Metagenomic Analysis Reveals Large-Scale Disruptions of the Gut Microbiome in Parkinson's Disease

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Reviewed Marked as Reviewed by Svetlana up on 2025-3-3
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Metcalfe-Roach A, Cirstea MS, Yu AC, Ramay HR, Coker O, Boroomand S, Kharazyan F, Martino D, Sycuro LK, Appel-Cresswell S, Finlay BB
Journal
Movement disorders : official journal of the Movement Disorder Society
Year
2024
Keywords:
Parkinson's disease, metagenomics, microbiome
BACKGROUND: Parkinson's disease (PD) has been consistently linked to alterations within the gut microbiome. OBJECTIVE: Our goal was to identify microbial features associated with PD incidence and progression. METHODS: Metagenomic sequencing was used to characterize taxonomic and functional changes to the PD microbiome and to explore their relation to bacterial metabolites and disease progression. Motor and non-motor symptoms were tracked using Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) and levodopa equivalent dose across ≤5 yearly study visits. Stool samples were collected at baseline for metagenomic sequencing (176 PD, 100 controls). RESULTS: PD-derived stool samples had reduced intermicrobial connectivity and seven differentially abundant species compared to controls. A suite of bacterial functions differed between PD and controls, including depletion of carbohydrate degradation pathways and enrichment of ribosomal genes. Faecalibacterium prausnitzii-specific reads contributed significantly to more than half of all differentially abundant functional terms. A subset of disease-associated functional terms correlated with faster progression of MDS-UPDRS part IV and separated those with slow and fast progression with moderate accuracy within a random forest model (area under curve = 0.70). Most PD-associated microbial trends were stronger in those with symmetric motor symptoms. CONCLUSION: We provide further evidence that the PD microbiome is characterized by reduced intermicrobial communication and a shift to proteolytic metabolism in lieu of short-chain fatty acid production, and suggest that these microbial alterations may be relevant to disease progression. We also describe how our results support the existence of gut-first versus brain-first PD subtypes. © 2024 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Experiment 1


Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/26

Curator: KateRasheed

Revision editor(s): KateRasheed

Subjects

Location of subjects
Canada
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Parkinson's disease IDIOPATHIC PARKINSON DIS,Idiopathic Parkinson Disease,Idiopathic Parkinson's Disease,IDIOPATHIC PARKINSONS DIS,Idiopathic PD,LEWY BODY PARKINSON DIS,Lewy Body Parkinson Disease,Lewy Body Parkinson's Disease,Paralysis agitans,paralysis agitans,PARKINSON DIS,PARKINSON DIS IDIOPATHIC,Parkinson disease,Parkinson Disease, Idiopathic,Parkinson syndrome,Parkinson's,Parkinson's disease,Parkinson's disease (disorder),Parkinson's disease NOS,Parkinson's disease NOS (disorder),Parkinson's Disease, Idiopathic,Parkinson's Disease, Lewy Body,Parkinson's syndrome,Parkinsonian disorder,Parkinsonism, Primary,Parkinsons,PARKINSONS DIS,PARKINSONS DIS IDIOPATHIC,PARKINSONS DIS LEWY BODY,Parkinsons disease,Primary Parkinsonism,parkinson's disease
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy Controls (Ctrl)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Parkinson’s disease patients (PD patients - Assymetric)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson’s disease patients (PD patients) refers to participants with PD; who had developed motor symptoms ≤12 years before initial study participation (mean, 6 ± 3 years). Asymmetric motor phenotypes were defined as those with absolute differences above the median.
Group 0 sample size Number of subjects in the control (unexposed) group
100
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
3 months

Lab analysis

Sequencing type
WMS
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
Not specified
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
centered log-ratio
Statistical test
Mann-Whitney (Wilcoxon)
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
No
Matched on Factors on which subjects have been matched on in a case-control study
age


Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/26

Curator: KateRasheed

Revision editor(s): KateRasheed

Source: Fig. S3

Description: Differential abundance of taxa between Control and PD

Abundance in Group 1: increased abundance in Parkinson’s disease patients (PD patients - Assymetric)

NCBI Quality ControlLinks
Collinsella aerofaciens
Ruthenibacterium lactatiformans
Blautia obeum

Revision editor(s): KateRasheed

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/26

Curator: KateRasheed

Revision editor(s): KateRasheed

Source: Fig. S3

Description: Differential abundance of taxa between Control and PD

Abundance in Group 1: decreased abundance in Parkinson’s disease patients (PD patients - Assymetric)

NCBI Quality ControlLinks
Blautia wexlerae
Roseburia inulinivorans
Roseburia hominis
Faecalibacterium prausnitzii

Revision editor(s): KateRasheed

Experiment 2


Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/26

Curator: KateRasheed

Revision editor(s): KateRasheed

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Parkinson’s disease patients (PD patients - Symmetric)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
A "symmetric motor phenotype" in Parkinson's disease (PD) refers to a presentation where the motor symptoms like tremor, rigidity, and bradykinesia are equally present on both sides of the body, meaning the disease affects both sides of the body almost identically

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/26

Curator: KateRasheed

Revision editor(s): KateRasheed

Source: Fig. S3

Description: Differential abundance of taxa between Control and PD

Abundance in Group 1: increased abundance in Parkinson’s disease patients (PD patients - Symmetric)

NCBI Quality ControlLinks
Blautia obeum
Collinsella aerofaciens
Alistipes indistinctus
Coprococcus catus
Ruthenibacterium lactatiformans

Revision editor(s): KateRasheed

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/26

Curator: KateRasheed

Revision editor(s): KateRasheed

Source: Fig. S3

Description: Differential abundance of taxa between Control and PD

Abundance in Group 1: decreased abundance in Parkinson’s disease patients (PD patients - Symmetric)

NCBI Quality ControlLinks
Roseburia hominis
Roseburia intestinalis
Roseburia inulinivorans
Blautia wexlerae
Faecalibacterium prausnitzii

Revision editor(s): KateRasheed

Experiment 3


Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/27

Curator: KateRasheed

Revision editor(s): KateRasheed

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Parkinson’s disease patients (PD patients)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson’s disease patients (PD patients) refers to participants with PD; who had developed motor symptoms ≤12 years before initial study participation (mean, 6 ± 3 years).
Group 1 sample size Number of subjects in the case (exposed) group
176

Lab analysis

Statistical Analysis

Statistical test
Kruskall-Wallis
MaAsLin2
ANCOM-BC
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Yes
Confounders controlled for Confounding factors that have been accounted for by stratification or model adjustment
sex, sequence read depth, Confounders controlled for: "laxative use" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.laxative use


Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/27

Curator: KateRasheed

Revision editor(s): KateRasheed

Source: Fig. 2A

Description: Differentially abundance of species between healthy controls and PD patients using ANCOM-BC, MaAsLin2, and ALDEx2 (after controlling for confounders).

Abundance in Group 1: increased abundance in Parkinson’s disease patients (PD patients)

NCBI Quality ControlLinks
Coprococcus catus
Ruthenibacterium lactatiformans
Alistipes indistinctus
Blautia obeum

Revision editor(s): KateRasheed

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/27

Curator: KateRasheed

Revision editor(s): KateRasheed

Source: Fig. 2A

Description: Differentially abundance of species between healthy controls and PD patients using ANCOM-BC, MaAsLin2, and ALDEx2 (after controlling for confounders).

Abundance in Group 1: decreased abundance in Parkinson’s disease patients (PD patients)

NCBI Quality ControlLinks
Roseburia inulinivorans
Roseburia intestinalis
Blautia wexlerae

Revision editor(s): KateRasheed

Experiment 4


Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/27

Curator: KateRasheed

Revision editor(s): KateRasheed

Differences from previous experiment shown

Subjects

Lab analysis

Statistical Analysis

Confounders controlled for Confounding factors that have been accounted for by stratification or model adjustment
Not specified


Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/27

Curator: KateRasheed

Revision editor(s): KateRasheed

Source: Fig. 2A

Description: Differentially abundance of species between healthy controls and PD patients using ANCOM-BC, MaAsLin2, and ALDEx2.

Abundance in Group 1: increased abundance in Parkinson’s disease patients (PD patients)

NCBI Quality ControlLinks
Alistipes indistinctus
Blautia obeum
Collinsella aerofaciens
Coprococcus catus
Ruthenibacterium lactatiformans

Revision editor(s): KateRasheed

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-3

Curated date: 2025/02/27

Curator: KateRasheed

Revision editor(s): KateRasheed

Source: Fig. 2A

Description: Differentially abundance of species between healthy controls and PD patients using ANCOM-BC, MaAsLin2, and ALDEx2.

Abundance in Group 1: decreased abundance in Parkinson’s disease patients (PD patients)

NCBI Quality ControlLinks
Blautia wexlerae
Faecalibacterium prausnitzii
Roseburia hominis
Roseburia intestinalis
Roseburia inulinivorans

Revision editor(s): KateRasheed