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Updated: May 29, 2025

Murine Fecal Isolation and Microbiota Transplantation
Published on: May 26, 2023
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.
Introduction:
The pathophysiology of cardiovascular diseases encompasses a complex interplay of genetic and environmental risk factors. Even if traditional risk factors are treated to target, there remains a residual risk.
Areas Covered:
This manuscript reviews the potential role of gut microbiota in the development of cardiovascular disease, and as potential target. A systematic search was conducted until 30 October 2024 on PubMed (MEDLINE), using the MeSH terms [Gut microbiota] + [Dysbiosis] + [Cardiovascular] + [TMAO] + [bile acids] + [short-chain fatty acids].
Expert Opinion:
The term dysbiosis implies changes in equilibrium, with modifications in the composition and functionality of microbiota and a series of additional factors: reduced diversity and uniformity of microorganisms; reduced short-chain fatty acid-producing bacteria; increased gut permeability; release of metabolites, such as trimethylamine N-oxide, betaine, phenylalanine, tryptophan-kynurenine, phenylacetylglutamine, and lipopolysaccharides; and reduced secondary bile acid excretion, leading to inflammation, oxidative stress, and endothelial dysfunction and facilitating the onset of pathological conditions, including obesity, hypertension, diabetes, atherosclerosis, and heart failure. Attempts to restore gut microbiota balance through different interventions, mainly changes in diet, have been shown to positively affect individual components and metabolites and reduce the risk of cardiovascular disease. In addition, probiotics and prebiotics are potentially useful. Fecal microbiota transplantation is a promising therapy.
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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