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23 May 2025

New research: could gut bacteria influence MS risk and progression?

Emerging studies are shedding new light on how the gut microbiome – the trillions of bacteria, viruses, fungi, and other microbes that live in our digestive system – might be linked to the onset and progression of multiple sclerosis (MS).

Once considered mainly a digestive aid, the gut microbiome is now recognised as a key player in overall health. It supports our immune system, influences mental wellbeing, and plays a role in hormonal and reproductive health. A growing body of research is also exploring the gut-brain axis – the complex two-way communication system between the gut and the central nervous system. Increasingly, scientists believe that imbalances in the gut microbiome could contribute to the development of neurological conditions, including MS.

Gut bacteria and MS risk

At Overcoming MS, we’ve long recognised the importance of gut health in managing multiple sclerosis. Now, new research published in the scientific journal PNAS (Yoon et al., 2025) strengthens the evidence that changes in gut bacteria could play a role in MS development, and potentially progression. This latest study focuses on Lachnospiraceae, a group of bacteria commonly found in the gut, and their potential connection to the onset of MS.

Researchers identified elevated levels of Lachnospiraceae bacteria in the guts of people living with MS. To investigate further, they introduced these bacteria into germ-free mice. The result? The mice developed an MS-like disease (EAE), suggesting a possible causal link between this bacterial group and autoimmune activity.

While the mechanisms are still being explored, the research highlights the idea that specific microbes may contribute to MS-related immune dysregulation.

This is just one of several recent studies deepening our understanding of the gut–brain connection in MS:

  • A 2025 study in Neurology: Neuroimmunology & Neuroinflammation found that people newly diagnosed with MS had fewer gut bacteria coated in IgA, a natural antibody that helps protect the gut lining and manage inflammation. This imbalance suggests that, early in MS, the immune system may not be interacting properly with gut bacteria. After six months of immune therapy, patients’ gut bacteria started to resemble those of healthy people, showing that immune treatments may also help reset gut balance (Gupta et al., 2025).
  • A 2024 review in Frontiers in Microbiology explored how gut bacteria might influence mitochondria – the tiny energy factories inside our cells. Since both immune cells and brain cells rely heavily on mitochondrial energy, disruptions caused by gut bacteria could affect inflammation and brain function in MS (Tian et al., 2024).
  • A 2024 longitudinal study in Microbial Cell found that MS treatments, especially when combined with IgY supplementation (a type of antibody derived from egg yolks), helped improve the balance of gut bacteria over time. This suggests that combining immune therapy with gut-targeted support could help restore a healthier microbiome in people with MS (Paraschiv et al., 2024).

What is IgY supplementation?

IgY, or immunoglobulin Y, is a type of antibody derived from egg yolks. Unlike human antibodies, IgY works in the digestive tract to bind and neutralise specific pathogens or harmful bacterial components, without disrupting the beneficial microbes. In the context of MS, early research suggests that IgY supplements may help to modulate the gut immune environment, supporting microbial balance and potentially reducing inflammation. Though promising, more human trials are needed to establish its role in MS management.

What about probiotics? The Symprove study

Interest in probiotic interventions for MS is growing. At the recent MS Trust conference, researchers presented the initial results of a small, 12-week trial to assess the feasibility of a daily Symprove probiotic supplement for people with MS. Participants completing a self-reported questionnaire showed improvements in general quality of life and cognitive function.

More research is needed, but the study highlights a key idea: what we feed our gut may impact how we feel and function with MS.

How lifestyle can support gut health in MS

While research continues to evolve, one message is becoming increasingly clear: our lifestyle choices can shape our gut microbiome, and in turn, may influence MS progression and symptom management.

At Overcoming MS, our holistic program already supports many of the behaviours that nurture a healthy gut:

Diet and gut-friendly foods

A plant-based, whole-food diet is rich in prebiotics (fibres that feed beneficial bacteria) and natural, dairy-free probiotics. Foods like legumes, whole grains, leafy greens, fermented vegetables (such as kimchi and sauerkraut), miso, tempeh, and drinks like kombucha and water kefir can help promote microbial diversity and support immune regulation – without the saturated fat found in dairy or coconut-based products.

Physical activity

Regular movement improves gut motility and supports a balanced microbiome. Yet another reason to keep active!

Stress management

Chronic stress alters gut bacteria and promotes inflammation. Mindfulness, meditation, and breathwork can help restore calm and balance.

What this means for the Overcoming MS community

The latest Lachnospiraceae study offers a compelling look into how gut health may influence MS risk, and adds to a growing body of research supporting the role of the microbiome in managing the condition. While there’s still much to learn, it’s clear that nurturing your gut could be an important part of living well with MS.

Lifestyle changes – especially those focused on food, movement, stress reduction and gut-friendly habits – are within our control. As we learn more about the microbiome’s role in MS, these everyday actions may prove more powerful than we realise.

 

Want to support your gut health today? Explore our nutrition and lifestyle pages or try one of our gut-friendly recipes to get started. 

If you want to delve deeper into gut health join our wellbeing workshop at Living Well Live in November 2025. Tickets available now: Living Well Live! A one day event from Overcoming MS | Overcoming MS

References

  1. Yoon et al. (2025), Multiple sclerosis and gut microbiota: Lachnospiraceae from the ileum of MS twins trigger MS-like disease in germfree transgenic mice—An unbiased functional study. https://doi.org/10.1073/pnas.2419689122
  2. Gupta, V. K., et al. (2025). Alterations in Gut Microbiome-Host Relationships After Immune Perturbation in Patients With Multiple Sclerosis. https://doi.org/10.1212/NXI.0000000000200355
  3. Tian, H., et al. (2024). The role of the “gut microbiota–mitochondria” crosstalk in the pathogenesis of multiple sclerosis. Frontiers in Microbiology, 15, 1404995. https://doi.org/10.3389/fmicb.2024.1404995
  4. Paraschiv, A.-C., et al. (2024). The effect of multiple sclerosis therapy on gut microbiota dysbiosis: a longitudinal prospective study. Microbial Cell, 11(1), 106–115. https://microbialcell.com/researcharticles/2024a-paraschiv-microbial-cell/
  5. MS Trust Conference Abstracts (2025). Symprove probiotic pilot study in MS patients. Presented at the MS Trust Annual Conference. pdf