Small Intestinal Bacterial Overgrowth as Potential Therapeutic Target in Parkinson’s Disease

Increasing evidence suggests that the gut microbiota and the brain are closely connected via the so-called gut–brain axis. Small intestinal bacterial overgrowth (SIBO) is a gut dysbiosis in which the small intestine is abundantly colonized by bacteria that are typically found in the colon. Though no...

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Autores principales: Adela Dănău, Laura Dumitrescu, Antonia Lefter, Delia Tulbă, Bogdan Ovidiu Popescu
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/23b87701ea8e4e95b3d35f52e9e4e842
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spelling oai:doaj.org-article:23b87701ea8e4e95b3d35f52e9e4e8422021-11-11T17:07:46ZSmall Intestinal Bacterial Overgrowth as Potential Therapeutic Target in Parkinson’s Disease10.3390/ijms2221116631422-00671661-6596https://doaj.org/article/23b87701ea8e4e95b3d35f52e9e4e8422021-10-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/21/11663https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Increasing evidence suggests that the gut microbiota and the brain are closely connected via the so-called gut–brain axis. Small intestinal bacterial overgrowth (SIBO) is a gut dysbiosis in which the small intestine is abundantly colonized by bacteria that are typically found in the colon. Though not a disease, it may result in intestinal symptoms caused by the accumulation of microbial gases in the intestine. Intestinal inflammation, malabsorption and vitamin imbalances may also develop. SIBO can be eradicated by one or several courses of antibiotics but reappears if the predisposing condition persists. Parkinson’s disease (PD) is a common neurodegenerative proteinopathy for which disease modifying interventions are not available. Sporadic forms may start in the gut years before the development of clinical features. Increased gastrointestinal transit time is present in most people with PD early during the course of the disease, predisposing to gut dysbiosis, including SIBO. The role that gut dysbiosis may play in the etiopathogenesis of PD is not fully understood yet. Here, we discuss the possibility that SIBO could contribute to the progression of PD, by promoting or preventing neurodegeneration, thus being a potential target for treatments aiming at slowing down the progression of PD. The direct symptomatic impact of SIBO and its impact on symptomatic medication are also briefly discussed.Adela DănăuLaura DumitrescuAntonia LefterDelia TulbăBogdan Ovidiu PopescuMDPI AGarticlegut dysbiosisgut–brain axismicrobiotaParkinson’s diseasesmall intestinal bacterial overgrowthSIBOBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 11663, p 11663 (2021)
institution DOAJ
collection DOAJ
language EN
topic gut dysbiosis
gut–brain axis
microbiota
Parkinson’s disease
small intestinal bacterial overgrowth
SIBO
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle gut dysbiosis
gut–brain axis
microbiota
Parkinson’s disease
small intestinal bacterial overgrowth
SIBO
Biology (General)
QH301-705.5
Chemistry
QD1-999
Adela Dănău
Laura Dumitrescu
Antonia Lefter
Delia Tulbă
Bogdan Ovidiu Popescu
Small Intestinal Bacterial Overgrowth as Potential Therapeutic Target in Parkinson’s Disease
description Increasing evidence suggests that the gut microbiota and the brain are closely connected via the so-called gut–brain axis. Small intestinal bacterial overgrowth (SIBO) is a gut dysbiosis in which the small intestine is abundantly colonized by bacteria that are typically found in the colon. Though not a disease, it may result in intestinal symptoms caused by the accumulation of microbial gases in the intestine. Intestinal inflammation, malabsorption and vitamin imbalances may also develop. SIBO can be eradicated by one or several courses of antibiotics but reappears if the predisposing condition persists. Parkinson’s disease (PD) is a common neurodegenerative proteinopathy for which disease modifying interventions are not available. Sporadic forms may start in the gut years before the development of clinical features. Increased gastrointestinal transit time is present in most people with PD early during the course of the disease, predisposing to gut dysbiosis, including SIBO. The role that gut dysbiosis may play in the etiopathogenesis of PD is not fully understood yet. Here, we discuss the possibility that SIBO could contribute to the progression of PD, by promoting or preventing neurodegeneration, thus being a potential target for treatments aiming at slowing down the progression of PD. The direct symptomatic impact of SIBO and its impact on symptomatic medication are also briefly discussed.
format article
author Adela Dănău
Laura Dumitrescu
Antonia Lefter
Delia Tulbă
Bogdan Ovidiu Popescu
author_facet Adela Dănău
Laura Dumitrescu
Antonia Lefter
Delia Tulbă
Bogdan Ovidiu Popescu
author_sort Adela Dănău
title Small Intestinal Bacterial Overgrowth as Potential Therapeutic Target in Parkinson’s Disease
title_short Small Intestinal Bacterial Overgrowth as Potential Therapeutic Target in Parkinson’s Disease
title_full Small Intestinal Bacterial Overgrowth as Potential Therapeutic Target in Parkinson’s Disease
title_fullStr Small Intestinal Bacterial Overgrowth as Potential Therapeutic Target in Parkinson’s Disease
title_full_unstemmed Small Intestinal Bacterial Overgrowth as Potential Therapeutic Target in Parkinson’s Disease
title_sort small intestinal bacterial overgrowth as potential therapeutic target in parkinson’s disease
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/23b87701ea8e4e95b3d35f52e9e4e842
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AT antonialefter smallintestinalbacterialovergrowthaspotentialtherapeutictargetinparkinsonsdisease
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