Tanshinone regulated gut microbiota and TMAO to improve high-fat diet induced atherosclerosis in APOE-/- mice

Aiming Zhou1, Nian Peng1, Lin Yang1

  • 1School of Clinical Medicine, Guizhou Medical University, Guiyang, 550004, China.

BMC Microbiology
|July 11, 2025
PubMed
Abstract

Insights

Tanshinone treatment alleviates atherosclerosis in mice by modulating gut bacteria, increasing beneficial lactobacillus, and reducing harmful Trimethylamino-N-oxide (TMAO) levels. This suggests a novel therapeutic strategy for cardiovascular disease.

Area of Science:

  • Cardiovascular Research
  • Microbiome Science
  • Pharmacology

Background:

  • Atherosclerosis is a primary cause of cardiovascular and cerebrovascular diseases.
  • Current treatments for atherosclerosis are limited, necessitating urgent development of new therapeutic strategies.
  • Gut microbiota dysbiosis and elevated Trimethylamino-N-oxide (TMAO) are implicated in atherosclerosis pathogenesis.

Purpose of the Study:

  • To investigate the therapeutic potential of tanshinone in treating atherosclerosis.
  • To examine the effect of tanshinone on gut microbiota composition and Trimethylamino-N-oxide (TMAO) levels.
  • To explore tanshinone's role in modulating inflammatory pathways associated with atherosclerosis.

Main Methods:

  • Atherosclerosis was induced in APOE-/- mice fed a high-fat diet.
  • Gut microbiota composition was analyzed using 16S rRNA gene sequencing.
  • Trimethylamino-N-oxide (TMAO) levels were measured.
  • Inflammatory markers (NF-κB, IL-1β, TNF-α) were assessed via Western blot (WB) and quantitative real-time PCR (RT-qPCR).

Main Results:

  • Tanshinone treatment significantly alleviated atherosclerosis in APOE-/- mice.
  • Tanshinone administration increased Lactobacillus abundance and decreased Lachnospiraceae and Proteobacteria levels in the gut microbiota.
  • Tanshinone treatment reduced serum TMAO concentrations and suppressed the expression of key inflammatory markers (NF-κB, IL-1β, TNF-α).

Conclusions:

  • Tanshinone ameliorates high-fat diet-induced atherosclerosis by reshaping the gut microbiota.
  • The therapeutic effects of tanshinone are associated with increased beneficial bacteria, reduced TMAO production, and suppressed inflammation.
  • Tanshinone presents a promising therapeutic agent for atherosclerosis, targeting both the disease pathology and its microbial contributors.