Evidence map›Paper›PMID 39449004›Full record

ArticleMolecular neurodegeneration2024

Gut-first Parkinson's disease is encoded by gut dysbiome.

Mário F Munoz-Pinto, Emanuel Candeias, Inês Melo-Marques, A Raquel Esteves, Ana Maranha, João D Magalhães, Diogo Reis Carneiro, Mariana Sant'Anna, A Raquel Pereira-Santos, António E Abreu and 9 more

Abstract read
In one paragraph

Article in Molecular neurodegeneration, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Gut microbiota in health and disease.Molecular biomedicine · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Isotopically enrichedScientific reports · 2026
    Article
  13. Article
  14. Article
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  16. Article
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  18. Article
  19. Review
  20. Lifestyle medicine in Parkinson's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Mário F Munoz-Pinto *Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Emanuel Candeias *Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Inês Melo-Marques *Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
A Raquel EstevesCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Ana MaranhaCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
João D MagalhãesCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Diogo Reis CarneiroCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Mariana Sant'AnnaDepartment of Gastroenterogy, CHUC - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
A Raquel Pereira-SantosCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
António E AbreuCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Daniela Nunes-CostaCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Susana AlaricoCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
Igor TiagoCentre for Functional Ecology, University of Coimbra, Coimbra, Portugal.
Ana MorgadinhoDepartment of Neurology, CHUC - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
João LemosDepartment of Neurology, CHUC - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Pedro N FigueiredoFaculty of Medicine, University of Coimbra, Coimbra, Portugal.
Cristina JanuárioDepartment of Neurology, CHUC - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Nuno EmpadinhasCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal. numenius@cnc.uc.pt.
Sandra Morais CardosoCenter for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal. sicardoso@fmed.uc.pt.

Funding

Cure Parkinson's Trust SC01Instituto Nacional de Ciência e Tecnologia de Ciência Animal PTDC/MED-NEU/3644/2020
6 · The paper itself

Abstract

backgroundIn Parkinson's patients, intestinal dysbiosis can occur years before clinical diagnosis, implicating the gut and its microbiota in the disease. Recent evidence suggests the gut microbiota may trigger body-first Parkinson Disease (PD), yet the underlying mechanisms remain unclear. This study aims to elucidate how a dysbiotic microbiome through intestinal immune alterations triggers PD-related neurodegeneration.

methodsTo determine the impact of gut dysbiosis on the development and progression of PD pathology, wild-type male C57BL/6 mice were transplanted with fecal material from PD patients and age-matched healthy donors to challenge the gut-immune-brain axis.

resultsThis study demonstrates that patient-derived intestinal microbiota caused midbrain tyrosine hydroxylase positive (TH +) cell loss and motor dysfunction. Ileum-associated microbiota remodeling correlates with a decrease in Th17 homeostatic cells. This event led to an increase in gut inflammation and intestinal barrier disruption. In this regard, we found a decrease in CD4 + cells and an increase in pro-inflammatory cytokines in the blood of PD transplanted mice that could contribute to an increase in the permeabilization of the blood-brain-barrier, observed by an increase in mesencephalic Ig-G-positive microvascular leaks and by an increase of mesencephalic IL-17 levels, compatible with systemic inflammation. Furthermore, alpha-synuclein aggregates can spread caudo-rostrally, causing fragmentation of neuronal mitochondria. This mitochondrial damage subsequently activates innate immune responses in neurons and triggers microglial activation.

conclusionsWe propose that the dysbiotic gut microbiome (dysbiome) in PD can disrupt a healthy microbiome and Th17 homeostatic immunity in the ileum mucosa, leading to a cascade effect that propagates to the brain, ultimately contributing to PD pathophysiology. Our landmark study has successfully identified new peripheral biomarkers that could be used to develop highly effective strategies to prevent the progression of PD into the brain.

Indexed as

DysbiosisGastrointestinal MicrobiomeMice, Inbred C57BLParkinson DiseaseAnimalsFecal Microbiota TransplantationHumansMaleMiceDopaminergicDorsal motor nucleus of the vagusDysbiomeDysbiosisGut-brain axisGut microbiomeInflammationInnate immunityMitochondriaParkinson’s diseaseSubstantia nigra

Identifiers

PMID39449004
PMCPMC11515425

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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.