2019
DOI: 10.1016/j.celrep.2019.02.019
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Fasting-Mimicking Diet Modulates Microbiota and Promotes Intestinal Regeneration to Reduce Inflammatory Bowel Disease Pathology

Abstract: SUMMARY Dietary interventions are potentially effective therapies for inflammatory bowel diseases (IBDs). We tested the effect of 4-day fasting-mimicking diet (FMD) cycles on a chronic dextran sodium sulfate (DSS)-induced murine model resulting in symptoms and pathology associated with IBD. These FMD cycles reduced intestinal inflammation, increased stem cell number, stimulated protective gut microbiota, and reversed intestinal pathology caused by DSS, whereas water-only fasting increased regenerative and redu… Show more

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Cited by 217 publications
(162 citation statements)
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“…ISCs may also mediate the beneficial effects of dietary perturbations on inflammatory bowel diseases. Recent work in a mouse model for colitis reports that a short fasting period followed by normal diet modulates the microbiota and has beneficial effects on inflammation, stem cell proliferation, and tissue maintenance in the small intestine (167). Accordingly, ISCs are responsive to changes in diet, including to dietary restriction, which has a beneficial effect on ISC activity in both young and old mice (168)(169)(170).…”
Section: Intestinal Inflammationmentioning
confidence: 99%
“…ISCs may also mediate the beneficial effects of dietary perturbations on inflammatory bowel diseases. Recent work in a mouse model for colitis reports that a short fasting period followed by normal diet modulates the microbiota and has beneficial effects on inflammation, stem cell proliferation, and tissue maintenance in the small intestine (167). Accordingly, ISCs are responsive to changes in diet, including to dietary restriction, which has a beneficial effect on ISC activity in both young and old mice (168)(169)(170).…”
Section: Intestinal Inflammationmentioning
confidence: 99%
“…Such results underline how specific nutrients included in the FMD eating plan (such as prebiotics) play a key role in counteracting inflammation and in regulating the intestine's microbiota. Finally, the same authors provided evidence that only multiple cycles of FMD were able to promote ISCs activation and intestinal regeneration, suggesting that fasting primes the gut for improvement but that the refeeding phase of FMD triggers the regeneration of cells and tissues [213]. In summary, the metabolic properties of ISCs and CSCs represent a promising target for CRC prevention strategies and possibly for an improved treatment of CRC patients.…”
Section: Fasting Caloric Restriction and Iscsmentioning
confidence: 95%
“…74 Similarly, intermittent fasting was protective in EAE, 75,76 and protection was mediated at least in part by microbiota changes. 76 Protective microbiota changes have also been observed in response to CR in a model of induced colitis and in human inflammatory bowel disease, 14 suggesting that it may be a major mechanism for the immunomodulatory effect of CR.…”
Section: Lupus and Sys Temi C Me Tabolis Mmentioning
confidence: 99%