Novel opportunity of treatment for psycho-cardiologic disease by gut microbiome

Yurui Lai1,2, Chenli Fang3, Yuang Jiang4

  • 1Department of Cardiology, The Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan, China.

Insights

Cardiovascular disease (CVD) patients often experience psychiatric disorders, impacting prognosis. Gut microbiota dysbiosis and metabolites are key risk factors, suggesting novel therapeutic targets for psycho-cardiologic conditions.

Area of Science:

  • Integrative medicine
  • Microbiome research
  • Psychocardiology

Background:

  • Comorbidity of cardiovascular disease (CVD) with psychiatric disorders like depression and anxiety is increasing.
  • Patients with comorbid CVD and psychiatric disorders exhibit poorer health outcomes.
  • Gut microbiota dysbiosis and altered metabolite profiles are implicated as risk factors for both CVD and psychosomatic disorders.

Purpose of the Study:

  • To review the mechanisms linking gut microbiota and its metabolites to psychocardiologic diseases.
  • To summarize the therapeutic potential of gut microbiota interventions in managing these conditions.
  • To highlight new research directions for treating psychocardiologic diseases.

Main Methods:

  • Literature review of studies on gut microbiota, metabolites, CVD, and psychiatric disorders.
  • Analysis of mechanisms connecting gut dysbiosis to psychocardiologic pathophysiology.
  • Evaluation of evidence for gut microbiota-targeted therapies.

Main Results:

  • Gut microbiota dysbiosis and specific metabolite alterations are significant risk factors for psychocardiologic diseases.
  • These microbial changes contribute to the pathophysiology of both cardiovascular and psychiatric conditions.
  • Gut microbiota interventions show promise as a therapeutic strategy.

Conclusions:

  • The gut microbiota plays a crucial role in the development and progression of psychocardiologic diseases.
  • Targeting the gut microbiota offers a novel therapeutic avenue for patients with comorbid CVD and psychiatric disorders.
  • Further research into microbiota-based interventions is warranted to improve patient prognosis.

Related Concept Videos

Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
78
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents01:29

Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents

Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
271
What is Monogastric Digestion?01:50

What is Monogastric Digestion?

The human body contains a monogastric digestive system. In a monogastric digestive system, the stomach only contains one chamber in which it digests food. Several other animal species also have monogastric digestive systems, including pigs, horses, dogs, and birds. This chapter, however, focuses on the human digestive system.
72.5K
Microorganisms in Medicine and Therapeutics01:29

Microorganisms in Medicine and Therapeutics

Microorganisms play a fundamental role in vaccine development, gene therapy, and therapeutic production. Their biological properties are harnessed to advance medicine and public health. Beyond immunization, microorganisms contribute to gut health, antibiotic synthesis, and genetic disease treatment.Live Attenuated and Inactivated VaccinesLive attenuated vaccines, such as the measles, mumps, and rubella (MMR) vaccine, utilize weakened forms of pathogens to closely resemble natural infections.
337
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
294
Drugs for Treatment of Ulcerative Colitis in IBD01:29

Drugs for Treatment of Ulcerative Colitis in IBD

Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
238