A gut microbiome-kidney-heart axis predictive of future cardiovascular diseases

Kanta Chechi1,2,3, Rima Chakaroun4,5,6, Antonis Myridakis7

  • 1Division of Systems Medicine, Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, United Kingdom. k.chechi@imperial.ac.uk.

Nature Communications
|March 5, 2026
PubMed

Insights

Gut microbes influence heart and kidney health. Metabolites from aromatic amino acids link gut bacteria to cardiorenal function and cardiovascular disease (CVD) risk.

Area of Science:

  • Microbiology
  • Cardiology
  • Nephrology
  • Metabolomics

Background:

  • Cardiovascular diseases (CVD) represent a significant global health burden.
  • Early detection markers for CVD initiation and progression are crucial.
  • Previous research indicates associations between the gut microbiome and metabolic disorders/CVD.

Purpose of the Study:

  • To investigate the association between gut microbiome alterations and subclinical variations in heart and kidney function.
  • To identify specific microbial metabolites involved in the gut microbiome-cardiorenal axis.
  • To explore the role of these metabolites in predicting incident CVD.

Main Methods:

  • Analysis of gut microbiome-related metabolites in a metabolically healthy European cohort.
  • Correlation of metabolite levels with biomarkers of heart function (pro-atrial natriuretic peptide) and kidney function (estimated glomerular filtration rate).
  • Utilizing observational and genetic data to establish mediation and assess incident CVD risk in an external Canadian cohort.

Main Results:

  • Metabolites linked to aromatic amino acid (phenylalanine, tyrosine) metabolism by gut microbes were associated with heart and kidney function markers.
  • These microbiome-related metabolites were identified as mediators of the gut microbiome-kidney axis.
  • Baseline levels of these metabolites predicted incident CVD in a separate population.

Conclusions:

  • The gut microbiome interacts with the cardiorenal axis, suggesting inter-organ crosstalk.
  • Microbiome-derived metabolites play a role in cardiovascular and kidney health.
  • These findings highlight the gut microbiome as a potential target for CVD risk assessment and intervention.

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