Atherosclerosis and trimethylamine-N-oxide — the gut microbiota potential

Gut dysbiosis contribute to the development of atherosclerosis. Firmicutes contain a trimethylamine-producing gene cluster. The aim was to analyze potential role of trimethylamine-N-oxide (TMAO), gut microbiota metabolite, in the pathogenesis of atherosclerosis and novel therapeutic approaches to re...

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Main Author: I. N. Grigorieva
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2022-09-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/5038
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author I. N. Grigorieva
author_facet I. N. Grigorieva
author_sort I. N. Grigorieva
collection DOAJ
description Gut dysbiosis contribute to the development of atherosclerosis. Firmicutes contain a trimethylamine-producing gene cluster. The aim was to analyze potential role of trimethylamine-N-oxide (TMAO), gut microbiota metabolite, in the pathogenesis of atherosclerosis and novel therapeutic approaches to reduce TMAO. Some researchers consider TMAO not a mediator but a marker of cardiovascular disease because they have not confirmed associations between elevated TMAO levels, dyslipidemia, C-reactive protein, endotoxin, and cardiovascular mortality. But most studies recognize TMAO as an independent risk factor for serious cardiovascular events. TMAO inhibits reverse cholesterol transport, enhances foam cell formation and platelet hyperreactivity. The adverse effects of TMAO were positively correlated with gut enterotype III. Therapeutic effects on TMAO in atherosclerosis (probiotics, polyphenols, including resveratrol, berberine, trimethylamine lyase inhibitors, phospholipase D inhibitors, reducing the Firmicutes/Bacteroidetes ratio, enriching potentially beneficial genera Akkermansia, Lactobacillus, Bacteroides, Roseburia) are attractive for a preventive strategy.
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institution Kabale University
issn 1560-4071
2618-7620
language Russian
publishDate 2022-09-01
publisher «FIRMA «SILICEA» LLC
record_format Article
series Российский кардиологический журнал
spelling doaj-art-530c5cb59ab748e8a3e497f014926f9d2025-08-20T03:57:22Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202022-09-0127910.15829/1560-4071-2022-50383623Atherosclerosis and trimethylamine-N-oxide — the gut microbiota potentialI. N. Grigorieva0Federal Research Center Institute of Cytology and GeneticsGut dysbiosis contribute to the development of atherosclerosis. Firmicutes contain a trimethylamine-producing gene cluster. The aim was to analyze potential role of trimethylamine-N-oxide (TMAO), gut microbiota metabolite, in the pathogenesis of atherosclerosis and novel therapeutic approaches to reduce TMAO. Some researchers consider TMAO not a mediator but a marker of cardiovascular disease because they have not confirmed associations between elevated TMAO levels, dyslipidemia, C-reactive protein, endotoxin, and cardiovascular mortality. But most studies recognize TMAO as an independent risk factor for serious cardiovascular events. TMAO inhibits reverse cholesterol transport, enhances foam cell formation and platelet hyperreactivity. The adverse effects of TMAO were positively correlated with gut enterotype III. Therapeutic effects on TMAO in atherosclerosis (probiotics, polyphenols, including resveratrol, berberine, trimethylamine lyase inhibitors, phospholipase D inhibitors, reducing the Firmicutes/Bacteroidetes ratio, enriching potentially beneficial genera Akkermansia, Lactobacillus, Bacteroides, Roseburia) are attractive for a preventive strategy.https://russjcardiol.elpub.ru/jour/article/view/5038trimethylamine-n-oxidetrimethylamineatherosclerosisgut microbiota
spellingShingle I. N. Grigorieva
Atherosclerosis and trimethylamine-N-oxide — the gut microbiota potential
Российский кардиологический журнал
trimethylamine-n-oxide
trimethylamine
atherosclerosis
gut microbiota
title Atherosclerosis and trimethylamine-N-oxide — the gut microbiota potential
title_full Atherosclerosis and trimethylamine-N-oxide — the gut microbiota potential
title_fullStr Atherosclerosis and trimethylamine-N-oxide — the gut microbiota potential
title_full_unstemmed Atherosclerosis and trimethylamine-N-oxide — the gut microbiota potential
title_short Atherosclerosis and trimethylamine-N-oxide — the gut microbiota potential
title_sort atherosclerosis and trimethylamine n oxide the gut microbiota potential
topic trimethylamine-n-oxide
trimethylamine
atherosclerosis
gut microbiota
url https://russjcardiol.elpub.ru/jour/article/view/5038
work_keys_str_mv AT ingrigorieva atherosclerosisandtrimethylaminenoxidethegutmicrobiotapotential