The role of chronic kidney disease-associated dysbiosis in cardiovascular disease

Exp Biol Med (Maywood). 2019 Apr;244(6):514-525. doi: 10.1177/1535370219826526. Epub 2019 Jan 25.

Abstract

Negative alterations, or dysbiosis, in the intestinal microbial community balance in response to chronic kidney disease is emerging as a substantial and important factor in inducing and exacerbating multiple comorbid conditions. Patients with renal insufficiency experience a substantial increase in cardiovascular risk, and recent evidence is shedding light on the close interaction between microbiome dysbiosis and increased cardiovascular events in this population. Previous association and recent causality studies utilizing experimental animal models have enriched our understanding and confirmed the impact of microbial community imbalance on cardiac health in both the general population and in patients with renal impairment.

Keywords: Chronic kidney disease; cardiovascular disease; dysbiosis; hypertension; microbiome; uremic toxins.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cardiovascular Diseases / etiology*
  • Dysbiosis / etiology*
  • Gastrointestinal Microbiome / physiology
  • Humans
  • Renal Insufficiency, Chronic / complications*
  • Renal Insufficiency, Chronic / microbiology*