There is growing evidence showing a connection between Parkinson’s disease (lat. Parkinson scriptor morbus) - a neurodegenerative condition - and the composition of the microbiome of the gut. A new study from researchers at the University of Alabama at Birmingham (UniAlB) shows that Parkinson’s disease, and medications to treat Parkinson’s, have distinct effects on the composition of the trillions of bacteria that make up the gut microbiome. According to Haydeh Payami, Ph.D., professor in the Department of Neurology, at the UAB School of Medicine, this study showed major disruption of the normal microbiome ­- the organisms in the gut - in individuals with Parkinson’s. The collective genomes of the microorganisms in the gut is more than 100 times larger than the number of genes in the human genome. Scientists know that well-balanced gut microbiota is critical for maintaining general health, and alterations in the composition of gut microbiota have been linked to a range of disorders.

Haydeh Payami’s team studied 197 patients with Parkinson’s and 130 controls. Subjects came from Seattle, New York and Atlanta. The study indicated that Parkinson’s is accompanied by imbalance in the gut microbiome. Some species of bacteria were present in larger numbers than in healthy individuals; other species were diminished. Different medications used to treat Parkinson’s also appear to affect the composition of the microbiome in different ways. It could be that, in some people, a drug alters the microbiome so that it causes additional health problems in the form of side effects. Another consideration is that the natural variability in the microbiome could be a reason some people benefit from a given drug and others are unresponsive. The growing field of pharmacogenomics - tailoring drugs based on an individual’s genetic makeup - may need to take the microbiome into consideration.

Another function of the microbiome is to help the body rid itself of xenobiotics - chemicals not naturally found in the body often arising from environmental pollutants. The study found evidence that the composition of bacteria responsible for removing those chemicals was different in individuals with Parkinson’s. This may be relevant because exposure to pesticides and herbicides in agricultural settings is known to increase the risk of developing Parkinson’s. Haydeh Payami says the study of the microbiome is a relatively new field, and a better understanding of macrobiotics may provide unexpected answers for Parkinson’s disease and potentially other disorders.

This opens up new horizons, a totally new frontier. There are implications here for both research and treatment of Parkinson’s disease. Therapies that regulate the imbalance in the microbiome may prove to be helpful in treating or preventing the disease before it affects neurologic function. Haydeh Payami says another study is underway at UAB with individuals with Parkinson’s and healthy individuals in Alabama in an effort to replicate and confirm the results.  The study was supported by funding from the National Institute of Neurological Disorders and Stroke, one of the National Institutes of Health.