Relationships of gut microbiota, short-chain fatty acids, inflammation, and the gut barrier in Parkinson’s disease

Abstract Background Previous studies have reported that gut microbiota, permeability, short-chain fatty acids (SCFAs), and inflammation are altered in Parkinson’s disease (PD), but how these factors are linked and how they contribute to disease processes and symptoms remains uncertain. This study so...

Full description

Bibliographic Details
Main Authors: Velma T. E. Aho, Madelyn C. Houser, Pedro A. B. Pereira, Jianjun Chang, Knut Rudi, Lars Paulin, Vicki Hertzberg, Petri Auvinen, Malú G. Tansey, Filip Scheperjans
Format: Article
Language:English
Published: BMC 2021-02-01
Series:Molecular Neurodegeneration
Subjects:
Online Access:https://doi.org/10.1186/s13024-021-00427-6
_version_ 1818665128736849920
author Velma T. E. Aho
Madelyn C. Houser
Pedro A. B. Pereira
Jianjun Chang
Knut Rudi
Lars Paulin
Vicki Hertzberg
Petri Auvinen
Malú G. Tansey
Filip Scheperjans
author_facet Velma T. E. Aho
Madelyn C. Houser
Pedro A. B. Pereira
Jianjun Chang
Knut Rudi
Lars Paulin
Vicki Hertzberg
Petri Auvinen
Malú G. Tansey
Filip Scheperjans
author_sort Velma T. E. Aho
collection DOAJ
description Abstract Background Previous studies have reported that gut microbiota, permeability, short-chain fatty acids (SCFAs), and inflammation are altered in Parkinson’s disease (PD), but how these factors are linked and how they contribute to disease processes and symptoms remains uncertain. This study sought to compare and identify associations among these factors in PD patients and controls to elucidate their interrelations and links to clinical manifestations of PD. Methods Stool and plasma samples and clinical data were collected from 55 PD patients and 56 controls. Levels of stool SCFAs and stool and plasma inflammatory and permeability markers were compared between patients and controls and related to one another and to the gut microbiota. Results Calprotectin was increased and SCFAs decreased in stool in PD in a sex-dependent manner. Inflammatory markers in plasma and stool were neither intercorrelated nor strongly associated with SCFA levels. Age at PD onset was positively correlated with SCFAs and negatively correlated with CXCL8 and IL-1β in stool. Fecal zonulin correlated positively with fecal NGAL and negatively with PD motor and non-motor symptoms. Microbiota diversity and composition were linked to levels of SCFAs, inflammatory factors, and zonulin in stool. Certain relationships differed between patients and controls and by sex. Conclusions Intestinal inflammatory responses and reductions in fecal SCFAs occur in PD, are related to the microbiota and to disease onset, and are not reflected in plasma inflammatory profiles. Some of these relationships are distinct in PD and are sex-dependent. This study revealed potential alterations in microbiota-host interactions and links between earlier PD onset and intestinal inflammatory responses and reduced SCFA levels, highlighting candidate molecules and pathways which may contribute to PD pathogenesis and clinical presentation and which warrant further investigation.
first_indexed 2024-12-17T05:43:43Z
format Article
id doaj.art-62e11fcfd73d4e62812cf8a1ab31083e
institution Directory Open Access Journal
issn 1750-1326
language English
last_indexed 2024-12-17T05:43:43Z
publishDate 2021-02-01
publisher BMC
record_format Article
series Molecular Neurodegeneration
spelling doaj.art-62e11fcfd73d4e62812cf8a1ab31083e2022-12-21T22:01:22ZengBMCMolecular Neurodegeneration1750-13262021-02-0116111410.1186/s13024-021-00427-6Relationships of gut microbiota, short-chain fatty acids, inflammation, and the gut barrier in Parkinson’s diseaseVelma T. E. Aho0Madelyn C. Houser1Pedro A. B. Pereira2Jianjun Chang3Knut Rudi4Lars Paulin5Vicki Hertzberg6Petri Auvinen7Malú G. Tansey8Filip Scheperjans9DNA Sequencing and Genomics Laboratory, Institute of Biotechnology, University of HelsinkiNell Hodgson Woodruff School of Nursing, Emory UniversityDNA Sequencing and Genomics Laboratory, Institute of Biotechnology, University of HelsinkiDepartment of Physiology, Emory University School of MedicineFaculty of Chemistry, Biotechnology and Food Science (KBM), Norwegian University of Life SciencesDNA Sequencing and Genomics Laboratory, Institute of Biotechnology, University of HelsinkiNell Hodgson Woodruff School of Nursing, Emory UniversityDNA Sequencing and Genomics Laboratory, Institute of Biotechnology, University of HelsinkiDepartment of Physiology, Emory University School of MedicineDepartment of Neurology, Helsinki University Hospital, and Department of Neurological Sciences (Neurology), University of HelsinkiAbstract Background Previous studies have reported that gut microbiota, permeability, short-chain fatty acids (SCFAs), and inflammation are altered in Parkinson’s disease (PD), but how these factors are linked and how they contribute to disease processes and symptoms remains uncertain. This study sought to compare and identify associations among these factors in PD patients and controls to elucidate their interrelations and links to clinical manifestations of PD. Methods Stool and plasma samples and clinical data were collected from 55 PD patients and 56 controls. Levels of stool SCFAs and stool and plasma inflammatory and permeability markers were compared between patients and controls and related to one another and to the gut microbiota. Results Calprotectin was increased and SCFAs decreased in stool in PD in a sex-dependent manner. Inflammatory markers in plasma and stool were neither intercorrelated nor strongly associated with SCFA levels. Age at PD onset was positively correlated with SCFAs and negatively correlated with CXCL8 and IL-1β in stool. Fecal zonulin correlated positively with fecal NGAL and negatively with PD motor and non-motor symptoms. Microbiota diversity and composition were linked to levels of SCFAs, inflammatory factors, and zonulin in stool. Certain relationships differed between patients and controls and by sex. Conclusions Intestinal inflammatory responses and reductions in fecal SCFAs occur in PD, are related to the microbiota and to disease onset, and are not reflected in plasma inflammatory profiles. Some of these relationships are distinct in PD and are sex-dependent. This study revealed potential alterations in microbiota-host interactions and links between earlier PD onset and intestinal inflammatory responses and reduced SCFA levels, highlighting candidate molecules and pathways which may contribute to PD pathogenesis and clinical presentation and which warrant further investigation.https://doi.org/10.1186/s13024-021-00427-6Parkinson’s diseaseMicrobiotaIntestineInflammationShort-chain fatty acids
spellingShingle Velma T. E. Aho
Madelyn C. Houser
Pedro A. B. Pereira
Jianjun Chang
Knut Rudi
Lars Paulin
Vicki Hertzberg
Petri Auvinen
Malú G. Tansey
Filip Scheperjans
Relationships of gut microbiota, short-chain fatty acids, inflammation, and the gut barrier in Parkinson’s disease
Molecular Neurodegeneration
Parkinson’s disease
Microbiota
Intestine
Inflammation
Short-chain fatty acids
title Relationships of gut microbiota, short-chain fatty acids, inflammation, and the gut barrier in Parkinson’s disease
title_full Relationships of gut microbiota, short-chain fatty acids, inflammation, and the gut barrier in Parkinson’s disease
title_fullStr Relationships of gut microbiota, short-chain fatty acids, inflammation, and the gut barrier in Parkinson’s disease
title_full_unstemmed Relationships of gut microbiota, short-chain fatty acids, inflammation, and the gut barrier in Parkinson’s disease
title_short Relationships of gut microbiota, short-chain fatty acids, inflammation, and the gut barrier in Parkinson’s disease
title_sort relationships of gut microbiota short chain fatty acids inflammation and the gut barrier in parkinson s disease
topic Parkinson’s disease
Microbiota
Intestine
Inflammation
Short-chain fatty acids
url https://doi.org/10.1186/s13024-021-00427-6
work_keys_str_mv AT velmateaho relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT madelynchouser relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT pedroabpereira relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT jianjunchang relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT knutrudi relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT larspaulin relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT vickihertzberg relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT petriauvinen relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT malugtansey relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease
AT filipscheperjans relationshipsofgutmicrobiotashortchainfattyacidsinflammationandthegutbarrierinparkinsonsdisease