Merck
  • Home
  • Search Results
  • Discovery and inhibition of an interspecies gut bacterial pathway for Levodopa metabolism.

Discovery and inhibition of an interspecies gut bacterial pathway for Levodopa metabolism.

Science (New York, N.Y.) (2019-06-15)
Vayu Maini Rekdal, Elizabeth N Bess, Jordan E Bisanz, Peter J Turnbaugh, Emily P Balskus
ABSTRACT

The human gut microbiota metabolizes the Parkinson's disease medication Levodopa (l-dopa), potentially reducing drug availability and causing side effects. However, the organisms, genes, and enzymes responsible for this activity in patients and their susceptibility to inhibition by host-targeted drugs are unknown. Here, we describe an interspecies pathway for gut bacterial l-dopa metabolism. Conversion of l-dopa to dopamine by a pyridoxal phosphate-dependent tyrosine decarboxylase from Enterococcus faecalis is followed by transformation of dopamine to m-tyramine by a molybdenum-dependent dehydroxylase from Eggerthella lenta These enzymes predict drug metabolism in complex human gut microbiotas. Although a drug that targets host aromatic amino acid decarboxylase does not prevent gut microbial l-dopa decarboxylation, we identified a compound that inhibits this activity in Parkinson's patient microbiotas and increases l-dopa bioavailability in mice.