Integrated analysis reveals microbiota-metabolite-immune alterations associated with coronary heart disease

Baoquan Ren1, Hong Wang1, Yanyan Cao1

  • 1Cardiac Care Unit, Qinhuangdao Integrated Traditional Chinese and Western Medicine Hospital, Qinhuangdao, Hebei, China.

Insights

Coronary heart disease (CHD) is linked to gut microbiota changes and reduced microbial diversity. Elevated phenylacetylglutamine (PAGln) in CHD patients may impact immune function, suggesting a connection between gut health and heart disease.

Area of Science:

  • Microbiology
  • Immunology
  • Cardiovascular Medicine

Background:

  • The interplay between gut microbiota, metabolites, immune system, and coronary heart disease (CHD) is not fully understood.
  • Gut dysbiosis and its impact on immune homeostasis in CHD require further investigation.

Purpose of the Study:

  • To investigate the relationship between gut microbiota composition, specific metabolites (TMAO and PAGln), and immune cell subsets in patients with CHD.
  • To explore potential correlations between gut microbial alterations, metabolite levels, and CHD severity.

Main Methods:

  • 16S rRNA gene sequencing for gut microbiota analysis.
  • Mass spectrometry for quantifying plasma trimethylamine N-oxide (TMAO) and phenylacetylglutamine (PAGln).
  • Flow cytometry for assessing T, B, and NK lymphocyte subsets; PICRUSt2 for predicting microbial functions.

Main Results:

  • CHD patients exhibited reduced gut microbial richness and altered microbial composition compared to controls.
  • Plasma PAGln levels were significantly higher in CHD patients, particularly those with acute coronary syndrome (ACS), and correlated positively with CHD severity.
  • PAGln levels negatively correlated with total lymphocytes, T cells, and B cells, suggesting an impact on immune status.

Conclusions:

  • CHD is associated with gut microbiota dysbiosis and reduced microbial richness.
  • Alterations in gut microbiota and elevated PAGln may contribute to immune dysregulation in CHD.
  • These findings highlight the gut microbiome as a potential factor influencing immune homeostasis in coronary heart disease.
Abstract

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