Evidence map›Paper›PMID 28449715›Full record

ArticleGenome medicine2017

Functional implications of microbial and viral gut metagenome changes in early stage L-DOPA-naïve Parkinson's disease patients.

J R Bedarf, F Hildebrand, L P Coelho, S Sunagawa, M Bahram, F Goeser, P Bork, U Wüllner

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Genome medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 370 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
370citing papers in PubMed, 10 pooled it
34.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

370 citing papers in PubMed, 10 syntheses or guidelines pooled it, 619 citations in OpenAlex.

  1. Pooled it
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  4. Beyond bacteria: a multi-omics view of the gut-brain axis in Parkinson's disease.Frontiers in cellular and infection microbiology · 2026
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  8. Changes in Gut Microbiota and Multiple Sclerosis: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
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  11. Trial
  12. Article
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  14. Bridging the gap:Gut microbes · 2026
    Review
  15. Gut microbes · 2026
    Article
  16. The microbiota-proteostasis axis: implications in neurodegenerative diseases.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  17. Article
  18. Article
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310 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 4 countries.

J R BedarfDepartment of Neurology, University of Bonn, Bonn, Germany.
F HildebrandEuropean Molecular Biology Laboratory, EMBL, Heidelberg, Germany.
L P CoelhoEuropean Molecular Biology Laboratory, EMBL, Heidelberg, Germany.
S SunagawaEuropean Molecular Biology Laboratory, EMBL, Heidelberg, Germany.
M BahramEvolutionary Biology Centre, Uppsala University, Norbyva ̈gen 18D, 75236, Uppsala, Sweden.
F GoeserDepartment of Internal Medicine I, University of Bonn, Bonn, Germany.
P BorkEuropean Molecular Biology Laboratory, EMBL, Heidelberg, Germany. bork@EMBL-Heidelberg.de.
U WüllnerDepartment of Neurology, University of Bonn, Bonn, Germany. wuellner@uni-bonn.de.
European Molecular Biology Laboratory · DEGerman Center for Neurodegenerative Diseases · DEGerman Center for Infection Research · DEUniversity of Tartu · EE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParkinson's disease (PD) presently is conceptualized as a protein aggregation disease in which pathology involves both the enteric and the central nervous system, possibly spreading from one to another via the vagus nerves. As gastrointestinal dysfunction often precedes or parallels motor symptoms, the enteric system with its vast diversity of microorganisms may be involved in PD pathogenesis. Alterations in the enteric microbial taxonomic level of L-DOPA-naïve PD patients might also serve as a biomarker.

methodsWe performed metagenomic shotgun analyses and compared the fecal microbiomes of 31 early stage, L-DOPA-naïve PD patients to 28 age-matched controls.

resultsWe found increased Verrucomicrobiaceae (Akkermansia muciniphila) and unclassified Firmicutes, whereas Prevotellaceae (Prevotella copri) and Erysipelotrichaceae (Eubacterium biforme) were markedly lowered in PD samples. The observed differences could reliably separate PD from control with a ROC-AUC of 0.84. Functional analyses of the metagenomes revealed differences in microbiota metabolism in PD involving the ẞ-glucuronate and tryptophan metabolism. While the abundances of prophages and plasmids did not differ between PD and controls, total virus abundance was decreased in PD participants. Based on our analyses, the intake of either a MAO inhibitor, amantadine, or a dopamine agonist (which in summary relates to 90% of PD patients) had no overall influence on taxa abundance or microbial functions.

conclusionsOur data revealed differences of colonic microbiota and of microbiota metabolism between PD patients and controls at an unprecedented detail not achievable through 16S sequencing. The findings point to a yet unappreciated aspect of PD, possibly involving the intestinal barrier function and immune function in PD patients. The influence of the parkinsonian medication should be further investigated in the future in larger cohorts.

Indexed as

MetagenomeAgedBacteriaGastrointestinal MicrobiomeHumansLevodopaMaleMiddle AgedParkinson DiseaseSequence Analysis, DNAVirusesLevodopaArchaeaBacteriaEnteric nervous systemGut-brain axisMicrobiomeParkinsonViruses

Identifiers

PMID28449715
PMCPMC5408370
OpenAlexW2608965099

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.