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Updated: Jul 23, 2025

Murine Fecal Isolation and Microbiota Transplantation
Published on: May 26, 2023
Gut microbiota and microbiota-derived metabolites in cardiovascular diseases
Xiaofeng Chen1, Hua Zhang2,3,4, Sichong Ren5
1Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China.
Insights
The gut microbiota influences cardiovascular diseases. Metabolites like trimethylamine N-oxide and short-chain fatty acids play key roles, offering potential therapeutic targets for heart conditions.
Area of Science:
- Microbiology
- Cardiology
- Metabolomics
Background:
- Cardiovascular diseases pose a significant global health and economic burden.
- Emerging research highlights the gut microbiota's role in metabolic and cardiovascular health.
- The gut microbiota functions as an endocrine organ influencing cardiovascular homeostasis.
Purpose of the Study:
- To review the literature on the gut microbiota's role in cardiovascular disease development.
- To elucidate mechanisms of gut microbiota-derived metabolites in cardiovascular pathogenesis.
- To discuss therapeutic strategies targeting the gut microbiota for cardiovascular disease prevention and treatment.
Main Methods:
- Literature review of current research on gut microbiota and cardiovascular diseases.
- Analysis of mechanisms involving key microbial metabolites.
- Discussion of therapeutic interventions.
Main Results:
- Gut microbiota composition is closely linked to cardiovascular disease occurrence and progression.
- Specific metabolites, including trimethylamine N-oxide, short-chain fatty acids, and phenylacetylglutamine, modulate cardiovascular disease pathways.
- Dysbiosis can directly impact cardiovascular health.
Conclusions:
- The gut microbiota is a critical factor in cardiovascular disease development.
- Targeting gut microbiota-derived metabolites presents promising therapeutic avenues for cardiovascular conditions.
- Modulating the gut microbiota holds potential for preventing and treating cardiovascular diseases.
Abstract:
Cardiovascular diseases, including heart failure, coronary artery disease, atherosclerosis, aneurysm, thrombosis, and hypertension, are a great economic burden and threat to human health and are the major cause of death worldwide. Recently, researchers have begun to appreciate the role of microbial ecosystems within the human body in contributing to metabolic and cardiovascular disorders. Accumulating evidence has demonstrated that the gut microbiota is closely associated with the occurrence and development of cardiovascular diseases. The gut microbiota functions as an endocrine organ that secretes bioactive metabolites that participate in the maintenance of cardiovascular homeostasis, and their dysfunction can directly influence the progression of cardiovascular disease. This review summarizes the current literature demonstrating the role of the gut microbiota in the development of cardiovascular diseases. We also highlight the mechanism by which well-documented gut microbiota-derived metabolites, especially trimethylamine N-oxide, short-chain fatty acids, and phenylacetylglutamine, promote or inhibit the pathogenesis of cardiovascular diseases. We also discuss the therapeutic potential of altering the gut microbiota and microbiota-derived metabolites to improve or prevent cardiovascular diseases.
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