Gut microbiota and metabolome distinctive features in Parkinson disease: Focus on levodopa and levodopa-carbidopa intrajejunal gel.


Journal

European journal of neurology
ISSN: 1468-1331
Titre abrégé: Eur J Neurol
Pays: England
ID NLM: 9506311

Informations de publication

Date de publication:
04 2021
Historique:
received: 15 09 2020
revised: 04 11 2020
accepted: 05 11 2020
pubmed: 14 11 2020
medline: 13 8 2021
entrez: 13 11 2020
Statut: ppublish

Résumé

Recent data suggest that imbalances in the composition of the gut microbiota (GM) could exacerbate the progression of Parkinson disease (PD). The effects of levodopa (LD) have been poorly assessed, and those of LD-carbidopa intestinal gel (LCIG) have not been evaluated so far. The aim of this study was to identify the effect of LD and LCIG, in particular, on the GM and metabolome. Fecal DNA samples from 107 patients with a clinical diagnosis of PD were analyzed by next-generation sequencing of the V3 and V4 regions of the 16S rRNA gene. PD patients were classified in different groups: patients on LCIG (LCIG group, n = 38) and on LD (LD group, n = 46). We also included a group of patients (n = 23) without antiparkinsonian medicaments (Naïve group). Fecal metabolic extracts were evaluated by gas chromatography mass spectrometry. The multivariate analysis showed a significantly higher abundance in the LCIG group of Enterobacteriaceae, Escherichia, and Serratia compared to the LD group. Compared to the Naïve group, the univariate analysis showed a reduction of Blautia and Lachnospirae in the LD group. Moreover, an increase of Proteobacteria, Enterobacteriaceae, and a reduction of Firmicutes, Lachnospiraceae, and Blautia was found in the LCIG group. No significant difference was found in the multivariate analysis of these comparisons. The LD group and LCIG group were associated with a metabolic profile linked to gut inflammation. Our results suggest that LD, and mostly LCIG, might significantly influence the microbiota composition and host/bacteria metabolism, acting as stressors in precipitating a specific inflammatory intestinal microenvironment, potentially related to the PD state and progression.

Sections du résumé

BACKGROUND AND PURPOSE
Recent data suggest that imbalances in the composition of the gut microbiota (GM) could exacerbate the progression of Parkinson disease (PD). The effects of levodopa (LD) have been poorly assessed, and those of LD-carbidopa intestinal gel (LCIG) have not been evaluated so far. The aim of this study was to identify the effect of LD and LCIG, in particular, on the GM and metabolome.
METHODS
Fecal DNA samples from 107 patients with a clinical diagnosis of PD were analyzed by next-generation sequencing of the V3 and V4 regions of the 16S rRNA gene. PD patients were classified in different groups: patients on LCIG (LCIG group, n = 38) and on LD (LD group, n = 46). We also included a group of patients (n = 23) without antiparkinsonian medicaments (Naïve group). Fecal metabolic extracts were evaluated by gas chromatography mass spectrometry.
RESULTS
The multivariate analysis showed a significantly higher abundance in the LCIG group of Enterobacteriaceae, Escherichia, and Serratia compared to the LD group. Compared to the Naïve group, the univariate analysis showed a reduction of Blautia and Lachnospirae in the LD group. Moreover, an increase of Proteobacteria, Enterobacteriaceae, and a reduction of Firmicutes, Lachnospiraceae, and Blautia was found in the LCIG group. No significant difference was found in the multivariate analysis of these comparisons. The LD group and LCIG group were associated with a metabolic profile linked to gut inflammation.
CONCLUSIONS
Our results suggest that LD, and mostly LCIG, might significantly influence the microbiota composition and host/bacteria metabolism, acting as stressors in precipitating a specific inflammatory intestinal microenvironment, potentially related to the PD state and progression.

Identifiants

pubmed: 33185912
doi: 10.1111/ene.14644
doi:

Substances chimiques

Antiparkinson Agents 0
Drug Combinations 0
Gels 0
RNA, Ribosomal, 16S 0
Levodopa 46627O600J
Carbidopa MNX7R8C5VO

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1198-1209

Informations de copyright

© 2020 European Academy of Neurology.

Références

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Accepted Manuscript Number: IJBIOMAC-D-20-05004R1.

Auteurs

Marta Melis (M)

Department of Neurology, AOU Policlinico Monserrato, Cagliari, Italy.

Sarah Vascellari (S)

Department of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, Cagliari, Italy.

Maria Laura Santoru (ML)

Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.

Valentina Oppo (V)

Department of Neurology, AO Brotzu, Cagliari, Italy.

Margherita Fabbri (M)

Department of Neurosciences Rita Levi Montalcini, University of Torino, Turin, Italy.

Marianna Sarchioto (M)

Neurosciences Research Centre, Molecular and Clinical Sciences Research Institute, St. George's University of London, London, UK.

Daniela Murgia (D)

Department of Neurology, AO Brotzu, Cagliari, Italy.

Maurizio Zibetti (M)

Department of Neurosciences Rita Levi Montalcini, University of Torino, Turin, Italy.

Leonardo Lopiano (L)

Department of Neurosciences Rita Levi Montalcini, University of Torino, Turin, Italy.

Alessandra Serra (A)

Department of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, Cagliari, Italy.

Vanessa Palmas (V)

Department of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, Cagliari, Italy.

Silvia Pisanu (S)

Department of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, Cagliari, Italy.

Daniela Perra (D)

Department of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, Cagliari, Italy.

Veronica Madau (V)

Department of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, Cagliari, Italy.

Roberto Cusano (R)

CRS4, Science and Technology Park Polaris, Piscina Manna, Cagliari, Italy.

Paolo Uva (P)

CRS4, Science and Technology Park Polaris, Piscina Manna, Cagliari, Italy.

Alessandra Mereu (A)

Dipartimento di Scienze Mediche e Sanità Pubblica, Università degli Studi di Cagliari, Cagliari, Italy.

Paolo Contu (P)

Dipartimento di Scienze Mediche e Sanità Pubblica, Università degli Studi di Cagliari, Cagliari, Italy.

Micaela Morelli (M)

Section of Neuroscience, Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.

Luigi Atzori (L)

Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.

Maurizio Melis (M)

Department of Neurology, AO Brotzu, Cagliari, Italy.

Aldo Manzin (A)

Department of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, Cagliari, Italy.

Giovanni Cossu (G)

Department of Neurology, AO Brotzu, Cagliari, Italy.

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