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Cardiovascular Diseases of Developmental Origins: Preventive Aspects of Gut Microbiota-Targeted Therapy
Chien-Ning Hsu1,2, Chih-Yao Hou3, Wei-Hsuan Hsu4
1Department of Pharmacy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan.
Insights
Early life gut microbiota impacts cardiovascular diseases (CVDs). Gut microbiota-targeted therapies like probiotics show promise for CVD prevention, offering new strategies to reduce global health burdens.
Area of Science:
- Microbiome research
- Cardiovascular health
- Developmental origins of disease
Background:
- Emerging evidence links early-life gut microbiota composition to later-life cardiovascular disease (CVD) risk.
- Gut dysbiosis in early development is increasingly recognized as a factor in the developmental origins of CVD.
- Gut microbiota-targeted therapies are gaining importance for CVD prevention.
Purpose of the Study:
- To review studies connecting early-life dysbiotic gut microbiota to the developmental origins of CVD.
- To summarize mechanisms linking gut microbiota to cardiovascular programming (e.g., SCFAs, TMAO, AhR, RAS).
- To overview gut microbiota-targeted interventions for preventing developmental origins of CVD based on animal studies.
Main Methods:
- Literature review of current studies on gut microbiota and CVD.
- Analysis of mechanistic pathways involving microbial metabolites and host systems.
- Synthesis of findings from animal models on microbiota-targeted interventions.
Main Results:
- Dysbiotic gut microbiota in early life is associated with the developmental origins of CVD.
- Key microbial metabolites (SCFAs, TMAO) and host systems (AhR, RAS) mediate gut-cardiovascular links.
- Gut microbiota-targeted reprogramming interventions show potential in animal studies for CVD prevention.
Conclusions:
- Gut microbiota-targeted therapies offer promising strategies for CVD prevention.
- Further research is needed to translate findings into clinical practice for reducing the global CVD burden.
Abstract:
Cardiovascular diseases (CVDs) can originate from early life. Accumulating evidence suggests that gut microbiota in early life is linked to CVDs in later life. Gut microbiota-targeted therapy has gained significant importance in recent decades for its health-promoting role in the prevention (rather than just treatment) of CVDs. Thus far, available gut microbiota-based treatment modalities used as reprogramming interventions include probiotics, prebiotics, and postbiotics. The purpose of this review is, first, to highlight current studies that link dysbiotic gut microbiota to the developmental origins of CVD. This is followed by a summary of the connections between the gut microbiota and CVD behind cardiovascular programming, such as short chain fatty acids (SCFAs) and their receptors, trimethylamine-N-oxide (TMAO), uremic toxins, and aryl hydrocarbon receptor (AhR), and the renin-angiotensin system (RAS). This review also presents an overview of how gut microbiota-targeted reprogramming interventions can prevent the developmental origins of CVD from animal studies. Overall, this review reveals that recent advances in gut microbiota-targeted therapy might provide the answers to reduce the global burden of CVDs. Still, additional studies will be needed to put research findings into practice.
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