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Erschienen in: Current Atherosclerosis Reports 12/2020

01.12.2020 | Coronary Heart Disease (S Virani and S Naderi, Section Editors)

The Role of the Gut Microbiota in Coronary Heart Disease

verfasst von: Huagang Liu, Junli Zhuang, Peng Tang, Jie Li, Xiaoxing Xiong, Hongping Deng

Erschienen in: Current Atherosclerosis Reports | Ausgabe 12/2020

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Abstract

Purpose of Review

This review focuses on recent evidence examining the role gut microbiota play in coronary heart disease. It also provides a succinct overview of current and future therapies targeting the gut microbiota for coronary heart disease risk reduction.

Recent Findings

A consensus has been reached that differences exist in the gut microbiotas of patients with coronary heart disease. Studies have shown that the gut microbiota is associated with obesity, diabetes, dyslipidemia, and hypertension, which are risk factors for coronary heart disease. The gut microbiota is involved in mediating basic metabolic processes, such as cholesterol metabolism, uric acid metabolism, oxidative stress, and inflammatory reactions, through its metabolites, which can induce the development of atherosclerosis and coronary heart disease. Interfering with the composition of gut microbiota, supplementing probiotics, and fecal donation are active areas of research to potentially prevent and treat coronary heart disease.

Summary

Gut microbiota are causally associated with coronary heart disease. We analyzed the gut microbiota’s effects on risk factors for coronary heart disease and studied the effects of gut microbiota metabolites on coronary heart disease. Gut microbiota is a potential target for preventing and treating coronary heart disease.
Literatur
1.
Zurück zum Zitat Belkaid Y, Hand TW. Role of the microbiota in immunity and inflammation. Cell. 2014;157(1):121–41. Belkaid Y, Hand TW. Role of the microbiota in immunity and inflammation. Cell. 2014;157(1):121–41.
2.
Zurück zum Zitat Qin J, et al. A human gut microbial gene catalogue established by metagenomic sequencing. Nature. 2010;464(7285):59–65. Qin J, et al. A human gut microbial gene catalogue established by metagenomic sequencing. Nature. 2010;464(7285):59–65.
3.
Zurück zum Zitat Li J, et al. An integrated catalog of reference genes in the human gut microbiome. Nat Biotechnol. 2014;32(8):834–41. Li J, et al. An integrated catalog of reference genes in the human gut microbiome. Nat Biotechnol. 2014;32(8):834–41.
4.
Zurück zum Zitat Wu GD, Chen J, Hoffmann C, Bittinger K, Chen YY, Keilbaugh SA, et al. Linking long-term dietary patterns with gut microbial enterotypes. Science. 2011;334(6052):105–8. Wu GD, Chen J, Hoffmann C, Bittinger K, Chen YY, Keilbaugh SA, et al. Linking long-term dietary patterns with gut microbial enterotypes. Science. 2011;334(6052):105–8.
5.
Zurück zum Zitat Milani C, Ferrario C, Turroni F, Duranti S, Mangifesta M, van Sinderen D, et al. The human gut microbiota and its interactive connections to diet. J Hum Nutr Diet. 2016;29(5):539–46. Milani C, Ferrario C, Turroni F, Duranti S, Mangifesta M, van Sinderen D, et al. The human gut microbiota and its interactive connections to diet. J Hum Nutr Diet. 2016;29(5):539–46.
6.
Zurück zum Zitat • Sommer F, et al. The resilience of the intestinal microbiota influences health and disease. Nat Rev Microbiol. 2017;15(10):630 The composition of the intestinal microbiota varies among individuals and throughout development, and is dependent on host and environmental factors. However, although the microbiota is constantly exposed to environmental challenges, its composition and function in an individual are stable against perturbations, as microbial communities are resilient and resistant to change. • Sommer F, et al. The resilience of the intestinal microbiota influences health and disease. Nat Rev Microbiol. 2017;15(10):630 The composition of the intestinal microbiota varies among individuals and throughout development, and is dependent on host and environmental factors. However, although the microbiota is constantly exposed to environmental challenges, its composition and function in an individual are stable against perturbations, as microbial communities are resilient and resistant to change.
7.
Zurück zum Zitat Zhuang X, Xiong L, Li L, Li M, Chen M. Alterations of gut microbiota in patients with irritable bowel syndrome: a systematic review and meta-analysis. J Gastroenterol Hepatol. 2017;32(1):28–38. Zhuang X, Xiong L, Li L, Li M, Chen M. Alterations of gut microbiota in patients with irritable bowel syndrome: a systematic review and meta-analysis. J Gastroenterol Hepatol. 2017;32(1):28–38.
8.
Zurück zum Zitat Eckburg PB, Bik EM, Bernstein CN, Purdom E, Dethlefsen L, Sargent M, et al. Diversity of the human intestinal microbial flora. Science. 2005;308(5728):1635–8. Eckburg PB, Bik EM, Bernstein CN, Purdom E, Dethlefsen L, Sargent M, et al. Diversity of the human intestinal microbial flora. Science. 2005;308(5728):1635–8.
9.
Zurück zum Zitat • Wang Z, et al. Gut flora metabolism of phosphatidylcholine promotescardiovascular disease. Nature. 2011;472(7341):57–63 Studies using germ-free mice confirmed a critical role for dietary choline and gut flora in TMAO production, augmented macrophage cholesterol accumulation and foam cell formation. • Wang Z, et al. Gut flora metabolism of phosphatidylcholine promotescardiovascular disease. Nature. 2011;472(7341):57–63 Studies using germ-free mice confirmed a critical role for dietary choline and gut flora in TMAO production, augmented macrophage cholesterol accumulation and foam cell formation.
10.
Zurück zum Zitat Korem T, Zeevi D, Suez J, Weinberger A, Avnit-Sagi T, Pompan-Lotan M, et al. Growth dynamics of gut microbiota in health and disease inferred from single metagenomic samples. Science. 2015;349(6252):1101–6. Korem T, Zeevi D, Suez J, Weinberger A, Avnit-Sagi T, Pompan-Lotan M, et al. Growth dynamics of gut microbiota in health and disease inferred from single metagenomic samples. Science. 2015;349(6252):1101–6.
11.
Zurück zum Zitat Li J, Zhao F, Wang Y, Chen J, Tao J, Tian G, et al. Gut microbiota dysbiosis contributes to the development of hypertension. Microbiome. 2017;5(1):14. Li J, Zhao F, Wang Y, Chen J, Tao J, Tian G, et al. Gut microbiota dysbiosis contributes to the development of hypertension. Microbiome. 2017;5(1):14.
12.
Zurück zum Zitat •• Senthong V, et al. Intestinal microbiota-Generated metabolite Trimethylamine-N-Oxide and 5-Year mortality risk in stable coronary artery disease: the contributory role of intestinal microbiota in aCOURAGE-Like patient cohort. Journal of the American Heart Association, 2016;5(6):e002816. This study examined the clinical prognostic value of TMAO in patients with stable coronary artery disease. The results showed that elevated plasma TMAO levels portended higher long-term mortality risk among patients with stable coronary artery disease managed with optimal medical treatment. •• Senthong V, et al. Intestinal microbiota-Generated metabolite Trimethylamine-N-Oxide and 5-Year mortality risk in stable coronary artery disease: the contributory role of intestinal microbiota in aCOURAGE-Like patient cohort. Journal of the American Heart Association, 2016;5(6):e002816. This study examined the clinical prognostic value of TMAO in patients with stable coronary artery disease. The results showed that elevated plasma TMAO levels portended higher long-term mortality risk among patients with stable coronary artery disease managed with optimal medical treatment.
13.
Zurück zum Zitat •• Santisteban MM, et al. Hypertension-linked pathophysiological alterations in the gut. Circ Res. 2016;120(2):312 Gut epithelial integrity and wall pathology were examined in spontaneously hypertensive rat and chronic angiotensin II infusion rat models. The results showed that a dysfunctional sympathetic-gut communication is associated with gut pathology, dysbiosis, and inflammation and plays a key role in hypertension??? •• Santisteban MM, et al. Hypertension-linked pathophysiological alterations in the gut. Circ Res. 2016;120(2):312 Gut epithelial integrity and wall pathology were examined in spontaneously hypertensive rat and chronic angiotensin II infusion rat models. The results showed that a dysfunctional sympathetic-gut communication is associated with gut pathology, dysbiosis, and inflammation and plays a key role in hypertension???
14.
Zurück zum Zitat • Backhed F, et al. The gut microbiota as an environmental factor that regulates fat storage. Proc Natl Acad Sci U S A. 2004;101(44):15718–23 The gut microbial community (microbiota) is essential for processing dietary polysaccharides. We found that conventionalization of adult germ-free (GF) C57BL/6 mice with a normal microbiota harvested from the distal intestine (cecum) of conventionally raised animals produces a 60% increase in body fat content and insulin resistance within 14 days despite reduced food intake. The gut microbiota is an important environmental factor that affects energy harvest from the diet and energy storage in the host. • Backhed F, et al. The gut microbiota as an environmental factor that regulates fat storage. Proc Natl Acad Sci U S A. 2004;101(44):15718–23 The gut microbial community (microbiota) is essential for processing dietary polysaccharides. We found that conventionalization of adult germ-free (GF) C57BL/6 mice with a normal microbiota harvested from the distal intestine (cecum) of conventionally raised animals produces a 60% increase in body fat content and insulin resistance within 14 days despite reduced food intake. The gut microbiota is an important environmental factor that affects energy harvest from the diet and energy storage in the host.
15.
Zurück zum Zitat Turnbaugh PJ, Ley RE, Mahowald MA, Magrini V, Mardis ER, Gordon JI. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature. 2006;444(7122):1027–31. Turnbaugh PJ, Ley RE, Mahowald MA, Magrini V, Mardis ER, Gordon JI. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature. 2006;444(7122):1027–31.
16.
Zurück zum Zitat Ley RE, Turnbaugh PJ, Klein S, Gordon JI. Microbial ecology: human gut microbes associated with obesity. Nature. 2006;444(7122):1022–3. Ley RE, Turnbaugh PJ, Klein S, Gordon JI. Microbial ecology: human gut microbes associated with obesity. Nature. 2006;444(7122):1022–3.
17.
Zurück zum Zitat den Besten G, Lange K, Havinga R, van Dijk TH, Gerding A, van Eunen K, et al. Gut-derived short-chain fatty acids are vividly assimilated into host carbohydrates and lipids. Am J Physiol Gastrointest Liver Physiol. 2013;305(12):G900–10. den Besten G, Lange K, Havinga R, van Dijk TH, Gerding A, van Eunen K, et al. Gut-derived short-chain fatty acids are vividly assimilated into host carbohydrates and lipids. Am J Physiol Gastrointest Liver Physiol. 2013;305(12):G900–10.
18.
Zurück zum Zitat Flint HJ, Scott KP, Duncan SH, Louis P, Forano E. Microbial degradation of complex carbohydrates in the gut. Gut Microbes. 2012;3(4):289–306. Flint HJ, Scott KP, Duncan SH, Louis P, Forano E. Microbial degradation of complex carbohydrates in the gut. Gut Microbes. 2012;3(4):289–306.
19.
Zurück zum Zitat • Geurts L, et al. Altered gut microbiota and endocannabinoid system tone in obese and diabetic leptin-resistant mice: impact on apelin regulation in adipose tissue. Front Microbiol. 2011;2:149 This study have investigated gut microbiota composition in obese and diabetic leptin-resistant mice (db/db) by combining pyrosequencing and phylogenetic microarray analysis of 16S ribosomal RNA gene sequences. It identified the roles of the eCB and LPS in the regulation of apelinergic system tone (apelin and APJ mRNA expression) in genetic obese and diabetic mice. By using in vivo and in vitro models, It have demonstrated that both the eCB and low-grade inflammation differentially regulate apelin and APJ mRNA expression in adipose tissue. • Geurts L, et al. Altered gut microbiota and endocannabinoid system tone in obese and diabetic leptin-resistant mice: impact on apelin regulation in adipose tissue. Front Microbiol. 2011;2:149 This study have investigated gut microbiota composition in obese and diabetic leptin-resistant mice (db/db) by combining pyrosequencing and phylogenetic microarray analysis of 16S ribosomal RNA gene sequences. It identified the roles of the eCB and LPS in the regulation of apelinergic system tone (apelin and APJ mRNA expression) in genetic obese and diabetic mice. By using in vivo and in vitro models, It have demonstrated that both the eCB and low-grade inflammation differentially regulate apelin and APJ mRNA expression in adipose tissue.
20.
Zurück zum Zitat Cani PD, Osto M, Geurts L, Everard A. Involvement of gut microbiota in the development of low-grade inflammation and type 2 diabetes associated with obesity. Gut Microbes. 2012;3(4):279–88. Cani PD, Osto M, Geurts L, Everard A. Involvement of gut microbiota in the development of low-grade inflammation and type 2 diabetes associated with obesity. Gut Microbes. 2012;3(4):279–88.
21.
Zurück zum Zitat Muccioli GG, Naslain D, Bäckhed F, Reigstad CS, Lambert DM, Delzenne NM, et al. The endocannabinoid system links gut microbiota to adipogenesis. Mol Syst Biol. 2010;6:392. Muccioli GG, Naslain D, Bäckhed F, Reigstad CS, Lambert DM, Delzenne NM, et al. The endocannabinoid system links gut microbiota to adipogenesis. Mol Syst Biol. 2010;6:392.
22.
Zurück zum Zitat • Haffner SM. Coronary heart disease in patients with diabetes. N Engl J Med. 2000;342(14):1040–2 Diabetes is a major risk factor for coronary heart disease. • Haffner SM. Coronary heart disease in patients with diabetes. N Engl J Med. 2000;342(14):1040–2 Diabetes is a major risk factor for coronary heart disease.
23.
Zurück zum Zitat Noble D, Mathur R, Dent T, Meads C, Greenhalgh T. Risk models and scores for type 2 diabetes: systematic review. BMJ. 2011;343:d7163. Noble D, Mathur R, Dent T, Meads C, Greenhalgh T. Risk models and scores for type 2 diabetes: systematic review. BMJ. 2011;343:d7163.
24.
Zurück zum Zitat • Qin J, et al. A metagenome-wide association study of gut microbiota in type 2 diabetes. Nature. 2012;490(7418):55–60 To carry out analysis on gut microbial content in patients with type 2 diabetes, we developed a protocol for a metagenome-wide association study (MGWAS) and undertook a two-stage MGWAS based on deep shotgun sequencing of the gut microbial DNA from 345 Chinese individuals. MGWAS analysis showed that patients with type 2 diabetes were characterized by a moderate degree of gut microbial dysbiosis, a decrease in the abundance of some universal butyrate-producing bacteria and an increase in various opportunistic pathogens, as well as an enrichment of other microbial functions conferring sulphate reduction and oxidative stress resistance. • Qin J, et al. A metagenome-wide association study of gut microbiota in type 2 diabetes. Nature. 2012;490(7418):55–60 To carry out analysis on gut microbial content in patients with type 2 diabetes, we developed a protocol for a metagenome-wide association study (MGWAS) and undertook a two-stage MGWAS based on deep shotgun sequencing of the gut microbial DNA from 345 Chinese individuals. MGWAS analysis showed that patients with type 2 diabetes were characterized by a moderate degree of gut microbial dysbiosis, a decrease in the abundance of some universal butyrate-producing bacteria and an increase in various opportunistic pathogens, as well as an enrichment of other microbial functions conferring sulphate reduction and oxidative stress resistance.
25.
Zurück zum Zitat Karlsson FH, Tremaroli V, Nookaew I, Bergström G, Behre CJ, Fagerberg B, et al. Gut metagenome in European women with normal, impaired and diabetic glucose control. Nature. 2013;498(7452):99–103. Karlsson FH, Tremaroli V, Nookaew I, Bergström G, Behre CJ, Fagerberg B, et al. Gut metagenome in European women with normal, impaired and diabetic glucose control. Nature. 2013;498(7452):99–103.
26.
Zurück zum Zitat Pedersen HK, Gudmundsdottir V, Nielsen HB, Hyotylainen T, Nielsen T, Jensen BAH, et al. Human gut microbes impact host serum metabolome and insulin sensitivity. Nature. 2016;535(7612):376–81. Pedersen HK, Gudmundsdottir V, Nielsen HB, Hyotylainen T, Nielsen T, Jensen BAH, et al. Human gut microbes impact host serum metabolome and insulin sensitivity. Nature. 2016;535(7612):376–81.
27.
Zurück zum Zitat • Cani PD, et al. Changes in gut microbiota control metabolic endotoxemiainduced inflammation in high-fat diet-induced obesity and diabetes in mice. Diabetes. 2008;57(6):1470–81 It found that changes of gut microbiota induced by an antibiotic treatment reduced metabolic endotoxemia and the cecal content of LPS in both high-fat-fed and ob/ob mice. These changes are involved in insulin resistance-induced obesity by regulating TLR4. • Cani PD, et al. Changes in gut microbiota control metabolic endotoxemiainduced inflammation in high-fat diet-induced obesity and diabetes in mice. Diabetes. 2008;57(6):1470–81 It found that changes of gut microbiota induced by an antibiotic treatment reduced metabolic endotoxemia and the cecal content of LPS in both high-fat-fed and ob/ob mice. These changes are involved in insulin resistance-induced obesity by regulating TLR4.
28.
Zurück zum Zitat Amyot J, Semache M, Ferdaoussi M, Fontés G, Poitout V. Lipopolysaccharides impair insulin gene expression in isolated islets of Langerhans via Toll-like receptor-4 and NF-kappaB signalling. PLoS One. 2012;7(4):e36200. Amyot J, Semache M, Ferdaoussi M, Fontés G, Poitout V. Lipopolysaccharides impair insulin gene expression in isolated islets of Langerhans via Toll-like receptor-4 and NF-kappaB signalling. PLoS One. 2012;7(4):e36200.
29.
Zurück zum Zitat Tolhurst G, Heffron H, Lam YS, Parker HE, Habib AM, Diakogiannaki E, et al. Short-chain fatty acids stimulate glucagon-like peptide-1 secretion via the G-protein-coupled receptor FFAR2. Diabetes. 2012;61(2):364–71. Tolhurst G, Heffron H, Lam YS, Parker HE, Habib AM, Diakogiannaki E, et al. Short-chain fatty acids stimulate glucagon-like peptide-1 secretion via the G-protein-coupled receptor FFAR2. Diabetes. 2012;61(2):364–71.
30.
Zurück zum Zitat Shi H, Kokoeva MV, Inouye K, Tzameli I, Yin H, Flier JS. TLR4 links innate immunity and fatty acid-induced insulin resistance. J Clin Invest. 2006;116(11):3015–25. Shi H, Kokoeva MV, Inouye K, Tzameli I, Yin H, Flier JS. TLR4 links innate immunity and fatty acid-induced insulin resistance. J Clin Invest. 2006;116(11):3015–25.
31.
Zurück zum Zitat •• Wang TJ, et al. Metabolite profiles and the risk of developing diabetes. Nat Med. 2011;17(4):448–53 Emerging technologies allow the high-throughput profiling of metabolic status from a blood specimen (metabolomics). Five branched-chain and aromatic amino acids had highly significant associations with future diabetes: isoleucine, leucine, valine, tyrosine and phenylalanine. Those short-chain fatty acids binding to G-protein-coupled receptor 41/43 can also affect anti-inflammatory and brain-gut peptide hormone secretion functions, resulting in insulin resistance and islet cell dysfunction. •• Wang TJ, et al. Metabolite profiles and the risk of developing diabetes. Nat Med. 2011;17(4):448–53 Emerging technologies allow the high-throughput profiling of metabolic status from a blood specimen (metabolomics). Five branched-chain and aromatic amino acids had highly significant associations with future diabetes: isoleucine, leucine, valine, tyrosine and phenylalanine. Those short-chain fatty acids binding to G-protein-coupled receptor 41/43 can also affect anti-inflammatory and brain-gut peptide hormone secretion functions, resulting in insulin resistance and islet cell dysfunction.
32.
Zurück zum Zitat El-Mesallamy HO, et al. Vaspin and visfatin/Nampt are interesting interrelated adipokines playing a role in the pathogenesis of type 2 diabetes mellitus. Metabolism. 2011;60(1):63–70. El-Mesallamy HO, et al. Vaspin and visfatin/Nampt are interesting interrelated adipokines playing a role in the pathogenesis of type 2 diabetes mellitus. Metabolism. 2011;60(1):63–70.
33.
Zurück zum Zitat Delzenne NM, Cani PD. Nutritional modulation of gut microbiota in the context of obesity and insulin resistance: potential interest of prebiotics. Int Dairy J. 2010;20(4):277–80. Delzenne NM, Cani PD. Nutritional modulation of gut microbiota in the context of obesity and insulin resistance: potential interest of prebiotics. Int Dairy J. 2010;20(4):277–80.
34.
Zurück zum Zitat Perino A, Pols TWH, Nomura M, Stein S, Pellicciari R, Schoonjans K. TGR5 reduces macrophage migration through mTOR-induced C/EBPbeta differential translation. J Clin Invest. 2014;124(12):5424–36. Perino A, Pols TWH, Nomura M, Stein S, Pellicciari R, Schoonjans K. TGR5 reduces macrophage migration through mTOR-induced C/EBPbeta differential translation. J Clin Invest. 2014;124(12):5424–36.
35.
Zurück zum Zitat •• Fang S, et al. Intestinal FXR agonism promotes adipose tissue browning and reduces obesity and insulin resistance. Nat Med. 2015;21(2):159–65 Bile acid release during a meal selectively activates intestinal farnesoid X receptor (FXR). By mimicking this tissue-selective effect, the gut-restricted FXR agonist fexaramine (Fex) robustly induces enteric fibroblast growth factor 15 (FGF15), leading to alterations in BA composition, but does so without activating FXR target genes in the liver. These pronounced metabolic improvements suggest tissue-restricted FXR activation as a new approach in the treatment of obesity and metabolic syndrome. •• Fang S, et al. Intestinal FXR agonism promotes adipose tissue browning and reduces obesity and insulin resistance. Nat Med. 2015;21(2):159–65 Bile acid release during a meal selectively activates intestinal farnesoid X receptor (FXR). By mimicking this tissue-selective effect, the gut-restricted FXR agonist fexaramine (Fex) robustly induces enteric fibroblast growth factor 15 (FGF15), leading to alterations in BA composition, but does so without activating FXR target genes in the liver. These pronounced metabolic improvements suggest tissue-restricted FXR activation as a new approach in the treatment of obesity and metabolic syndrome.
36.
Zurück zum Zitat Fu J, Bonder MJ, Cenit MC, Tigchelaar EF, Maatman A, Dekens JAM, et al. The gut microbiome contributes to a substantial proportion of the variation in blood lipids. Circ Res. 2015;117(9):817–24. Fu J, Bonder MJ, Cenit MC, Tigchelaar EF, Maatman A, Dekens JAM, et al. The gut microbiome contributes to a substantial proportion of the variation in blood lipids. Circ Res. 2015;117(9):817–24.
37.
Zurück zum Zitat • Wang Z, et al. Prognostic value of choline and betaine depends on intestinal microbiota-generated metabolite trimethylamine-N-oxide. Eur Heart J. 2014;35(14):904–10 It examined the relationship between fasting plasma choline and betaine levels and risk of major adverse cardiac events (MACE = death, myocardial infraction, stroke) in relation to TMAO over 3 years of follow-up in 3903 sequential stable subjects undergoing elective diagnostic coronary angiography. The results show that elevated plasma levels of choline and betaine are each associated with incident MACE risk independent of traditional risk factors. However, high choline and betaine levels are only associated with higher risk of future MACE with concomitant increase in TMAO. • Wang Z, et al. Prognostic value of choline and betaine depends on intestinal microbiota-generated metabolite trimethylamine-N-oxide. Eur Heart J. 2014;35(14):904–10 It examined the relationship between fasting plasma choline and betaine levels and risk of major adverse cardiac events (MACE = death, myocardial infraction, stroke) in relation to TMAO over 3 years of follow-up in 3903 sequential stable subjects undergoing elective diagnostic coronary angiography. The results show that elevated plasma levels of choline and betaine are each associated with incident MACE risk independent of traditional risk factors. However, high choline and betaine levels are only associated with higher risk of future MACE with concomitant increase in TMAO.
38.
Zurück zum Zitat Ryan KK, Tremaroli V, Clemmensen C, Kovatcheva-Datchary P, Myronovych A, Karns R, et al. FXR is a molecular target for the effects of vertical sleeve gastrectomy. Nature. 2014;509(7499):183–8. Ryan KK, Tremaroli V, Clemmensen C, Kovatcheva-Datchary P, Myronovych A, Karns R, et al. FXR is a molecular target for the effects of vertical sleeve gastrectomy. Nature. 2014;509(7499):183–8.
39.
Zurück zum Zitat Thomas C, Gioiello A, Noriega L, Strehle A, Oury J, Rizzo G, et al. TGR5-mediated bile acid sensing controls glucose homeostasis. Cell Metab. 2009;10(3):167–77. Thomas C, Gioiello A, Noriega L, Strehle A, Oury J, Rizzo G, et al. TGR5-mediated bile acid sensing controls glucose homeostasis. Cell Metab. 2009;10(3):167–77.
40.
Zurück zum Zitat • Tang, W.H., et al., Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk. N Engl J Med, 2013. 368(17): p. 1575–1584. It investigated the relationship among intestinal microbiota-dependent metabolism of dietary phosphatidylcholine, TMAO levels, and adverse cardiovascular events in humans. The results show that TMAO can cause blood lipid abnormalities and atheromatous plaques by affecting cholesterol transport and metabolism and bile acid levels. Increased TMAO levels are associated with an increased risk of incident major adverse cardiovascular events. • Tang, W.H., et al., Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk. N Engl J Med, 2013. 368(17): p. 1575–1584. It investigated the relationship among intestinal microbiota-dependent metabolism of dietary phosphatidylcholine, TMAO levels, and adverse cardiovascular events in humans. The results show that TMAO can cause blood lipid abnormalities and atheromatous plaques by affecting cholesterol transport and metabolism and bile acid levels. Increased TMAO levels are associated with an increased risk of incident major adverse cardiovascular events.
41.
Zurück zum Zitat Warrier M, et al. The TMAO-generating enzyme flavin monooxygenase 3 is a central regulator of cholesterol balance. In: Cell Rep; 2015. Warrier M, et al. The TMAO-generating enzyme flavin monooxygenase 3 is a central regulator of cholesterol balance. In: Cell Rep; 2015.
42.
Zurück zum Zitat • Nakamura Y, et al. Effect of fermented bean paste on serum lipids in rats fed a cholesterol-free diet. Biosci Biotechnol Biochem. 2009;73(11):2506–12 It suggest that dysbacteria can cause SCFA secretion insufficiency and dyslipidemia. • Nakamura Y, et al. Effect of fermented bean paste on serum lipids in rats fed a cholesterol-free diet. Biosci Biotechnol Biochem. 2009;73(11):2506–12 It suggest that dysbacteria can cause SCFA secretion insufficiency and dyslipidemia.
43.
Zurück zum Zitat Pereira DIA, Mccartney AL, Gibson GR. An in vitro study of the probiotic potential of a bile-salt-hydrolyzing Lactobacillus fermentum strain, and determination of its cholesterol-lowering properties. Appl Environ Microbiol. 2003;69(8):4743–52. Pereira DIA, Mccartney AL, Gibson GR. An in vitro study of the probiotic potential of a bile-salt-hydrolyzing Lactobacillus fermentum strain, and determination of its cholesterol-lowering properties. Appl Environ Microbiol. 2003;69(8):4743–52.
44.
Zurück zum Zitat Larkin TA, Astheimer LB, Price WE. Dietary combination of soy with a probiotic or prebiotic food significantly reduces total and LDL cholesterol in mildly hypercholesterolaemic subjects. Eur J Clin Nutr. 2009;63(2):238–45. Larkin TA, Astheimer LB, Price WE. Dietary combination of soy with a probiotic or prebiotic food significantly reduces total and LDL cholesterol in mildly hypercholesterolaemic subjects. Eur J Clin Nutr. 2009;63(2):238–45.
45.
Zurück zum Zitat Li C, Li X, Han H, Cui H, Peng M, Wang G, et al. Effect of probiotics on metabolic profiles in type 2 diabetes mellitus: a meta-analysis of randomized, controlled trials. Medicine (Baltimore). 2016;95(26):e4088. Li C, Li X, Han H, Cui H, Peng M, Wang G, et al. Effect of probiotics on metabolic profiles in type 2 diabetes mellitus: a meta-analysis of randomized, controlled trials. Medicine (Baltimore). 2016;95(26):e4088.
46.
Zurück zum Zitat • Tao Y, et al. Gut dysbiosis is linked to hypertension. Hypertension. 2015;65(6):1331–40 It demonstrate that high blood pressure is associated with gut microbiota dysbiosis, both in animal and human hypertension. Analysis of the fecal bacteria from rats with primary hypertension revealed significantly decreased bacterial numbers and diversity. The proportions of thick-walled bacteria and Bacteroides increased, and SCFA production decreased. • Tao Y, et al. Gut dysbiosis is linked to hypertension. Hypertension. 2015;65(6):1331–40 It demonstrate that high blood pressure is associated with gut microbiota dysbiosis, both in animal and human hypertension. Analysis of the fecal bacteria from rats with primary hypertension revealed significantly decreased bacterial numbers and diversity. The proportions of thick-walled bacteria and Bacteroides increased, and SCFA production decreased.
47.
Zurück zum Zitat Pluznick J. A novel SCFA receptor, the microbiota, and blood pressure regulation. Gut Microbes. 2014;5(2):202–7. Pluznick J. A novel SCFA receptor, the microbiota, and blood pressure regulation. Gut Microbes. 2014;5(2):202–7.
48.
Zurück zum Zitat •• Richards EM, et al. The gut, its microbiome, and hypertension. Curr Hypertens Rep. 2017;19(4):36 Animal models of HTN have shown that gut pathology occurs in hypertension. SCFAs play roles in maintaining intestinal epithelial barrier functions. They can reduce inflammatory reactions, directly affect immune cells, and reduce sympathetic activity to improve hypertension. •• Richards EM, et al. The gut, its microbiome, and hypertension. Curr Hypertens Rep. 2017;19(4):36 Animal models of HTN have shown that gut pathology occurs in hypertension. SCFAs play roles in maintaining intestinal epithelial barrier functions. They can reduce inflammatory reactions, directly affect immune cells, and reduce sympathetic activity to improve hypertension.
49.
Zurück zum Zitat • Afsar B, et al. Gut hormones and gut microbiota: implications for kidney function and hypertension. J Am Soc Hypertens. 2016;10(12):954–61 Alterations in the structure and function of the gut microbiota have been shown to play a key role in the pathogenesis and complications of numerous diseases including hypertension. Gut microbiota can affect the formation of vasoactive hormones, such as serotonin, dopamine and norepinephrine, thus playing a role in regulating blood pressure. • Afsar B, et al. Gut hormones and gut microbiota: implications for kidney function and hypertension. J Am Soc Hypertens. 2016;10(12):954–61 Alterations in the structure and function of the gut microbiota have been shown to play a key role in the pathogenesis and complications of numerous diseases including hypertension. Gut microbiota can affect the formation of vasoactive hormones, such as serotonin, dopamine and norepinephrine, thus playing a role in regulating blood pressure.
50.
Zurück zum Zitat Khalesi S, Sun J, Buys N, Jayasinghe R. Effect of probiotics on blood pressure: a systematic review and meta-analysis of randomized, controlled trials. Hypertension. 2014;64(4):897–903. Khalesi S, Sun J, Buys N, Jayasinghe R. Effect of probiotics on blood pressure: a systematic review and meta-analysis of randomized, controlled trials. Hypertension. 2014;64(4):897–903.
51.
Zurück zum Zitat Chen Y, Liu W, Xue J, Yang J, Chen X, Shao Y, et al. Angiotensin-converting enzyme inhibitory activity of Lactobacillus helveticus strains from traditional fermented dairy foods and antihypertensive effect of fermented milk of strain H9. J Dairy Sci. 2014;97(11):6680–92. Chen Y, Liu W, Xue J, Yang J, Chen X, Shao Y, et al. Angiotensin-converting enzyme inhibitory activity of Lactobacillus helveticus strains from traditional fermented dairy foods and antihypertensive effect of fermented milk of strain H9. J Dairy Sci. 2014;97(11):6680–92.
52.
Zurück zum Zitat •• Yissachar N, et al. An intestinal organ culture system uncovers a role for the nervous system in microbe-immune crosstalk. Cell. 2017;168(6):1135–1148.e12 Host-environment interactions in the gut partake in bifurcating proor anti-inflammatory responses to microbes, which can lead to the development of atherosclerosis and coronary heart disease. •• Yissachar N, et al. An intestinal organ culture system uncovers a role for the nervous system in microbe-immune crosstalk. Cell. 2017;168(6):1135–1148.e12 Host-environment interactions in the gut partake in bifurcating proor anti-inflammatory responses to microbes, which can lead to the development of atherosclerosis and coronary heart disease.
53.
Zurück zum Zitat • Jandhyala SM, et al. Role of the normal gut microbiota. World J Gastroenterol. 2015;21(29):8787–803 This paper reviews the role of the gut microbiota in normal metabolism and discusses the effect of abnormal metabolism on atherosclerosis. • Jandhyala SM, et al. Role of the normal gut microbiota. World J Gastroenterol. 2015;21(29):8787–803 This paper reviews the role of the gut microbiota in normal metabolism and discusses the effect of abnormal metabolism on atherosclerosis.
54.
Zurück zum Zitat • Karlsson FH, et al. Symptomatic atherosclerosis is associated with an altered gut metagenome. Nat Commun. 2012;3:1245 This study use shotgun sequencing of the gut metagenome to demonstrate that the genus Collinsella was enriched in patients with symptomatic atherosclerosis, defined as stenotic atherosclerotic plaques in the carotid artery leading to cerebrovascular events, whereas Roseburia and Eubacterium were enriched in healthy controls. • Karlsson FH, et al. Symptomatic atherosclerosis is associated with an altered gut metagenome. Nat Commun. 2012;3:1245 This study use shotgun sequencing of the gut metagenome to demonstrate that the genus Collinsella was enriched in patients with symptomatic atherosclerosis, defined as stenotic atherosclerotic plaques in the carotid artery leading to cerebrovascular events, whereas Roseburia and Eubacterium were enriched in healthy controls.
55.
Zurück zum Zitat Emoto T, Yamashita T, Kobayashi T, Sasaki N, Hirota Y, Hayashi T, et al. Characterization of gut microbiota profiles in coronary artery disease patients using data mining analysis of terminal restriction fragment length polymorphism: gut microbiota could be a diagnostic marker of coronary artery disease. Heart Vessel. 2017;32(1):39–46. Emoto T, Yamashita T, Kobayashi T, Sasaki N, Hirota Y, Hayashi T, et al. Characterization of gut microbiota profiles in coronary artery disease patients using data mining analysis of terminal restriction fragment length polymorphism: gut microbiota could be a diagnostic marker of coronary artery disease. Heart Vessel. 2017;32(1):39–46.
56.
Zurück zum Zitat Emoto T, Yamashita T, Sasaki N, Hirota Y, Hayashi T, So A, et al. Analysis of gut microbiota in coronary artery disease patients: a possible link between gut microbiota and coronary artery disease. J Atheroscler Thromb. 2016;23(8):908–21. Emoto T, Yamashita T, Sasaki N, Hirota Y, Hayashi T, So A, et al. Analysis of gut microbiota in coronary artery disease patients: a possible link between gut microbiota and coronary artery disease. J Atheroscler Thromb. 2016;23(8):908–21.
57.
Zurück zum Zitat Koeth RA, Wang Z, Levison BS, Buffa JA, Org E, Sheehy BT, et al. Intestinal microbiota metabolism of L-carnitine, a nutrient in red meat, promotes atherosclerosis. Nat Med. 2013;19(5):576–85. Koeth RA, Wang Z, Levison BS, Buffa JA, Org E, Sheehy BT, et al. Intestinal microbiota metabolism of L-carnitine, a nutrient in red meat, promotes atherosclerosis. Nat Med. 2013;19(5):576–85.
58.
Zurück zum Zitat Craciun S, Balskus EP. Microbial conversion of choline to trimethylamine requires a glycyl radical enzyme. Proc Natl Acad Sci U S A. 2012;109(52):21307–12. Craciun S, Balskus EP. Microbial conversion of choline to trimethylamine requires a glycyl radical enzyme. Proc Natl Acad Sci U S A. 2012;109(52):21307–12.
59.
Zurück zum Zitat Koeth RA, Levison BS, Culley MK, Buffa JA, Wang Z, Gregory JC, et al. Gamma-butyrobetaine is a proatherogenic intermediate in gut microbial metabolism of L-carnitine to TMAO. Cell Metab. 2014;20(5):799–812. Koeth RA, Levison BS, Culley MK, Buffa JA, Wang Z, Gregory JC, et al. Gamma-butyrobetaine is a proatherogenic intermediate in gut microbial metabolism of L-carnitine to TMAO. Cell Metab. 2014;20(5):799–812.
60.
Zurück zum Zitat •• Wang Z, et al. Non-lethal inhibition of gut microbial Trimethylamine production for the treatment of atherosclerosis. Cell. 2015;163(7):1585–95 Trimethylamine (TMA) N-oxide (TMAO), a gut-microbiota-dependent metabolite, both enhances atherosclerosis in animal models and is associated with cardiovascular risks in clinical studies. •• Wang Z, et al. Non-lethal inhibition of gut microbial Trimethylamine production for the treatment of atherosclerosis. Cell. 2015;163(7):1585–95 Trimethylamine (TMA) N-oxide (TMAO), a gut-microbiota-dependent metabolite, both enhances atherosclerosis in animal models and is associated with cardiovascular risks in clinical studies.
61.
Zurück zum Zitat • CM O, K R. Heartbeat: the gut microbiota and heart failure. Heart. 2016;102(11):811 TMAO increases the risk of cardiovascular disease. • CM O, K R. Heartbeat: the gut microbiota and heart failure. Heart. 2016;102(11):811 TMAO increases the risk of cardiovascular disease.
62.
Zurück zum Zitat Tang WH, et al. Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk. N Engl J Med. 2013;368(17):1575–84. Tang WH, et al. Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk. N Engl J Med. 2013;368(17):1575–84.
63.
Zurück zum Zitat Brugere JF, et al. Archaebiotics: proposed therapeutic use of archaea to prevent trimethylaminuria and cardiovascular disease. Gut Microbes. 2014;5(1):5–10. Brugere JF, et al. Archaebiotics: proposed therapeutic use of archaea to prevent trimethylaminuria and cardiovascular disease. Gut Microbes. 2014;5(1):5–10.
64.
Zurück zum Zitat • Zhu W, et al. Gut microbial metabolite TMAO enhances platelet Hyperreactivity and thrombosis risk. Cell. 2016;165(1):111–24 Gut microbes, through generation of trimethylamine N-oxide (TMAO), directly contribute to platelet hyperreactivity and enhanced thrombosis potential. • Zhu W, et al. Gut microbial metabolite TMAO enhances platelet Hyperreactivity and thrombosis risk. Cell. 2016;165(1):111–24 Gut microbes, through generation of trimethylamine N-oxide (TMAO), directly contribute to platelet hyperreactivity and enhanced thrombosis potential.
65.
Zurück zum Zitat •• Seldin MM, et al. Trimethylamine N-oxide promotes vascular inflammation through Signaling of mitogen-activated protein kinase and nuclear factor-κB. J Am Heart Assoc. 2016;5(2):e002767 The impact of TMAO on endothelial and smooth muscle cell function in vivo, focusing on disease-relevant outcomes for atherogenesis. TMAO can rapidly send signals to cells within minutes. In endothelial or smooth muscle cells, TMAO can quickly induce activation of mitogen-activated protein kinase and NF-κB and cause upregulation of downstream adhesion molecules???The results suggest a likely contributory mechanism for TMAO-dependent enhancement in atherosclerosis and cardiovascular risks. •• Seldin MM, et al. Trimethylamine N-oxide promotes vascular inflammation through Signaling of mitogen-activated protein kinase and nuclear factor-κB. J Am Heart Assoc. 2016;5(2):e002767 The impact of TMAO on endothelial and smooth muscle cell function in vivo, focusing on disease-relevant outcomes for atherogenesis. TMAO can rapidly send signals to cells within minutes. In endothelial or smooth muscle cells, TMAO can quickly induce activation of mitogen-activated protein kinase and NF-κB and cause upregulation of downstream adhesion molecules???The results suggest a likely contributory mechanism for TMAO-dependent enhancement in atherosclerosis and cardiovascular risks.
66.
Zurück zum Zitat • Tang WHW, et al. Gut microbiota-dependent trimethylamine N-oxide (TMAO) pathway contributes to both development of renal insufficiency and mortality risk in chronic kidney disease. Circ Res. 2015;116(3):448–55 Elevated TMAO levels were associated with corresponding increases in tubulointerstitital fibrosis and collagen deposition and phosphorylation of Smad3. • Tang WHW, et al. Gut microbiota-dependent trimethylamine N-oxide (TMAO) pathway contributes to both development of renal insufficiency and mortality risk in chronic kidney disease. Circ Res. 2015;116(3):448–55 Elevated TMAO levels were associated with corresponding increases in tubulointerstitital fibrosis and collagen deposition and phosphorylation of Smad3.
67.
Zurück zum Zitat Brown JM, Hazen SL. Microbial modulation of cardiovascular disease. Nat Rev Microbiol. 2018;16(3):171–81. Brown JM, Hazen SL. Microbial modulation of cardiovascular disease. Nat Rev Microbiol. 2018;16(3):171–81.
68.
Zurück zum Zitat • Wang L, Qu LI. Imbalance of fecal microbiota in patients with coronary heart disease is correlated with uric acid metabolism. Modern Digestion & Intervention; 2012. Elevated serum uric acid levels increase oxygen free radical production, induce oxidative stress and induce endothelial dysfunction. These changes induce and aggravate the occurrence of atherosclerosis. • Wang L, Qu LI. Imbalance of fecal microbiota in patients with coronary heart disease is correlated with uric acid metabolism. Modern Digestion & Intervention; 2012. Elevated serum uric acid levels increase oxygen free radical production, induce oxidative stress and induce endothelial dysfunction. These changes induce and aggravate the occurrence of atherosclerosis.
69.
Zurück zum Zitat Ruggiero C, Cherubini A, Guralnik J, Semba RD, Maggio M, Ling SM, et al. The interplay between uric acid and antioxidants in relation to physical function in older persons. J Am Geriatr Soc. 2007 Aug;55(8):1206–15. Ruggiero C, Cherubini A, Guralnik J, Semba RD, Maggio M, Ling SM, et al. The interplay between uric acid and antioxidants in relation to physical function in older persons. J Am Geriatr Soc. 2007 Aug;55(8):1206–15.
70.
Zurück zum Zitat •• Libby P. Inflammation in atherosclerosis. Nature. 2002;420(6917):868–74 Atherosclerosis is an inflammatory disease within the arterial wall that is responsible for several important adverse vascular events, including coronary artery disease, myocardial infraction, stroke and peripheral artery disease. •• Libby P. Inflammation in atherosclerosis. Nature. 2002;420(6917):868–74 Atherosclerosis is an inflammatory disease within the arterial wall that is responsible for several important adverse vascular events, including coronary artery disease, myocardial infraction, stroke and peripheral artery disease.
71.
Zurück zum Zitat Koren O, Spor A, Felin J, Fak F, Stombaugh J, Tremaroli V, et al. Human oral, gut, and plaque microbiota in patients with atherosclerosis. Proc Natl Acad Sci U S A. 2011;108(Suppl 1):4592–8. Koren O, Spor A, Felin J, Fak F, Stombaugh J, Tremaroli V, et al. Human oral, gut, and plaque microbiota in patients with atherosclerosis. Proc Natl Acad Sci U S A. 2011;108(Suppl 1):4592–8.
72.
Zurück zum Zitat Nadhazi Z, et al. Plasma endotoxin level in healthy blood donors. Orv Hetil. 1998;139(48):2889–91. Nadhazi Z, et al. Plasma endotoxin level in healthy blood donors. Orv Hetil. 1998;139(48):2889–91.
73.
Zurück zum Zitat Seth RN, et al. Recognition of commensal microflora by toll-like receptors is required for intestinal homeostasis. Cell. 2004;118(2):229–41. Seth RN, et al. Recognition of commensal microflora by toll-like receptors is required for intestinal homeostasis. Cell. 2004;118(2):229–41.
74.
Zurück zum Zitat •• Cani PD, et al. Metabolic endotoxemia initiates obesity and insulin resistance. Diabetes. 2007;56(7):1761–72 Diabetes and obesity are two metabolic diseases characterized by insulin resistance and a low-grade inflammation. It conclude that the LPS/CD14 system sets the tone of insulin sensitivity and the onset of diabetes and obesity. •• Cani PD, et al. Metabolic endotoxemia initiates obesity and insulin resistance. Diabetes. 2007;56(7):1761–72 Diabetes and obesity are two metabolic diseases characterized by insulin resistance and a low-grade inflammation. It conclude that the LPS/CD14 system sets the tone of insulin sensitivity and the onset of diabetes and obesity.
75.
Zurück zum Zitat Cani PD, Neyrinck AM, Fava F, Knauf C, Burcelin RG, Tuohy KM, et al. Selective increases of bifidobacteria in gut microflora improve high-fat-diet-induced diabetes in mice through a mechanism associated with endotoxaemia. Diabetologia. 2007;50(11):2374–83. Cani PD, Neyrinck AM, Fava F, Knauf C, Burcelin RG, Tuohy KM, et al. Selective increases of bifidobacteria in gut microflora improve high-fat-diet-induced diabetes in mice through a mechanism associated with endotoxaemia. Diabetologia. 2007;50(11):2374–83.
76.
Zurück zum Zitat Mangge H, Almer G, Truschnig-Wilders M, Schmidt A, Gasser R, Fuchs D. Inflammation, adiponectin, obesity and cardiovascular risk. Curr Med Chem. 2010;17(36):4511–20. Mangge H, Almer G, Truschnig-Wilders M, Schmidt A, Gasser R, Fuchs D. Inflammation, adiponectin, obesity and cardiovascular risk. Curr Med Chem. 2010;17(36):4511–20.
77.
Zurück zum Zitat Lam V, Su J, Koprowski S, Hsu A, Tweddell JS, Rafiee P, et al. Intestinal microbiota determine severity of myocardial infarction in rats. FASEB J. 2012;26(4):1727–35. Lam V, Su J, Koprowski S, Hsu A, Tweddell JS, Rafiee P, et al. Intestinal microbiota determine severity of myocardial infarction in rats. FASEB J. 2012;26(4):1727–35.
78.
Zurück zum Zitat •• Lam V, et al. Intestinal microbial metabolites are linked to severity of myocardial infarction in rats. PLoS One. 2016;11(8):e0160840 This study links gut microbiota metabolites to severity of myocardial infarction and may provide future opportunities for novel diagnostic tests. Antibiotic-induced changes in the abundance of individual groups of intestinal microbiota dramatically altered the host's metabolism and interventions for the prevention of cardiovascular disease. •• Lam V, et al. Intestinal microbial metabolites are linked to severity of myocardial infarction in rats. PLoS One. 2016;11(8):e0160840 This study links gut microbiota metabolites to severity of myocardial infarction and may provide future opportunities for novel diagnostic tests. Antibiotic-induced changes in the abundance of individual groups of intestinal microbiota dramatically altered the host's metabolism and interventions for the prevention of cardiovascular disease.
79.
Zurück zum Zitat • Gan XT, et al. Probiotic administration attenuates myocardial hypertrophy and heart failure after myocardial infarction in the rat. Circ Heart Fail. 2014;7(3):491–9 Probiotics are extensively used to promote gastrointestinal health, and emerging evidence suggests that their beneficial properties can extend beyond the local environment of the gut. The study suggests that probiotics offer promise as a potential therapy for the attenuation of heart failure. • Gan XT, et al. Probiotic administration attenuates myocardial hypertrophy and heart failure after myocardial infarction in the rat. Circ Heart Fail. 2014;7(3):491–9 Probiotics are extensively used to promote gastrointestinal health, and emerging evidence suggests that their beneficial properties can extend beyond the local environment of the gut. The study suggests that probiotics offer promise as a potential therapy for the attenuation of heart failure.
80.
Zurück zum Zitat •• Almoosawi S, et al. Daily profiles of energy and nutrient intakes: are eating profiles changing over time? Eur J Clin Nutr. 2012;66(6):678–86 Associations between timing of eating occasions and their nutrient composition and health have been described in interventional and cross-sectional studies.prebiotics andprobiotics are the main therapeutic tools for regulating gut microbiota imbalances. •• Almoosawi S, et al. Daily profiles of energy and nutrient intakes: are eating profiles changing over time? Eur J Clin Nutr. 2012;66(6):678–86 Associations between timing of eating occasions and their nutrient composition and health have been described in interventional and cross-sectional studies.prebiotics andprobiotics are the main therapeutic tools for regulating gut microbiota imbalances.
81.
Zurück zum Zitat Broekaert WF, Courtin CM, Verbeke K, van de Wiele T, Verstraete W, Delcour JA. Prebiotic and other health-related effects of cereal-derived arabinoxylans, arabinoxylan-oligosaccharides, and xylooligosaccharides. Crit Rev Food Sci Nutr. 2011;51(2):178–94. Broekaert WF, Courtin CM, Verbeke K, van de Wiele T, Verstraete W, Delcour JA. Prebiotic and other health-related effects of cereal-derived arabinoxylans, arabinoxylan-oligosaccharides, and xylooligosaccharides. Crit Rev Food Sci Nutr. 2011;51(2):178–94.
82.
Zurück zum Zitat Vrieze A, et al. Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome. Gastroenterology. 2012;143(4):913–6.e7. Vrieze A, et al. Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome. Gastroenterology. 2012;143(4):913–6.e7.
Metadaten
Titel
The Role of the Gut Microbiota in Coronary Heart Disease
verfasst von
Huagang Liu
Junli Zhuang
Peng Tang
Jie Li
Xiaoxing Xiong
Hongping Deng
Publikationsdatum
01.12.2020
Verlag
Springer US
Erschienen in
Current Atherosclerosis Reports / Ausgabe 12/2020
Print ISSN: 1523-3804
Elektronische ISSN: 1534-6242
DOI
https://doi.org/10.1007/s11883-020-00892-2

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