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.

Nature Communications
|September 5, 2025
PubMed

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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