Bookmarks
Is there an association between antibiotic exposure and Parkinson disease?
Safe People
Organisation name
Rutgers, The State University of New Jersey
Organisation sector
Academic Institute
Applicant name(s)
Gian Pal - Chief Investigator - Rutgers
The State University of New JerseyGian Pal - Corresponding Applicant - Rutgers
The State University of New JerseyAbner Nyandege - Collaborator - Rutgers
The State University of New JerseyDaniel Horton - Collaborator - Rutgers Robert Wood Johnson Medical SchoolJason Roy - Collaborator - Rutgers
The State University of New JerseyM. Maral Mouradian - Collaborator - Rutgers Robert Wood Johnson Medical SchoolTobias Gerhard - Collaborator - Rutgers
The State University of New Jersey
Safe Projects
Project ID
CPRD883
Lay summary
Recent studies have suggested that factors that lead to disruption of gut bacteria might play a critical role in triggering Parkinson’s disease (PD)1. Antibiotic exposure is a key source of disruption of gut bacteria. We propose a robust epidemiologic study to examine the potential association between antibiotic exposure and PD risk. Given that there are no therapies for PD that slow down disease progression, it is critical to identify factors that increase the risk of developing the disease. The primary objective of this study is to determine whether use of specific oral antibiotics increases the risk of PD. Based on prior data,2 we hypothesize that exposure to one or more courses of antianaerobics and tetracyclines (specific classes of antibiotics) is associated with an increased risk of PD. These factors include co-existing conditions, smoking, coffee consumption, healthcare usage, and the specific indication for antibiotic use. If antibiotics are identified as a risk factor for PD, future research can focus on methods to modify the use and impact of antibiotics with the goal of reducing how PD prevalence and reducing complications associated with the disease. If no association is detected, this study will provide important reassurance regarding antibiotic use and PD risk.
Technical summary
Studies have posited that exogenous factors such as antibiotics, that lead to disruption of the intestinal microbiome (dysbiosis), might play a critical role in triggering Parkinson’s disease (PD). A recent study in Finland by Mertsalmi et al. (2019) suggested that healthy individuals who received one or more courses of antibiotics had an increased risk of PD approximately 10-15 years after exposure.
Latest approval date
07/01/2021
Safe Data
Dataset(s) name
Patient Level Index of Multiple Deprivation
Practice Level Index of Multiple Deprivation
Safe Setting
Access type
Release