Gene and protein expressions and metabolomics exhibit activated redox signaling and wnt/β-catenin pathway are associated with metabolite dysfunction in patients with chronic kidney disease DOI Creative Commons
Dan‐Qian Chen, Gang Cao, Hua Chen

et al.

Redox Biology, Journal Year: 2017, Volume and Issue: 12, P. 505 - 521

Published: March 23, 2017

Changes in plasma concentration of small organic metabolites could be due to their altered production or urinary excretion and changes urine may the filtered load, tubular reabsorption, and/or volume. Therefore, these factors should considered interpretation observed target metabolite(s). Fasting samples from 180 CKD patients 120 age-matched healthy controls were determined by UPLC-HDMS-metabolomics quantitative real-time RT-PCR techniques. Compared with controls, showed activation NF-κB up-regulation pro-inflammatory pro-oxidant mRNA protein expression as well down-regulation Nrf2-associated anti-oxidant gene expression, accompanied activated canonical Wnt/β-catenin signaling. 124 128 identified 40 significantly both urine. Plasma 25 distinctly different between controls. They related amino acid, methylamine, purine lipid metabolisms. Logistic regression four five metabolites. Parts them good correlated eGFR serum creatinine. 5-Methoxytryptophan homocystine citrulline Clinical incorporated establish predictive models. The enhanced metabolite model 5-methoxytryptophan, have satisfactory accuracy, sensitivity specificity for CKD. dysregulation was additional GFR-associated biomarker candidates indicating advanced renal injury. caused metabolome, inflammatory/oxidative pathway signaling suppression antioxidant pathway. • Chronic kidney disease (CKD) is a serious public health problem. Redox wnt/β-catenin studied patients. phenotypes metabolomics. Four GFR

Language: Английский

Gut Microbiota in Cardiovascular Health and Disease DOI Open Access
W.H. Wilson Tang, Takeshi Kitai, Stanley L. Hazen

et al.

Circulation Research, Journal Year: 2017, Volume and Issue: 120(7), P. 1183 - 1196

Published: March 30, 2017

Significant interest in recent years has focused on gut microbiota-host interaction because accumulating evidence revealed that intestinal microbiota play an important role human health and disease, including cardiovascular diseases. Changes the composition of associated with referred to as dysbiosis, have been linked pathologies such atherosclerosis, hypertension, heart failure, chronic kidney obesity, type 2 diabetes mellitus. In addition alterations composition, metabolic potential identified a contributing factor development Recent studies can elicit variety effects host. Indeed, microbiome functions like endocrine organ, generating bioactive metabolites, impact host physiology. Microbiota interact through many pathways, trimethylamine/trimethylamine

Language: Английский

Citations

1387

Gut Microbiota-Dependent Trimethylamine N -Oxide (TMAO) Pathway Contributes to Both Development of Renal Insufficiency and Mortality Risk in Chronic Kidney Disease DOI Open Access
W.H. Wilson Tang, Zeneng Wang, David J. Kennedy

et al.

Circulation Research, Journal Year: 2014, Volume and Issue: 116(3), P. 448 - 455

Published: Nov. 7, 2014

Trimethylamine-N-oxide (TMAO), a gut microbial-dependent metabolite of dietary choline, phosphatidylcholine (lecithin), and l-carnitine, is elevated in chronic kidney diseases (CKD) associated with coronary artery disease pathogenesis.To both investigate the clinical prognostic value TMAO subjects versus without CKD, test hypothesis that plays direct contributory role development progression renal dysfunction.We first examined relationship between fasting plasma all-cause mortality over 5-year follow-up 521 stable CKD (estimated glomerular filtration rate, <60 mL/min per 1.73 m(2)). Median level among was 7.9 μmol/L (interquartile range, 5.2-12.4 μmol/L), which markedly higher (P<0.001) than non-CKD (n=3166). Within subjects, (fourth quartile) 2.8-fold increased risk. After adjustments for traditional risk factors, high-sensitivity C-reactive protein, estimated levels remained predictive (hazard ratio, 1.93; 95% confidence interval, 1.13-3.29; P<0.05). provided significant incremental (net reclassification index, 17.26%; P<0.001 differences area under receiver operator characteristic curve, 63.26% 65.95%; P=0.036). Among portend poorer prognosis within cohorts high low cystatin C. In animal models, choline or directly led to progressive tubulointerstitial fibrosis dysfunction.Plasma are patients long-term survival. Chronic exposures increase contributes dysfunction models.

Language: Английский

Citations

1035

Dietary metabolism, the gut microbiome, and heart failure DOI
W.H. Wilson Tang,

Daniel Y. Li,

Stanley L. Hazen

et al.

Nature Reviews Cardiology, Journal Year: 2018, Volume and Issue: 16(3), P. 137 - 154

Published: Nov. 8, 2018

Language: Английский

Citations

598

The contributory role of gut microbiota in cardiovascular disease DOI
W.H. Wilson Tang, Stanley L. Hazen

Journal of Clinical Investigation, Journal Year: 2014, Volume and Issue: 124(10), P. 4204 - 4211

Published: Sept. 30, 2014

Our group recently discovered that certain dietary nutrients possessing a trimethylamine (TMA) moiety, namely choline/phosphatidylcholine and L-carnitine, participate in the development of atherosclerotic heart disease. A meta-organismal pathway was elucidated involving gut microbiota-dependent formation TMA host hepatic flavin monooxygenase 3-dependent (FMO3-dependent) TMA-N-oxide (TMAO), metabolite shown to be both mechanistically linked atherosclerosis whose levels are strongly cardiovascular disease (CVD) risks. Collectively, these studies reveal nutrient precursors, microbiota, participants along may serve as new targets for prevention treatment CVD.

Language: Английский

Citations

584

Trimethylamine N-Oxide, the Microbiome, and Heart and Kidney Disease DOI Open Access
Steven H. Zeisel,

Manya Warrier

Annual Review of Nutrition, Journal Year: 2017, Volume and Issue: 37(1), P. 157 - 181

Published: July 18, 2017

Trimethylamine N-oxide (TMAO) is a biologically active molecule and putative promoter of chronic diseases including atherosclerosis in humans. Host intestinal bacteria produce its precursor trimethylamine (TMA) from carnitine, choline, or choline-containing compounds. Most the TMA produced passively absorbed into portal circulation, hepatic flavin-dependent monooxygenases (FMOs) efficiently oxidize to TMAO. Both observational experimental studies suggest strong positive correlation between increased plasma TMAO concentrations adverse cardiovascular events, such as myocardial infarction, stroke, death. However, clear mechanistic link not yet validated. Therefore, it debated whether are cause result these diseases. Here, we have tried review current understanding properties physiological functions TMAO, dietary sources, effects on human metabolism. Studies that describe potential role etiology other also discussed.

Language: Английский

Citations

402

Intestinal Microbiota in Cardiovascular Health and Disease DOI
W.H. Wilson Tang, Fredrik Bäckhed, Ulf Landmesser

et al.

Journal of the American College of Cardiology, Journal Year: 2019, Volume and Issue: 73(16), P. 2089 - 2105

Published: April 1, 2019

Language: Английский

Citations

390

Microbial modulation of cardiovascular disease DOI
J. Mark Brown, Stanley L. Hazen

Nature Reviews Microbiology, Journal Year: 2018, Volume and Issue: 16(3), P. 171 - 181

Published: Jan. 8, 2018

Language: Английский

Citations

374

Role of the Gut Microbiome in Uremia: A Potential Therapeutic Target DOI
Ali Ramezani, Ziad A. Massy, Björn Meijers

et al.

American Journal of Kidney Diseases, Journal Year: 2015, Volume and Issue: 67(3), P. 483 - 498

Published: Nov. 15, 2015

Language: Английский

Citations

339

A Genome-wide Association Study of the Human Metabolome in a Community-Based Cohort DOI Creative Commons
Eugene P. Rhee, Jennifer E. Ho, Ming‐Huei Chen

et al.

Cell Metabolism, Journal Year: 2013, Volume and Issue: 18(1), P. 130 - 143

Published: July 1, 2013

Language: Английский

Citations

311

Trimethylamine N-Oxide Binds and Activates PERK to Promote Metabolic Dysfunction DOI Creative Commons
Sifan Chen, Ayana L. Henderson, Michael C. Petriello

et al.

Cell Metabolism, Journal Year: 2019, Volume and Issue: 30(6), P. 1141 - 1151.e5

Published: Sept. 19, 2019

Language: Английский

Citations

305