Intestinal Microbiota Metabolism and Atherosclerosis
Open accessAbstract
OBJECTIVE: This review aimed to summarize the relationship between intestinal microbiota metabolism and cardiovascular disease (CVD) and to propose a novel CVD therapeutic target. DATA SOURCES: This study was based on data obtained from PubMed and EMBASE up to June 30, 2015. Articles were selected using the following search terms: "Intestinal microbiota", "trimethylamine N-oxide (TMAO)", "trimethylamine (TMA)", "cardiovascular", and "atherosclerosis". STUDY SELECTION: Studies were eligible if they present information on intestinal microbiota metabolism and atherosclerosis. Studies on TMA-containing nutrients were also included. RESULTS: A new CVD risk factor, TMAO, was recently identified. It has been observed that several TMA-containing compounds may be catabolized by specific intestinal microbiota, resulting in TMA release. TMA is subsequently converted to TMAO in the liver. Several preliminary studies have linked TMAO to CVD, particularly atherosclerosis; however, the details of this relationship remain unclear. CONCLUSIONS: Intestinal microbiota metabolism is associated with atherosclerosis and may represent a promising therapeutic target with respect to CVD management.
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Prior reviews of TMAO and cardiovascular disease risk did not aim to perform a meta-analysis to quantify the risks of TMAO and its precursors for major adverse cardiovascular events.
“The associations of TMAO and the risk of CVDs have been reviewed previously42, 43, 44, 45; however, these studies did not aim to perform a meta‐analysis to quantify the risks of TMAO and its precursors for MACE.”
From Gut Microbiota Metabolites and Risk of Major Adverse Cardiovascular Disease Events and Death: A Systematic Review and Meta‐Analysis of Prospective Studies (2017) · cites this paper as [43]
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Heianza, Y., Ma, W., Manson, J. E., Rexrode, K. M., & Qi, L. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.116.004947 · Cited by 544 · see citing works
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- Authors
- Liu, T.-X., Niu, H.-T., & Zhang, S.-Y.
- Affiliations
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- ORCID
- Liu, Tian-Xing
- Venue
- Chinese Medical Journal
- Published
- 2015-10-20
- Volume
- 128
- Issue
- 20
- Pages
- 2805-2811
- ISSN
- 0366-6999 (ISSN-L)
- PMC
- PMC4736892
- OpenAlex
- W1924241802
- Cited by
- 43
- References
- 10
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 8 · 2022: 7 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 6 · 2017: 4
- FWCI
- 0.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Chinese Medical Journal (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Keywords
- gut microbiota, atherosclerosis, cardiovascular disease, trimethylamine N-oxide, trimethylamine, gut microbiota metabolism, cardiovascular risk factors, therapeutic target
- MeSH terms
- Gastrointestinal Microbiome, Humans, Methylamines, Atherosclerosis
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