The Role of the Gut Microbiota in Coronary Heart Disease

Curr Atheroscler Rep. 2020 Oct 16;22(12):77. doi: 10.1007/s11883-020-00892-2.

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. 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.

Keywords: Coronary heart disease; Gut microbiota; Inflammatory; Intestinal; Obesity.

Publication types

  • Review

MeSH terms

  • Animals
  • Cholesterol / metabolism
  • Coronary Disease / diet therapy
  • Coronary Disease / metabolism*
  • Coronary Disease / microbiology*
  • Coronary Disease / prevention & control
  • Diabetes Complications / metabolism
  • Dyslipidemias / complications
  • Dyslipidemias / metabolism
  • Gastrointestinal Microbiome*
  • Humans
  • Hypertension / complications
  • Hypertension / metabolism
  • Inflammation / metabolism
  • Mice
  • Obesity / complications
  • Obesity / metabolism
  • Oxidative Stress
  • Probiotics / therapeutic use
  • Risk Factors
  • Uric Acid / metabolism

Substances

  • Uric Acid
  • Cholesterol