Gut microbiota in Parkinson’s disease patients: hospital-based study

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Reviewed Marked as Reviewed by Svetlana up on 2025-3-19
study design
Citation
PMID PubMed identifier for scientific articles.
N/A
DOI Digital object identifier for electronic documents.
URI
Authors
Ahmed Alaa, Anwar M. Ali, Ayman Gamea, Eman M. Khedr, Enas Deaf, Hebatallah M. Hassan
Journal
The Egyptian Journal of Neurology
Year
2021
Pages:
First page:
Keywords:
GIT domain non-motor symptoms, gut microbiota, parkinson's disease
Background

Parkinson’s disease (PD) is one of the most common neurodegenerative diseases. There is accumulating evidence that link gut microbiota to symptomatology and pathophysiology of PD. The aim of this study was to describe the pattern of gut microbiota and its association with PD and identify the effect of environmental factors on gut microbiota. This case–control study included 46 patients diagnosed as Parkinson’s disease (PD) and 31 healthy volunteers age and sex matched. Detailed history including age of onset, duration of disease, environmental risk factors, diet data, treatment, Unified Parkinson’s Disease Rating Scale (UPDRS), and gastrointestinal tract (GIT) domain of Non‐Motor Symptoms Scale (NMSS) were assessed. After extraction of bacterial DNA from the fecal samples, bacterial abundance was quantified by qPCR using 16S rRNA group-specific primers.

Results

Significant high abundance of Clostridium cluster IV, Akkermansia, Bifidobacterium, and lactic acid bacteria were found in the PD group compared with the control group (P < 0.001, 0.04, 0.02 and < 0.001, respectively), while Firmicutes were significantly less abundant in the PD group (P < 0.001) compared with the control group. The naive PD patients had significant abundance of Bifidobacterium, and lactic acid compared with control group. Interestingly, Akkermansia was more abundant in treated than untreated patients. There were significant associations between pesticide exposure and Bifidobacterium (P = 0.002), while no significant correlations between different gut microbiota and demographic, environment data, different rating scores or dominant type of PD. There was a significant negative correlation between the Bifidobacterium with the duration of illness (P = 0.012).

Conclusion

The present study highlighted a significant connection between PD and levels of certain types of gut microbiota, in support of a possible link between gut microbiota and a neurodegenerative cascade of PD.

Experiment 1


Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/10

Curator: Karima

Revision editor(s): Karima

Subjects

Location of subjects
Egypt
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 relatives
Group 1 name Corresponds to the case (exposed) group for case-control studies
Parkinson's disease patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
patients with parkinson's disease
Group 0 sample size Number of subjects in the control (unexposed) group
31
Group 1 sample size Number of subjects in the case (exposed) group
46
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
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
Not specified

Statistical Analysis

Statistical test
Kruskall-Wallis
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
Matched on Factors on which subjects have been matched on in a case-control study
age, sex


Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Source: Table 2

Description: Increased copy number of gut microbiota among Total Parkinson’s disease patients and control group

Abundance in Group 1: increased abundance in Parkinson's disease patients

NCBI Quality ControlLinks
Akkermansia
Bifidobacterium
Clostridium cluster IVClostridium cluster IV
Lactic acid bacteriaLactic acid bacteria

Revision editor(s): Karima

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Source: Table 2

Description: Decreased copy number of gut microbiota among Total Parkinson’s disease patients and control group

Abundance in Group 1: decreased abundance in Parkinson's disease patients

NCBI Quality ControlLinks
Bacillota

Revision editor(s): Karima

Experiment 2


Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Treated PD patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
patients with parkinson's disease under treatments
Group 1 sample size Number of subjects in the case (exposed) group
39

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Source: Table 2

Description: Increased copy number of gut microbiota among treated PD patients versus control

Abundance in Group 1: increased abundance in Treated PD patients

NCBI Quality ControlLinks
Akkermansia
Bifidobacterium
Clostridium cluster IVClostridium cluster IV
Lactic acid bacteriaLactic acid bacteria

Revision editor(s): Karima

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Source: Table 2

Description: Decreased copy number of gut microbiota among treated PD patients versus control

Abundance in Group 1: decreased abundance in Treated PD patients

NCBI Quality ControlLinks
Bacillota

Revision editor(s): Karima

Experiment 3


Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Newly PD patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Newly diagnosed patients with parkinson's disease ( non-treated patients)
Group 1 sample size Number of subjects in the case (exposed) group
7

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Source: Table 2

Description: Increased copy number of gut microbiota among Newly diagnosed PD patients and control group

Abundance in Group 1: increased abundance in Newly PD patients

NCBI Quality ControlLinks
Bifidobacterium
Lactic acid bacteriaLactic acid bacteria

Revision editor(s): Karima

Experiment 4


Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Newly PD patients
Group 1 name Corresponds to the case (exposed) group for case-control studies
Treated PD patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson's disease patients under treatments
Group 0 sample size Number of subjects in the control (unexposed) group
7
Group 1 sample size Number of subjects in the case (exposed) group
39

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Source: Table 2

Description: Increased copy number of gut microbiota among treated PD patients and non-treated patients

Abundance in Group 1: increased abundance in Treated PD patients

NCBI Quality ControlLinks
Akkermansia

Revision editor(s): Karima

Experiment 6


Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
PD patients non exposed to pesticide
Group 1 name Corresponds to the case (exposed) group for case-control studies
PD patients exposed to pesticide
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson's disease patients exposed to pesticide
Group 0 sample size Number of subjects in the control (unexposed) group
35
Group 1 sample size Number of subjects in the case (exposed) group
11

Lab analysis

Statistical Analysis

Statistical test
Mann-Whitney (Wilcoxon)
Spearman Correlation


Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Source: Table 4

Description: Correlation between gut microbiota and pesticide exposure in PD

Abundance in Group 1: decreased abundance in PD patients exposed to pesticide

NCBI Quality ControlLinks
Bifidobacterium

Revision editor(s): Karima

Experiment 7


Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
PD patients without constipation
Group 1 name Corresponds to the case (exposed) group for case-control studies
PD patients with constipation
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson's disease Patients with constipation
Group 0 sample size Number of subjects in the control (unexposed) group
24
Group 1 sample size Number of subjects in the case (exposed) group
22

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-3-19

Curated date: 2025/02/22

Curator: Karima

Revision editor(s): Karima

Source: Table 4

Description: Correlation between gut microbiota and constipation in Parkinson’s disease

Abundance in Group 1: increased abundance in PD patients with constipation

NCBI Quality ControlLinks
Akkermansia

Revision editor(s): Karima