The gut microbiota and its role in the development of cardiovascular disease

Carlos Escobar1, Xavier Aldeguer2, David Vivas3,4

  • 1Cardiology Department, University Hospital La Paz, Madrid, Spain.

Abstract

Insights

Gut microbiota dysbiosis contributes to cardiovascular disease risk through altered metabolites and gut permeability. Interventions like diet modification and fecal microbiota transplantation show promise in restoring balance and reducing disease risk.

Area of Science:

  • Microbiology
  • Cardiology
  • Metabolomics

Background:

  • Cardiovascular diseases (CVD) involve complex genetic and environmental factors, with residual risk remaining even after managing traditional risk factors.
  • The gut microbiota's role in CVD pathophysiology is an emerging area of research.

Purpose of the Study:

  • To review the potential role of gut microbiota in cardiovascular disease development.
  • To explore the gut microbiota as a potential therapeutic target for CVD.

Main Methods:

  • A systematic literature search was conducted on PubMed (MEDLINE) up to October 30, 2024.
  • Search terms included "Gut microbiota", "Dysbiosis", "Cardiovascular", "TMAO", "bile acids", and "short-chain fatty acids".

Main Results:

  • Dysbiosis is characterized by reduced microbial diversity, altered metabolite production (e.g., trimethylamine N-oxide, short-chain fatty acids), increased gut permeability, and changes in bile acid metabolism.
  • These alterations contribute to inflammation, oxidative stress, endothelial dysfunction, and the onset of conditions like obesity, hypertension, diabetes, atherosclerosis, and heart failure.

Conclusions:

  • Restoring gut microbiota balance through dietary changes, probiotics, prebiotics, or fecal microbiota transplantation may positively impact CVD risk factors and outcomes.
  • Targeting the gut microbiota represents a promising therapeutic strategy for cardiovascular disease.

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