Fibromyalgia and Irritable Bowel Syndrome Interaction: A Possible Role for Gut Microbiota and Gut-Brain Axis

Fibromyalgia (FM) is a serious chronic pain syndrome, characterised by muscle and joint stiffness, insomnia, fatigue, mood disorders, cognitive dysfunction, anxiety, depression and intestinal irritability. Irritable Bowel Syndrome (IBS) shares many of these symptoms, and FM and IBS frequently co-exi...

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Main Authors: Cinzia Garofalo, Costanza Maria Cristiani, Sara Ilari, Lucia Carmela Passacatini, Valentina Malafoglia, Giuseppe Viglietto, Jessica Maiuolo, Francesca Oppedisano, Ernesto Palma, Carlo Tomino, William Raffaeli, Vincenzo Mollace, Carolina Muscoli
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/11/6/1701
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author Cinzia Garofalo
Costanza Maria Cristiani
Sara Ilari
Lucia Carmela Passacatini
Valentina Malafoglia
Giuseppe Viglietto
Jessica Maiuolo
Francesca Oppedisano
Ernesto Palma
Carlo Tomino
William Raffaeli
Vincenzo Mollace
Carolina Muscoli
author_facet Cinzia Garofalo
Costanza Maria Cristiani
Sara Ilari
Lucia Carmela Passacatini
Valentina Malafoglia
Giuseppe Viglietto
Jessica Maiuolo
Francesca Oppedisano
Ernesto Palma
Carlo Tomino
William Raffaeli
Vincenzo Mollace
Carolina Muscoli
author_sort Cinzia Garofalo
collection DOAJ
description Fibromyalgia (FM) is a serious chronic pain syndrome, characterised by muscle and joint stiffness, insomnia, fatigue, mood disorders, cognitive dysfunction, anxiety, depression and intestinal irritability. Irritable Bowel Syndrome (IBS) shares many of these symptoms, and FM and IBS frequently co-exist, which suggests a common aetiology for the two diseases. The exact physiopathological mechanisms underlying both FM and IBS onset are unknown. Researchers have investigated many possible causes, including alterations in gut microbiota, which contain billions of microorganisms in the human digestive tract. The gut-brain axis has been proven to be the link between the gut microbiota and the central nervous system, which can then control the gut microbiota composition. In this review, we will discuss the similarities between FM and IBS. Particularly, we will focus our attention on symptomatology overlap between FM and IBS as well as the similarities in microbiota composition between FM and IBS patients. We will also briefly discuss the potential therapeutic approaches based on microbiota manipulations that are successfully used in IBS and could be employed also in FM patients to relieve pain, ameliorate the rehabilitation outcome, psychological distress and intestinal symptoms.
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spelling doaj.art-c6137731042045938e0bace5c1feccab2023-11-18T09:26:59ZengMDPI AGBiomedicines2227-90592023-06-01116170110.3390/biomedicines11061701Fibromyalgia and Irritable Bowel Syndrome Interaction: A Possible Role for Gut Microbiota and Gut-Brain AxisCinzia Garofalo0Costanza Maria Cristiani1Sara Ilari2Lucia Carmela Passacatini3Valentina Malafoglia4Giuseppe Viglietto5Jessica Maiuolo6Francesca Oppedisano7Ernesto Palma8Carlo Tomino9William Raffaeli10Vincenzo Mollace11Carolina Muscoli12Department of Experimental and Clinical Medicine, “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Medical and Surgical Sciences, Neuroscience Research Center, “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyPhysiology and Pharmacology of Pain, IRCCS San Raffaele Roma, 00166 Rome, ItalyDepartment of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyPhysiology and Pharmacology of Pain, IRCCS San Raffaele Roma, 00166 Rome, ItalyDepartment of Experimental and Clinical Medicine, “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyScientific Direction, IRCCS San Raffaele Roma, 00166 Rome, ItalyInstitute for Research on Pain, ISAL Foundation, Torre Pedrera, 47922 Rimini, ItalyDepartment of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), “Magna Græcia” University of Catanzaro, 88100 Catanzaro, ItalyFibromyalgia (FM) is a serious chronic pain syndrome, characterised by muscle and joint stiffness, insomnia, fatigue, mood disorders, cognitive dysfunction, anxiety, depression and intestinal irritability. Irritable Bowel Syndrome (IBS) shares many of these symptoms, and FM and IBS frequently co-exist, which suggests a common aetiology for the two diseases. The exact physiopathological mechanisms underlying both FM and IBS onset are unknown. Researchers have investigated many possible causes, including alterations in gut microbiota, which contain billions of microorganisms in the human digestive tract. The gut-brain axis has been proven to be the link between the gut microbiota and the central nervous system, which can then control the gut microbiota composition. In this review, we will discuss the similarities between FM and IBS. Particularly, we will focus our attention on symptomatology overlap between FM and IBS as well as the similarities in microbiota composition between FM and IBS patients. We will also briefly discuss the potential therapeutic approaches based on microbiota manipulations that are successfully used in IBS and could be employed also in FM patients to relieve pain, ameliorate the rehabilitation outcome, psychological distress and intestinal symptoms.https://www.mdpi.com/2227-9059/11/6/1701fibromyalgiaIBSmicrobiota gut-brain axis
spellingShingle Cinzia Garofalo
Costanza Maria Cristiani
Sara Ilari
Lucia Carmela Passacatini
Valentina Malafoglia
Giuseppe Viglietto
Jessica Maiuolo
Francesca Oppedisano
Ernesto Palma
Carlo Tomino
William Raffaeli
Vincenzo Mollace
Carolina Muscoli
Fibromyalgia and Irritable Bowel Syndrome Interaction: A Possible Role for Gut Microbiota and Gut-Brain Axis
Biomedicines
fibromyalgia
IBS
microbiota gut-brain axis
title Fibromyalgia and Irritable Bowel Syndrome Interaction: A Possible Role for Gut Microbiota and Gut-Brain Axis
title_full Fibromyalgia and Irritable Bowel Syndrome Interaction: A Possible Role for Gut Microbiota and Gut-Brain Axis
title_fullStr Fibromyalgia and Irritable Bowel Syndrome Interaction: A Possible Role for Gut Microbiota and Gut-Brain Axis
title_full_unstemmed Fibromyalgia and Irritable Bowel Syndrome Interaction: A Possible Role for Gut Microbiota and Gut-Brain Axis
title_short Fibromyalgia and Irritable Bowel Syndrome Interaction: A Possible Role for Gut Microbiota and Gut-Brain Axis
title_sort fibromyalgia and irritable bowel syndrome interaction a possible role for gut microbiota and gut brain axis
topic fibromyalgia
IBS
microbiota gut-brain axis
url https://www.mdpi.com/2227-9059/11/6/1701
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