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Published on: July 31, 2019
Probiotics Bring New Hope for Atherosclerosis Prevention and Treatment
Taiyu Zhai1, Pingping Wang1, Xiumei Hu1
1Department of Laboratory Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China.
Insights
Probiotics show promise in combating atherosclerosis (AS), a major cause of heart disease. This review explores how these beneficial bacteria can target key factors in AS development, offering new therapeutic avenues.
Area of Science:
- Microbiology
- Cardiovascular Medicine
- Immunology
Background:
- Cardiovascular disease (CVD) is a leading global cause of death, with atherosclerosis (AS) as its primary driver.
- Current AS treatments have limitations, including residual risks and side effects.
- Emerging evidence links gut microbiota to AS development and progression.
Purpose of the Study:
- To review the multifaceted effects of probiotics on AS pathogenesis.
- To highlight probiotics as a potential therapeutic strategy for AS.
- To provide insights for early prevention and treatment of AS.
Main Methods:
- Literature review of studies investigating probiotics and atherosclerosis.
- Analysis of probiotic impact on cholesterol metabolism, endothelial function, inflammation, and gut microbiota.
- Synthesis of data on probiotics' role in modulating macrophage polarization and combating pathogenic infections.
Main Results:
- Probiotics demonstrate beneficial effects on cholesterol metabolism and endothelial function.
- Probiotics can reduce proinflammatory factor production and influence macrophage polarization.
- Probiotics help restore intestinal flora balance and mitigate pathogenic infections relevant to AS.
Conclusions:
- Probiotics offer a promising, multi-targeted approach to managing atherosclerosis.
- Further research into probiotics could lead to novel strategies for AS prevention and treatment.
- Probiotics represent a potential novel therapeutic agent for cardiovascular disease.
Abstract:
Cardiovascular disease is the leading cause of human mortality and morbidity worldwide. Atherosclerosis (AS) is the underlying pathological responsible in most acute and severe cardiovascular diseases including myocardial infarction and stroke. However, current drugs applied to the treatment of AS are not clinically effective, and there is a large residual risk of cardiovascular disease and multiple side effects. Increasing evidence supports a close relationship between microorganisms and the incidence of AS. Recent data have shown that probiotics can improve multiple key factors involved in the development and progression of AS, including cholesterol metabolism imbalance, endothelial dysfunction, proinflammatory factor production, macrophage polarization, intestinal flora disturbance, and infection with pathogenic microorganisms, and therefore probiotics have attracted great interest as a novel potential "medicine". This review is aimed at summarizing the effects of probiotics on various influencing factors, and providing valuable insights in the search for early prevention and potential therapeutic strategies for AS.
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