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MS May Actually Start in the Gut, Not the Brain

02 July 2025
MS May Actually Start in the Gut, Not the Brain
Identical twin study finds gut bacteria in the small intestine that could be triggering multiple sclerosis.

In a twist that could upend decades of medical thinking, scientists have uncovered compelling evidence that multiple sclerosis (MS) might be triggered by bacteria in the gut — not just rogue immune activity in the brain.

The breakthrough comes from an extraordinary study of identical twins, where one sibling has MS and the other doesn’t. That genetic mirror allowed researchers from LMU Munich to zero in on environmental differences, and what they found was jaw-dropping.

The gut microbiome — especially in the small intestine — showed distinct bacterial fingerprints in the twin with MS. These weren’t just random microbes. Some of them appear to be activating inflammatory immune cells, the same kind that attack the nervous system in MS.

That means the gut could be training the immune system to go haywire — long before symptoms ever reach the brain.

It gets wilder. The study didn’t just spot differences in gut flora. It also found that certain gut bacteria were triggering hyperactive T cells, primed for inflammation. These are the same immune cells that damage nerves in MS patients.

In short: the gut could be the launchpad for one of the most mysterious autoimmune diseases on Earth.

If this holds up, it opens radical new doors. Targeted probiotics, diet tweaks, or gut-focused therapies could become game-changers in MS treatment — not just managing symptoms but addressing the root cause.

Science is still unpacking the full implications, but one thing’s clear: your gut may hold secrets your brain hasn’t even begun to understand.