Evaluation of fecal microbiota transplantation in Parkinson's disease patients with constipation

From BugSigDB
Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Kuai XY, Yao XH, Xu LJ, Zhou YQ, Zhang LP, Liu Y, Pei SF, Zhou CL
Journal
Microbial cell factories
Year
2021
Keywords:
16s rDNA sequencing, Constipation, FMT, Gut microbiota, Parkinson’s disease
Parkinson's disease (PD) is a neurodegenerative disorder and 70-80% of PD patients suffer from gastrointestinal dysfunction such as constipation. We aimed to assess the efficacy and safety of fecal microbiota transplantation (FMT) for treating PD related to gastrointestinal dysfunction. We conducted a prospective, single- study. Eleven patients with PD received FMT. Fecal samples were collected before and after FMT and subjected to 16S ribosomal DNA (rDNA) gene sequencing. Hoehn-Yahr (H-Y) grade, Unified Parkinson's Disease Rating Scale (UPDRS) score, and the Non-Motion Symptom Questionnaire (NMSS) were used to assess improvements in motor and non-motor symptoms. PAC-QOL score and Wexner constipation score were used to assess the patient's constipation symptoms. All patients were tested by the small intestine breath hydrogen test, performed before and after FMT. Community richness (chao) and microbial structure in before-FMT PD patients were significantly different from the after-FMT. We observed an increased abundance of Blautia and Prevotella in PD patients after FMT, while the abundance of Bacteroidetes decreased dramatically. After FMT, the H-Y grade, UPDRS, and NMSS of PD patients decreased significantly. Through the lactulose H2 breath test, the intestinal bacterial overgrowth (SIBO) in PD patients returned to normal. The PAC-QOL score and Wexner constipation score in after-FMT patients decreased significantly. Our study profiles specific characteristics and microbial dysbiosis in the gut of PD patients. FMT might be a therapeutic potential for reconstructing the gut microbiota of PD patients and improving their motor and non-motor symptoms.

Experiment 1


Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/08

Curator: Ikehdarlington

Revision editor(s): Ikehdarlington, ChiomaBlessing

Subjects

Location of subjects
China
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
Constipation , Parkinson's disease Constipation,Costiveness,Dyschezia,constipation,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 Control group
Group 1 name Corresponds to the case (exposed) group for case-control studies
Parkinson's disease patients (PD) before Fecal microbiota transplant (FMT)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson's disease patients with constipation before FMT
Group 0 sample size Number of subjects in the control (unexposed) group
13
Group 1 sample size Number of subjects in the case (exposed) group
11
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
None

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
Not specified

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
LEfSe
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
decreased

Signature 1

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/08

Curator: Ikehdarlington

Revision editor(s): Ikehdarlington, ChiomaBlessing

Source: Fig. 2C and 2D

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to the Health Control group (HC)

Abundance in Group 1: increased abundance in Parkinson's disease patients (PD) before Fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Bacteroidaceae
Bacteroidales
Bacteroides
Bacteroidia
Bacteroidota

Revision editor(s): Ikehdarlington, ChiomaBlessing

Signature 2

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/10

Curator: Ikehdarlington

Revision editor(s): Ikehdarlington, ChiomaBlessing

Source: Fig. 2C and 2D

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to the Health Control group (HC)

Abundance in Group 1: decreased abundance in Parkinson's disease patients (PD) before Fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Betaproteobacteria
Burkholderiaceae
Clostridia
Enterobacteriaceae
Peptostreptococcaceae
Bacillota

Revision editor(s): Ikehdarlington, ChiomaBlessing

Experiment 2


Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/10

Curator: Ikehdarlington

Revision editor(s): Ikehdarlington, ChiomaBlessing

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Response to transplant Response to transplant,response to transplant
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Parkinson's disease patients before fecal microbiota transplant (FMT)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Parkinson's disease patients after fecal microbiota transplant (FMT)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson's disease patients 12 weeks after FMT
Group 0 sample size Number of subjects in the control (unexposed) group
11

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Chao1 Abundance-based estimator of species richness
increased

Signature 2

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/10

Curator: Ikehdarlington

Revision editor(s): Ikehdarlington, ChiomaBlessing

Source: Fig. 2C and 2D

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to PD patients with constipation 12 weeks after FMT

Abundance in Group 1: increased abundance in Parkinson's disease patients after fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Blautia
Collinsella
Coriobacteriaceae
Coriobacteriales
Coriobacteriia
Dorea
Erysipelotrichaceae
Erysipelotrichales
Erysipelotrichia
Lachnospiraceae
Romboutsia
Ruminococcus sp.
Anaerobutyricum hallii
Actinomycetota

Revision editor(s): Ikehdarlington, ChiomaBlessing

Experiment 3


Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Differences from previous experiment shown

Subjects

Lab analysis

Statistical Analysis

Statistical test
T-Test
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Yes
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
Not specified


Signature 1

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Source: Fig. 3B and 3D

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to PD patients with constipation 12 weeks after FMT

Abundance in Group 1: decreased abundance in Parkinson's disease patients after fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Bacteroides
Escherichia/Shigella sp.

Revision editor(s): ChiomaBlessing

Signature 2

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Source: Fig. 3C and 3E

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to PD patients with constipation 12 weeks after FMT

Abundance in Group 1: increased abundance in Parkinson's disease patients after fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Blautia
Faecalibacterium

Revision editor(s): ChiomaBlessing

Experiment 4


Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Differences from previous experiment shown

Subjects

Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson's disease patients 8 weeks after FMT

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Source: Fig. 3B and 3D

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to PD patients with constipation 8 weeks after FMT

Abundance in Group 1: decreased abundance in Parkinson's disease patients after fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Bacteroides
Escherichia/Shigella sp.

Revision editor(s): ChiomaBlessing

Signature 2

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Source: Fig. 3E

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to PD patients with constipation 8 weeks after FMT

Abundance in Group 1: increased abundance in Parkinson's disease patients after fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Blautia

Revision editor(s): ChiomaBlessing

Experiment 5


Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Differences from previous experiment shown

Subjects

Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Parkinson's disease patients 4 weeks after FMT

Lab analysis

Statistical Analysis

Signature 1

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Source: Fig. 3D

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to PD patients with constipation 4 weeks after FMT

Abundance in Group 1: decreased abundance in Parkinson's disease patients after fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Escherichia/Shigella sp.

Revision editor(s): ChiomaBlessing

Signature 2

Reviewed Marked as Reviewed by ChiomaBlessing on 2024-3-16

Curated date: 2024/03/16

Curator: ChiomaBlessing

Revision editor(s): ChiomaBlessing

Source: Fig. 3C

Description: Differential microorganism communities observed in the intestinal microbiota of PD patients with constipation before FMT compared to PD patients with constipation 4 weeks after FMT

Abundance in Group 1: increased abundance in Parkinson's disease patients after fecal microbiota transplant (FMT)

NCBI Quality ControlLinks
Faecalibacterium

Revision editor(s): ChiomaBlessing