Investigating Casual Associations among Gut Microbiota, Metabolites and Neurodegenerative Diseases: A Mendelian Randomization Study
Abstract Background Recent studies had explored that the gut microbiota was associated with neurodegenerative diseases (including Alzheimer’s disease (AD), Parkinson’s disease (PD) and amyotrophic lateral sclerosis (ALS)) through the gut-brain axis, among which metabolic pathways played an important role. However, the underlying causality remained unclear. Our study aimed to evaluate potential causal relationships between gut microbiota, metabolites and neurodegenerative diseases through Mendelian randomization (MR) approach. Methods We selected genetic variants associated with gut microbiota traits (N = 18340) and gut microbiota-derived metabolites (N = 7824) from genome-wide association studies (GWASs). Summary statistics of neurodegenerative diseases were obtained from IGAP (AD: 17008 cases; 37154 controls), IPDGC (PD: 37 688 cases; 141779 controls) and IALSC (ALS: 20806 cases; 59804 controls) respectively. Results A total of 19 gut microbiota traits were found to be causally associated with risk of neurodegenerative diseases, including 1 phylum, 2 classes, 2 orders, 2 families and 12 genera. We found genetically predicted greater abundance of Ruminococcus, at genus level (OR:1.245, 95%CI:1.103,1.405; P = 0.0004) was significantly related to higher risk of ALS. We also found suggestive association between 12 gut microbiome-dependent metabolites and neurodegenerative diseases. For serotonin pathway, our results revealed serotonin as protective factor of PD, and kynurenine as risk factor of ALS. Besides, reduction of glutamine was found causally associated with occurrence of AD. Conclusions Our study firstly applied a two-sample MR approach to detect causal relationships among gut microbiota, gut metabolites and the risk of AD, PD and ALS, and we revealed several causal relationships. These findings may provide new targets for treatment of these neurodegenerative diseases, and may offer valuable insights for further researches on the underlying mechanisms.