May diet and dietary supplements improve the wellness of multiple sclerosis patients? A molecular approach

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Abstract

Multiple sclerosis is a complex and multifactorial neurological disease, and nutrition is one of the environmental factors possibly involved in its pathogenesis. At present, the role of nutrition is unclear, and MS therapy is not associated to a particular diet. MS clinical trials based on specific diets or dietary supplements are very few and in some cases controversial. To understand how diet can influence the course of MS and improve the wellness of MS patients, it is necessary to identify the dietary molecules, their targets and the molecular mechanisms involved in the control of the disease. The aim of this paper is to provide a molecular basis for the nutritional intervention in MS by evaluating at molecular level the effect of dietary molecules on the inflammatory and autoimmune processes involved in the disease. © 2010 Paolo Riccio et al.

Figures

  • Figure 1: Cells are integrated networks constantly responding to environmental stimuli. The ability to recognize changes in environmental conditions and to adapt themselves to those changes, is essential for the viability of cells, and changes in quality and quantity of dietary molecules are the most frequent in the course of the day.
  • Figure 2: Schematic representation of biological responses to nutrients and cellular outcomes. Influence of some natural dietary compounds and some commondrugs on cell transcriptional activity in metabolism and inflammation. PPAR: peroxisome proliferator activated receptor; LXR: liver X receptor; RXR: retinoid X-receptor; NF-κB: nuclear transcription factor-κB; SREBP: steroid regulatory element-binding protein; ChREBP: carbohydrate responsive element-binding protein; Sirtuins: SIRT-1/2 deacetylating enzyme; AMPK: AMP Protein Kinase; MMP: metalloproteinase; VEGF: vascular endothelial growth factor; TNF: tumor necrosis factor; ROS: reactive oxygen species; ICAM-1: intercellular adhesion molecule: VCAM-1: vascular adhesion molecule; n-3 PUFA, omega-3 polyunsaturated fatty acids.
  • Figure 3: Enzymes, hormones, and transcription factors involved in catabolism. PKA: protein Kinase A, cAMP dependent. AMPK: 5′ AMP-activated protein kinase.
  • Figure 4: Enzymes, hormones and transcription factors involved in anabolism.
  • Figure 5: Metabolic patterns and diseases correlated with lipogenesis.
  • Figure 6: General biological activities of polyphenols & carotenoids.
  • Figure 7: Structure of the most important polyphenols.

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CITATION STYLE

APA

Riccio, P., Rossano, R., & Liuzzi, G. M. (2010). May diet and dietary supplements improve the wellness of multiple sclerosis patients? A molecular approach. Autoimmune Diseases. https://doi.org/10.4061/2010/249842

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