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Updated: Sep 8, 2025

Author Spotlight: Exploring Non-Motor Symptoms in Parkinson's Disease
Published on: September 22, 2023
Gut microbial production of imidazole propionate drives Parkinson's pathologies
Hyunji Park1, Jiwon Cheon2, Hyojung Kim2
1Department of Life Sciences, Pohang University of Science and Technology, Pohang, Republic of Korea.
Abstract:
Parkinson's disease (PD) is characterized by the selective degeneration of midbrain dopaminergic neurons and aggregation of α-synuclein. Emerging evidence implicates the gut microbiome in PD, with microbial metabolites proposed as potential pathological mediators. However, the specific microbes and metabolites involved, and whether gut-derived metabolites can reach the brain to directly induce neurodegeneration, remain unclear. Here we show that elevated levels of Streptococcus mutans (S. mutans) and its enzyme urocanate reductase (UrdA), which produces imidazole propionate (ImP), in the gut microbiome of patients with PD, along with increased plasma ImP. Colonization of mice with S. mutans harboring UrdA or Escherichia coli expressing UrdA from S. mutans increases systemic and brain ImP levels, inducing PD-like symptoms including dopaminergic neuronal loss, astrogliosis, microgliosis, and motor impairment. Additionally, S. mutans exacerbates α-synuclein pathology in a mouse model. ImP administration alone recapitulates key PD features, supporting the UrdA-ImP axis as a microbial driver of PD pathology. Mechanistically, mTORC1 activation is crucial for both S. mutans- and ImP-induced PD pathology. Together, these findings identify microbial ImP, produced via UrdA, as a direct pathological mediator of the gut-brain axis in PD.
Insights
Parkinson's disease (PD) may be driven by gut bacteria like Streptococcus mutans, which produce imidazole propionate (ImP). This microbial metabolite travels to the brain, causing neurodegeneration and PD symptoms.
Area of Science:
- Neuroscience
- Microbiology
- Gastroenterology
Background:
- Parkinson's disease (PD) involves dopaminergic neuron loss and alpha-synuclein aggregation.
- The gut microbiome's role in PD is emerging, with microbial metabolites as potential mediators.
- Specific gut microbes and metabolites driving PD neurodegeneration remain unidentified.
Purpose of the Study:
- Identify specific gut microbes and metabolites linked to Parkinson's disease.
- Investigate if gut-derived metabolites can induce neurodegeneration in the brain.
- Elucidate the mechanism by which microbial metabolites contribute to PD pathology.
Main Methods:
- Analyzed gut microbiome and plasma imidazole propionate (ImP) in PD patients.
- Colonized mice with Streptococcus mutans or engineered E. coli expressing UrdA.
- Administered ImP to mice and assessed PD-like symptoms and pathology.
- Investigated the role of mTORC1 signaling in the observed pathology.
Main Results:
- Elevated S. mutans, UrdA, and ImP found in PD patients.
- S. mutans colonization increased systemic and brain ImP, inducing PD-like symptoms in mice.
- ImP administration alone replicated key PD features, including neurodegeneration and motor deficits.
- S. mutans exacerbated alpha-synuclein pathology; mTORC1 activation was crucial.
Conclusions:
- Identified the UrdA-ImP axis in S. mutans as a microbial driver of PD.
- Demonstrated that microbial ImP directly mediates gut-brain axis pathology in PD.
- Established ImP as a key metabolite contributing to dopaminergic neurodegeneration in Parkinson's disease.
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