Cited by 116Gut microbiota and healthParkinson's Disease Mechanisms and TreatmentsGastrointestinal motility and disorders

Short chain fatty acids-producing and mucin-degrading intestinal bacteria predict the progression of early Parkinson’s disease

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Nishiwaki, Hiroshi, Ito, Mikako, Hamaguchi, Tomonari, Maeda, Tetsuya, Kashihara, Kenichi, Tsuboi, Yoshio, Ueyama, Jun, Yoshida, Takumi +5 more·2022·npj Parkinson's Disease

Abstract

To elucidate the relevance of gut dysbiosis in Parkinson’s disease (PD) in disease progression, we made random forest models to predict the progression of PD in two years by gut microbiota in 165 PD patients. The area under the receiver operating characteristic curves (AUROCs) of gut microbiota-based models for Hoehn & Yahr (HY) stages 1 and 2 were 0.799 and 0.705, respectively. Similarly, gut microbiota predicted the progression of Movement Disorder Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) III scores in an early stage of PD with AUROC = 0.728. Decreases of short-chain fatty acid-producing genera, Fusicatenibacter , Faecalibacterium , and Blautia , as well as an increase of mucin-degrading genus Akkermansia , predicted accelerated disease progression. The four genera remained unchanged in two years in PD, indicating that the taxonomic changes were not the consequences of disease progression. PD patients with marked gut dysbiosis may thus be destined to progress faster than those without gut dysbiosis.

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  • Diminished SCFA-producing species and SCFA levels are consistently reported in prodromal PD and PD patients compared with healthy controls, and may be correlated with clinical severity of PD.

    “These findings are in concordance with a substantial body of literature that consistently reports diminished SCFAs-producing species and SCFA levels in prodromal stage of PD and PD patients compared to healthy controls, which may be correlated with the clinical severity of PD.52,322–331”
  • A reduction in Fusicatenibacter, Blautia and Faecalibacterium, together with an increased presence of Akkermansia, correlates with a faster progression of Parkinson's disease.

    “a machine learning approach accounting for the abundance of various gut microbial species revealed that a reduction in Fusicatenibacter, Blautia and Faecalibacterium, together with an increased presence of Akkermansia, correlates with a faster progression of the disease [166]”

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Authors
Nishiwaki, H., Ito, M., Hamaguchi, T., Maeda, T., Kashihara, K., Tsuboi, Y., Ueyama, J., Yoshida, T., Hanada, H., Takeuchi, I., Katsuno, M., Hirayama, M., & Ohno, K.
Affiliations
  • Nagoya University (JP)
  • Iwate Medical University (JP)
  • Fukuoka University (JP)
  • Nagoya Institute of Technology (JP)
  • RIKEN (JP)
Corresponding author
  • Hirayama, Masaaki
  • Ohno, Kinji
Venue
npj Parkinson's Disease
Published
2022-06-01
Volume
8
Issue
1
Pages
65-65
ISSN
2373-8057 (ISSN-L)
OpenAlex
W4281748741
Cited by
116
References
74
Citations by year
2026: 22 · 2025: 29 · 2024: 32 · 2023: 26 · 2022: 7
FWCI
7.67
Type
journal article
Language
en
Open access
Locations
  • npj Parkinson s Disease (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • MEXT | Japan Society for the Promotion of Science (JP21H03561)
  • Ministry of Health, Labour and Welfare (20FC1036)
  • Japan Agency for Medical Research and Development (JP21gm1010002, JP21ek0109488, and JP21bm0804005)
  • National Center of Neurology and Psychiatry (2-5)
  • Smoking Research Foundation
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 microbiota, gut dysbiosis, short-chain fatty acids, mucin-degrading bacteria, Akkermansia, Faecalibacterium, Blautia, Fusicatenibacter, disease progression prediction, Hoehn and Yahr stage, MDS-UPDRS III, early-stage Parkinson's disease

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