinal alterations on seizures occurrence.Expert opinion: Investigating the MGB axis and the role of gut supplementation in epilepsy is challenging due to the numerous potential pathways and variables involved. Few studies have been performed so far and all have been limited making speculation still premature....
Source: Expert Review of Clinical Pharmacology - Category: Drugs & Pharmacology Tags: Expert Rev Clin Pharmacol Source Type: research