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Intestinal Flora and Myocarditis: Potential Mechanisms and Therapeutic Strategies Affecting Disease Progression and
Qianyi Liu1, Dan Huang1,2,3,4, Kun Huang1,2,3,4
1Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
International Journal of Molecular Sciences
|August 13, 2026
Summary
Myocarditis, an inflammatory heart condition, is linked to gut bacteria imbalances. Targeting the gut microbiome may offer new therapeutic strategies for this challenging disease.
Area of Science:
- Cardiology
- Immunology
- Microbiology
Background:
- Myocarditis is a serious heart condition with poor outcomes.
- Gut microbiota dysbiosis is increasingly linked to myocarditis development.
Purpose of the Study:
- To explore the gut-myocarditis axis.
- To highlight key mechanisms and potential therapeutic strategies.
Main Methods:
- Review of existing literature on gut microbiota and myocarditis.
- Analysis of pathways linking gut dysbiosis to cardiac inflammation.
Main Results:
- Gut microbial alterations are evident in myocarditis patients and models.
- Mechanisms include compromised gut barrier, altered metabolites (TMAO, SCFAs), and molecular mimicry.
- Therapeutic strategies like FMT, probiotics, and dietary changes are discussed.
Conclusions:
- The gut microbiome significantly influences myocarditis.
- Targeting the gut-myocarditis axis offers promising therapeutic avenues.
- Further clinical validation is required for proposed treatments.
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