Microbiota-Host Crosstalk: A Bridge Between Cardiovascular Risk Factors, Diet, and Cardiovascular Disease
1Toulouse teaching hospital, Department of arterial Hypertension, CARDIOMET Institute, Toulouse, France.
Insights
Gut microbiota interactions influence cardiovascular residual risk, bridging the gap between risk factors and disease. Targeting microbiota may offer new strategies for preventing heart attack and stroke.
Area of Science:
- Microbiology
- Cardiology
- Gastroenterology
Background:
- Cardiovascular disease remains the leading global cause of mortality and disability.
- Residual risk persists even in patients treated for hypertension and dyslipidemia.
- Understanding the link between risk factors and cardiovascular disease is crucial for prevention.
Purpose of the Study:
- To review evidence on the role of microbiota-host crosstalk in cardiovascular disease.
- To explore the connection between gut microbiota, intestinal barrier function, bacterial translocation, and cardiovascular residual risk.
- To discuss therapeutic strategies targeting the microbiota for cardiovascular disease prevention.
Main Methods:
- Review of experimental and epidemiological studies.
- Analysis of the interplay between gut microbiota, intestinal barrier, and bacterial translocation.
- Examination of associations with cardiovascular risk factors and diseases.
Main Results:
- Evidence suggests microbiota-host crosstalk is a key pathway in cardiovascular disease development.
- Gut microbiota, intestinal barrier integrity, and bacterial translocation are implicated in cardiovascular residual risk.
- Diet and cardiovascular risk factors significantly influence this crosstalk.
Conclusions:
- Microbiota-host interactions play a critical role in the pathway from cardiovascular risk factors to cardiovascular disease.
- Therapeutic modulation of the gut microbiota presents a promising avenue for reducing cardiovascular residual risk.
- Clinical practice can benefit from strategies aimed at controlling microbiota for improved stroke and myocardial infarction prevention.
Abstract:
Cardiovascular disease is the leading cause of death and is also a major cause of disability worldwide. Indeed, even in well-treated patients for hypertension or dyslipidemia, there is still a high cardiovascular risk called residual risk. It is of utmost importance to identify the pathway leading from risk factors to cardiovascular disease to further improve stroke and myocardial infarction prevention. In this review, we presented some of experimental and epidemiological evidences suggesting that microbiota-host crosstalk is involved in this pathway and bridges the gap between cardiovascular risk factors, diet, and cardiovascular residual risk. We considered the 3 participants in this dialogue: the gut microbiota, the intestinal barrier, and bacterial translocation. We analyzed their relations with cardiovascular risk factors and cardiovascular diseases. Also, we presented some of therapeutic strategies aiming to control microbiota to further prevent cardiovascular disease and the take home messages that can be drawn for clinical practice.
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