Cited by 370Gut microbiota and healthParkinson's Disease Mechanisms and TreatmentsGastrointestinal motility and disorders

Meta‐Analysis of Gut Dysbiosis in Parkinson's Disease

Nishiwaki, Hiroshi, Ito, Mikako, Ishida, Tomohiro, Hamaguchi, Tomonari, Maeda, Tetsuya, Kashihara, Kenichi, Tsuboi, Yoshio, Ueyama, Jun +6 more·2020·Movement Disorders

Abstract

Background: PD may begin with the intestinal accumulation of α‐synuclein fibrils, which can be causally associated with gut dysbiosis. The variability of gut microbiota across countries prevented us from identifying shared gut dysbiosis in PD. Objectives: To identify gut dysbiosis in PD across countries. Methods: We performed 16S ribosomal RNA gene sequencing analysis of gut microbiota in 223 patients with PD and 137 controls, and meta‐analyzed gut dysbiosis by combining our dataset with four previously reported data sets from the United States, Finland, Russia, and Germany. We excluded uncommon taxa from our analyses. For pathway analysis, we developed the Kyoto Encyclopedia of Genes and Genomes orthology set enrichment analysis method. Results: After adjusting for confounding factors (body mass index, constipation, sex, age, and catechol‐O‐methyl transferase inhibitor), genera Akkermansia and Catabacter , as well as families Akkermansiaceae , were increased, whereas genera Roseburia , Faecalibacterium , and Lachnospiraceae ND3007 group were decreased in PD. Catechol‐O‐methyl transferase inhibitor intake markedly increased family Lactobacillaceae . Inspection of these bacteria in 12 datasets that were not included in the meta‐analysis revealed that increased genus Akkermansia and decreased genera Roseburia and Faecalibacterium were frequently observed across countries. Kyoto Encyclopedia of Genes and Genomes orthology set enrichment analysis revealed changes in short‐chain fatty acid metabolisms in our dataset. Conclusions: We report that intestinal mucin layer‐degrading Akkermansia is increased and that short‐chain fatty acid–producing Roseburia and Faecalibacterium are decreased in PD across countries. © 2020 International Parkinson and Movement Disorder Society

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Crossref · 10.1002/mds.28119

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  • Gut dysbacteriosis is prevalent among PD patients and may be related to motor symptoms.

    “gut dysbacteriosis is prevalent among PD patients and may be related to motor symptoms [16]”
  • Several studies have reported a higher abundance of Akkermansia in PD patients compared to healthy controls.

    “Several studies have reported a higher abundance of Akkermansia in PD patients compared to healthy controls [16, 53]”
  • Parkinson's disease patients are characterized by an overgrowth of the genera Bifidobacterium, Lactobacillus, Akkermansia and of the opportunistic pathogens Porphyromonas and Corynebacterium, together with a decreased abundance of the SCFAs producers Prevotellaceae, Lachnospiraceae and Faecalibacterium.

    “meta-analysis and systematic reviews report that PD patients are characterized by an overgrowth of the genera Bifidobacterium, Lactobacillus, Akkermansia and of the opportunistic pathogens Porphyromonas and Corynebacterium, together with a decreased abundance of the SCFAs producers Prevotellaceae, Lachnospiraceae and Faecalibacterium [52,53,54,55,56]”
  • A meta-analysis of gut microbiota in 223 patients with Parkinson's disease and 137 healthy controls from five different countries revealed that Parkinson's disease is frequently associated with increased genus Akkermansia, which increases intestinal permeability, and decreased SCFA-producing bacteria of genera Roseburia and Faecalibacterium.

    “A meta-analysis of gut microbiota in 223 patients with Parkinson's disease and 137 healthy controls from five different countries revealed that Parkinson's disease is frequently associated with increased genus Akkermansia which increases intestinal permeability and decreased SCFA-producing bacteria of genera Roseburia and Faecalibacterium [417].”

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Authors
Nishiwaki, H., Ito, M., Ishida, T., Hamaguchi, T., Maeda, T., Kashihara, K., Tsuboi, Y., Ueyama, J., Shimamura, T., Mori, H., Kurokawa, K., Katsuno, M., Hirayama, M., & Ohno, K.
Affiliations
  • Nagoya University (JP)
  • Iwate Medical University (JP)
  • Department of Neurology Okayama Kyokuto Hospital Okayama Japan
  • Fukuoka University (JP)
  • National Institute of Genetics (JP)
Corresponding author
  • Hirayama, Masaaki
  • Ohno, Kinji
Venue
Movement Disorders
Publisher
Wiley
Published
2020-06-18
Volume
35
Issue
9
Pages
1626-1635
ISSN
  • 0885-3185 (ISSN-L)
  • 1531-8257
OpenAlex
W3036274992
Cited by
370
References
83
Citations by year
2026: 49 · 2025: 62 · 2024: 58 · 2023: 58 · 2022: 83 · 2021: 47 · 2020: 13
FWCI
4.81
Type
journal article
Language
en
Open access
closed
Locations
  • Movement Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Grants-in-Aid from the Japan Society for the Promotion of Science (JP17K07094, JP19K16516)
  • he National Center of Neurology and Psychiatry (29-4)
  • the Hori Sciences and Arts Foundation
  • the Smoking Research Foundation;
  • the Japan Agency for Medical Research and Development (JJP19gm1010002, JP19bm0804005, JP19ek0109230, JP19ek0109281)
  • the Ministry of Health, Labour and Welfare of Japan (H29-Nanchi-Ippan-030)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
Parkinson's disease, gut dysbiosis, gut microbiota, Akkermansia, Roseburia, Faecalibacterium, Lactobacillaceae, catechol-O-methyltransferase inhibitors, short-chain fatty acid metabolism, mucin-degrading bacteria, cross-national comparison
MeSH terms
Gastrointestinal Microbiome, Catechol O-Methyltransferase, Feces, Finland, Germany, Humans, Parkinson Disease, Dysbiosis

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