Beyond the Gut: Unraveling the Multifaceted Influence of Microbiome on Cardiovascular Health

医学 肠道微生物群 微生物群 心血管健康 肠道菌群 重症监护医学 生物信息学 免疫学 疾病 病理 生物
作者
Felix O. Okunlola,Abimbola Rafiat Okunlola,Babatunde Oluwafemi Adetuyi,Mahmoud E. S. Soliman,Αθανάσιος Αλεξίου,Marios Papadakis,Mohamed Fawzy,Gaber El-Saber Batiha
出处
期刊:Clinical nutrition ESPEN [Elsevier]
标识
DOI:10.1016/j.clnesp.2025.03.002
摘要

Cardiovascular disease is one of the leading causes of death worldwide. Even while receiving adequate pharmacological treatment for their hypertension, people are nonetheless at greater risk for cardiovascular disease. There is growing evidence that the gut microbiota may have major positive and negative effects on blood pressure and illnesses related with it as more study into this topic is conducted. Trimethylamine n-oxide (TMAO) and short-chain fatty acids (SCFA) are two major by-products of the gut microbiota. TMAO is involved in the formation of other coronary artery diseases, including atherosclerosis and hypertension, while SCFAs play an important role in controlling blood pressure. Numerous investigations have confirmed the established link between dietary salt intake and hypertension. Reducing sodium in the diet is linked to lower rates of cardiovascular disease morbidity and mortality as well as lower rates of blood pressure and hypertension. In both human and animal research, high salt diets increase local and systemic tissue inflammation and compromise gut architecture. Given that the gut microbiota constantly interacts with the immune system and is required for the correct maturation of immune cells, it is scientifically conceivable that it mediates the inflammatory response. This review highlights the therapeutic possibilities for focusing on intestinal microbiomes as well as the potential functions of the gut microbiota and its metabolites in the development of hypertension.

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