Related Experiment Video
Updated: Aug 14, 2025

Murine Fecal Isolation and Microbiota Transplantation
Published on: May 26, 2023
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.
Abstract:
Despite advances in our understanding of the pathophysiology of many cardiovascular diseases (CVDs) and expansion of available therapies, the global burden of CVD-associated morbidity and mortality remains unacceptably high. Important gaps remain in our understanding of the mechanisms of CVD and determinants of disease progression. In the past decade, much research has been conducted on the human microbiome and its potential role in modulating CVD. With the advent of high-throughput technologies and multiomics analyses, the complex and dynamic relationship between the microbiota, their 'theatre of activity' and the host is gradually being elucidated. The relationship between the gut microbiome and CVD is well established. Much less is known about the role of disruption (dysbiosis) of the oral microbiome; however, interest in the field is growing, as is the body of literature from basic science and animal and human investigations. In this Review, we examine the link between the oral microbiome and CVD, specifically coronary artery disease, stroke, peripheral artery disease, heart failure, infective endocarditis and rheumatic heart disease. We discuss the various mechanisms by which oral dysbiosis contributes to CVD pathogenesis and potential strategies for prevention and treatment.
Related Concept Videos
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease I: Introduction
Psychoneuroimmunology: Cardiovascular Disease
A key area of focus in PNI is the relationship between stress and coronary...
Regulation of the Cardiovascular System
The regulation of the cardiovascular system involves the autonomic nervous system (ANS), baroreceptors, and chemoreceptors, ensuring that heart rate and blood pressure are appropriately modulated in response to varying physiological demands.
The ANS comprises two main divisions: the sympathetic and parasympathetic nervous systems. The sympathetic nervous system enhances...
Endocarditis I: Introduction
Endocarditis III: Medical Management

