2019
DOI: 10.3233/jpd-191780
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Bacterial Metabolites Mirror Altered Gut Microbiota Composition in Patients with Parkinson’s Disease

Abstract: Increasing evidence is supporting the hypothesis of ␣-synuclein pathology spreading from the gut to the brain although the exact etiology of Parkinson's disease (PD) is unknown. Furthermore, it has been proposed that inflammation, via the gastrointestinal tract, potentially through infections, may contribute to ␣-synuclein pathogenesis, and thus to the risk of developing PD. Recently, many studies have shown that PD patients have an altered microbiota composition compared to healthy controls. Inflammation in t… Show more

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Cited by 33 publications
(40 citation statements)
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References 96 publications
(148 reference statements)
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“…34 In our study, its abundance was decreased in PD + MA mice. In addition, van Kessel and El demonstrated that decreased abundance of Lachnospiraceae in PD patients was reported in six studies, 34 which is in total agreement with our study. Another study revealed that the abundance of Ruminococcaceae was significantly heightened in PD patients, 35 which contrasted with our results.…”
Section: Discussionsupporting
confidence: 53%
“…34 In our study, its abundance was decreased in PD + MA mice. In addition, van Kessel and El demonstrated that decreased abundance of Lachnospiraceae in PD patients was reported in six studies, 34 which is in total agreement with our study. Another study revealed that the abundance of Ruminococcaceae was significantly heightened in PD patients, 35 which contrasted with our results.…”
Section: Discussionsupporting
confidence: 53%
“…Abnormalities in the composition and distribution of intestinal bacteria have been suggested in PD patients [ 57 ]. It has been postulated that α-synuclein pathology may spread from gut to the brain and contribute to PD etiology, however, the exact mechanism remains unclear [ 13 ]. The microbiota-derived metabolites provide a functional readout of the microbiome and can indicate the metabolic interplay among the host, diet, and intestinal bacteria [ 58 ].…”
Section: Discussionmentioning
confidence: 99%
“…Consequently, changes in the appendix microbiome may have a widespread effect on the microbiota of the intestine, which may be reflected in changes in stool microbiota. Furthermore, inflammation in the periphery and the brain has been proposed to have a central role in PD, and the microbiome and the host immune system have a bidirectional effectual relationship [ 12 , 21 , 22 ]. Microbiota can modify inflammatory responses and immunity in the gut, and the lymphoid tissue of the appendix is particularly relevant since it is especially rich in lymphocytes compared to the rest of the GI tract [ 11 ]; microbial metabolites have direct access to the immune cells within the lymphoid follicles of the appendix [ 23 , 24 , 25 ].…”
Section: Introductionmentioning
confidence: 99%