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Published on: May 2, 2022
Protective Effects of Probiotic Consumption in Cardiovascular Disease in Systemic Lupus Erythematosus
Néstor de la Visitación1, Iñaki Robles-Vera1, Marta Toral2,3
1Department of Pharmacology, School of Pharmacy, Universidad de Granada, 18071 Granada, Spain.
Insights
Probiotics may help manage systemic lupus erythematosus (SLE) by altering gut microbiota. While beneficial for SLE autoimmunity and nephritis, their preventive effects on renal and cardiovascular disease (CVD) in humans require further research.
Area of Science:
- Immunology
- Microbiology
- Nephrology
- Cardiology
Background:
- Patients with systemic lupus erythematosus (SLE) exhibit higher rates of renal and cardiovascular disease (CVD) compared to the general population.
- Emerging research highlights a causal link between gut microbiota and the immune system's response in SLE.
- Altering gut microbiota through probiotic consumption shows potential in preventing SLE progression.
Purpose of the Study:
- To review the role of gut microbiota in the pathogenesis of renal and cardiovascular disease in SLE.
- To explore the potential of probiotics as a therapeutic strategy for SLE-related complications.
Main Methods:
- Literature review synthesizing current evidence on gut microbiota, SLE, renal disease, and cardiovascular disease.
- Analysis of studies investigating the impact of probiotics on SLE autoimmunity, nephritis, and CVD risk factors.
Main Results:
- Probiotics demonstrate established benefits in managing SLE autoimmunity and nephritis.
- Limited studies indicate potential protective effects of probiotics, specifically *Lactobacillus*, against CVD risk factors like endothelial dysfunction and hypertension in murine models.
- Evidence for probiotic efficacy in preventing renal and CVD in human SLE patients remains inconclusive.
Conclusions:
- Gut microbiota modulation via probiotics presents a promising avenue for managing SLE.
- Further clinical trials are necessary to establish the preventive role of probiotics in renal and cardiovascular disease in human SLE patients.
Abstract:
The prevalence of renal and cardiovascular disease (CVD) in patients with systemic lupus erythematosus (SLE) is higher than in general populations. Recently, a causal role of gut microbiota on the development of immune responses in SLE has been described. Probiotic consumption changes the composition of gut microbiota, preventing SLE progression. The aim of this review is to explore the role of the gut microbiota in the development of renal and cardiovascular disease in SLE and how probiotics could be a therapeutic option. Despite strong evidence on the beneficial effects of probiotics in the development of autoimmunity and nephritis in SLE, only a few studies described the protective effects of Lactobacillus in important risk factors for CVD, such as endothelial dysfunction and hypertension in mice. The preventive effects of probiotics in renal and CVD in humans have not been established yet.
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