A1 Refereed original research article in a scientific journal

Fecal microbiome alterations in treatment-naive de novo Parkinson's disease




AuthorsBoertien Jeffrey M., Murtomäki Kirsti, Pereira Pedro A. B., van der Zee Sygrid, Mertsalmi Tuomas H., Levo Reeta, Nojonen Tanja, Mäkinen Elina, Jaakkola Elina, Laine Pia, Paulin Lars, Pekkonen Eero, Kaasinen Valtteri, Auvinen Petri, Scheperjans Filip, van Laar Teus

PublisherNATURE PORTFOLIO

Publication year2022

JournalNPJ Parkinson's disease

Journal acronymNPJ PARKINSONS DIS

Article number 129

Volume8

Number of pages12

eISSN2373-8057

DOIhttps://doi.org/10.1038/s41531-022-00395-8

Web address https://www.nature.com/articles/s41531-022-00395-8

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/176752266


Abstract

Gut microbiota alterations in Parkinson's disease (PD) have been found in several studies and are suggested to contribute to the pathogenesis of PD. However, previous results could not be adequately adjusted for a potential confounding effect of PD medication and disease duration, as almost all PD participants were already using dopaminergic medication and were included several years after diagnosis. Here, the gut microbiome composition of treatment-naive de novo PD subjects was assessed compared to healthy controls (HC) in two large independent case-control cohorts (n = 136 and 56 PD, n = 85 and 87 HC), using 16S-sequencing of fecal samples. Relevant variables such as technical batches, diet and constipation were assessed for their potential effects. Overall gut microbiome composition differed between PD and HC in both cohorts, suggesting gut microbiome alterations are already present in de novo PD subjects at the time of diagnosis, without the possible confounding effect of dopaminergic medication. Although no differentially abundant taxon could be replicated in both cohorts, multiple short chain fatty acids (SCFA) producing taxa were decreased in PD in both cohorts. In particular, several taxa belonging to the family Lachnospiraceae were decreased in abundance. Fewer taxonomic differences were found compared to previous studies, indicating smaller effect sizes in de novo PD.


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