The oral microbiome in the pathophysiology of cardiovascular disease

Andrea Tonelli1,2,3,4, Evelyn N Lumngwena3,5,6, Ntobeko A B Ntusi7,8,9,10,11

  • 1Division of Cardiology, Department of Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.

Insights

The oral microbiome, when disrupted (dysbiosis), significantly contributes to cardiovascular diseases (CVDs). Understanding this link offers new prevention and treatment strategies for heart conditions.

Area of Science:

  • Microbiology
  • Cardiovascular Medicine
  • Human Health

Background:

  • Cardiovascular diseases (CVDs) remain a leading cause of global mortality despite therapeutic advances.
  • The human microbiome's role in health and disease is increasingly recognized, particularly the gut microbiome's link to CVD.
  • The impact of oral microbiome dysbiosis on CVD pathogenesis is an emerging area of research.

Purpose of the Study:

  • To review the current understanding of the oral microbiome's role in cardiovascular diseases.
  • To elucidate the mechanisms linking oral dysbiosis to CVD pathogenesis.
  • To explore potential prevention and treatment strategies targeting the oral microbiome.

Main Methods:

  • Review of existing scientific literature, including basic science, animal, and human investigations.
  • Analysis of multiomics data and high-throughput technologies.
  • Examination of the relationship between oral microbiota and specific CVDs.

Main Results:

  • Growing evidence suggests a significant link between oral microbiome dysbiosis and CVD.
  • Specific CVDs examined include coronary artery disease, stroke, peripheral artery disease, heart failure, infective endocarditis, and rheumatic heart disease.
  • Mechanisms by which oral dysbiosis contributes to CVD are being identified.

Conclusions:

  • Oral microbiome dysbiosis is a potential contributor to the development and progression of cardiovascular diseases.
  • Further research into the oral microbiome offers promising avenues for novel CVD prevention and treatment strategies.
  • Targeting the oral microbiome may represent a new therapeutic frontier in managing cardiovascular health.

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