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Updated: Aug 19, 2025

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Published on: June 2, 2022
Gut microbiome metabolites as key actors in atherosclerosis co-depression disease
Xing-Xing Liao1, Xiao-Yun Wu2, Yu-Long Zhou1
1School of Rehabilitation Medicine, Gannan Medical University, Ganzhou, China.
Insights
The gut microbiome and its metabolites play a crucial role in the development of atherosclerosis (AS) and depression. Understanding these gut microbiome metabolites offers potential targets for diagnosing and treating comorbid AS and depression.
Area of Science:
- Microbiome research
- Metabolomics
- Cardiovascular disease
- Neuroscience
Background:
- Atherosclerosis (AS) and depression frequently co-occur, yet their shared pathogenesis remains understudied.
- The gut microbiome's influence on host health and disease is increasingly recognized.
- Gut microbiome metabolites are implicated in the pathophysiology of both AS and depression.
Purpose of the Study:
- To review the role of specific gut microbiome metabolites in AS and depression.
- To identify common pathogenic mechanisms between AS and depression.
- To explore potential biomarkers for early diagnosis and therapeutic targets.
Main Methods:
- Literature review of high-throughput studies.
- Analysis of findings on key gut microbiome metabolites.
- Synthesis of evidence linking metabolites to AS and depression.
Main Results:
- Pathogen-associated molecular patterns, bile acids, tryptophan metabolites, short-chain fatty acids, and trimethylamine N-oxide are key gut microbiome metabolites involved.
- These metabolites contribute to the pathophysiology of both AS and depression.
- Evidence suggests a shared microbiome-driven pathway in the comorbidity.
Conclusions:
- Gut microbiome metabolites are critical players in the AS-depression comorbidity.
- Targeting these metabolites may offer novel strategies for early diagnosis and treatment.
- Further research into the gut microbiome's role is essential for managing comorbid conditions.
Abstract:
Cardiovascular diseases, mainly characterized by atherosclerosis (AS), and depression have a high comorbidity rate. However, previous studies have been conducted under a single disease, and there is a lack of studies in comorbid states to explore the commonalities in the pathogenesis of both diseases. Modern high-throughput technologies have made it clear that the gut microbiome can affect the development of the host's own disorders and have shown that their metabolites are crucial to the pathophysiology of AS and depression. The aim of this review is to summarize the current important findings on the role of gut microbiome metabolites such as pathogen-associated molecular patterns, bile acids, tryptophan metabolites, short-chain fatty acids, and trimethylamine N -oxide in depression and AS disease, with the aim of identifying potential biological targets for the early diagnosis and treatment of AS co-depression disorders.
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