Cited by 172Parkinson's Disease Mechanisms and TreatmentsGut microbiota and healthGastrointestinal motility and disorders

Parkinson’s Disease and the Gastrointestinal Microbiome

Lubomski, Michal, Tan, Ai Huey, Lim, Shen-Yang, Holmes, Andrew J., Davis, Ryan L., Sue, Carolyn M.·2020·Journal of Neurology

Abstract

Recently, there has been a surge in awareness of the gastrointestinal microbiome (GM) and its role in health and disease. Of particular note is an association between the GM and Parkinson's disease (PD) and the realisation that the GM can act via a complex bidirectional communication between the gut and the brain. Compelling evidence suggests that a shift in GM composition may play an important role in the pathogenesis of PD by facilitating the characteristic ascending neurodegenerative spread of α-synuclein aggregates from the enteric nervous system to the brain. Here, we review evidence linking GM changes with PD, highlighting mechanisms supportive of pathological α-synuclein spread and intestinal inflammation in PD. We summarise existing patterns and correlations seen in clinical studies of the GM in PD, together with the impacts of non-motor symptoms, medications, lifestyle, diet and ageing on the GM. Roles of GM modulating therapies including probiotics and faecal microbiota transplantation are discussed. Encouragingly, alterations in the GM have repeatedly been observed in PD, supporting a biological link and highlighting it as a potential therapeutic target.

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Crossref · 10.1007/s00415-019-09320-1

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165 of 165 references verified0 citation errors · 0 not checkable

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Authors
Lubomski, M., Tan, A. H., Lim, S.-Y., Holmes, A. J., Davis, R. L., & Sue, C. M.
Affiliations
  • The University of Sydney (AU)
  • University of Malaya (MY)
Corresponding author
Lubomski, Michal
Venue
Journal of Neurology
Published
2019-04-30
Volume
267
Issue
9
Pages
2507-2523
ISSN
  • 0012-1037 (ISSN-L)
  • 0340-5354
  • 1432-1459
OpenAlex
W2942596495
Cited by
172
References
165
Citations by year
2026: 13 · 2025: 13 · 2024: 25 · 2023: 30 · 2022: 32 · 2021: 29 · 2020: 19 · 2019: 11
FWCI
3.05
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Neurology (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline@ND (The University of Notre Dame) (submittedVersion)
Topics
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
Parkinson's disease, gastrointestinal microbiome, gut-brain axis, alpha-synuclein aggregation, neurodegeneration, intestinal inflammation, enteric nervous system, non-motor symptoms, probiotics, fecal microbiota transplantation, diet, aging, gut dysbiosis
MeSH terms
Gastrointestinal Microbiome, Humans, Inflammation, Parkinson Disease, Enteric Nervous System, alpha-Synuclein

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