通过血管激素受体阻断剂治疗的肠道微生物群对高血压损伤产生保护作用
Jing Li1,2, Si-Yuan Wang1,2, Kai-Xin Yan1,2
1Heart Center and Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital Capital Medical University Beijing China.
iMeta
|August 13, 2024
概括
血管素受体阻断剂 (ARB) 改性肠道微生物种移植显著降低血压,并改善高血压大鼠的血管和肠道健康. 这种干预重新塑造了肠道微生物组,为高血压管理提供了新的见解.
科学领域:
- 微生物组研究的研究.
- 心血管科学 心血管科学
- 药理学 药理学是指药理学的学科.
背景情况:
- 肠道微生物群失调与高血压有关.
- 血管激素受体阻断剂 (ARB) 修饰肠道微生物群对宿主健康的影响尚不清楚.
- 药物-宿主-微生物群相互作用是一个不断增长的研究领域.
研究的目的:
- 评估ARB修饰肠道微生物移植对高血压大鼠血压,血管和肠道健康的影响.
- 评估ARB修饰肠道微生物治疗后肠道转录组和血清代谢组的变化.
主要方法:
- 从接受ARB治疗的人类捐赠者的便微生物群移植 (FMT) 到自发高血压大鼠 (SHRs).
- 评估血压,血管和肠道组织学以及免疫光.
- 16S rRNA amplicon测序用于肠道细菌分析,以及肠道转录组和血清代谢组分析.
主要成果:
- 经ARB修改的FMT导致系统血压,血管原沉积和活性氧物种的显著降低.
- 肠道结构损伤得到缓解,这与乳酸菌等特定细菌的数量减少以及某些肠道基因的表达增加有关.
- 在ARB-FMT大鼠中,循环中的代谢物,包括6β-基和血红素B2,显著降低.
结论:
- 通过ARB修饰的肠道微生物群对血管重塑,损伤,代谢异常和高血压的肠道功能障碍产生保护作用.
- 这项研究强调了肠道微生物组在缓解高血压方面的关键作用.
- 这些发现提供了关于抗高血压药物和肠道微生物组之间的复杂相互作用的见解.
相关概念视频
Antihypertensive Drugs: Angiotensin II Receptor Blockers
666
In the renin-angiotensin-aldosterone system, a hormone called angiotensin II plays a crucial role. It binds to the AT1 receptors in vascular smooth muscles coupled with Gq proteins. The activation of these receptors activates an enzyme called phospholipase C, which releases two molecules: inositol trisphosphate and diacylglycerol. These molecules cause a chain reaction that leads to the phosphorylation of myosin light chains and promotes interaction between actin and myosin, leading to smooth...
666
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
406
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
406
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
569
Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
569
Antihypertensive Drugs: Direct Renin Inhibitors
517
The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
517
Antihypertensive Drugs: Action of β1 Blockers
381
β1-receptors are primarily located in the heart and kidneys. In cardiac myocytes, these receptors interact with neurotransmitters released by the sympathetic nervous system during heightened activity or danger. As a result, β1-receptors get activated, initiating a series of biochemical processes. Excessive activation of beta receptors due to chronic stress can abnormally increase heart rate and contractility, resulting in high blood pressure or hypertension. To counteract this,...
381
Antihypertensive Drugs: Potassium-Sparing Diuretics
488
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
488


