Frontiers in Pharmacology,
Год журнала:
2024,
Номер
15
Опубликована: Дек. 9, 2024
Hypertension
is
a
common
disease;
however,
it
more
prevalent
in
older
adults,
and
its
prevalence
increasing
younger
populations.
Numerous
studies
have
revealed
that
hypertension
the
composition
functionality
of
intestinal
flora
are
closely
correlated.
The
balance
flora,
barrier
integrity,
metabolite
content
play
significant
roles
occurrence
progression
hypertension.
Therefore,
we
performed
comprehensive
review
Traditional
Chinese
medicine
(TCM)
for
hypertension,
focusing
on
role
to
understand
mechanism
by
which
TCM
regulates
through
effects
flora.
We
analyzed
findings
using
terms
"traditional
medicine,"
"hypertension,"
"high
blood
pressure,"
"blood
"intestinal
flora,"
function,"
metabolites,"
other
keywords
from
China
National
Knowledge
Infrastructure,
VIP
Science
Technology,
Wanfang
Data,
PubMed,
ScienceDirect
databases.
found
treats
regulating
microbiota,
abundance
beneficial
bacteria,
reducing
harmful
improving
function,
compact
proteins,
permeability,
metabolites.
use
treat
promising
therapeutic
strategy.
However,
most
limited
small
sample
sizes
there
lack
large-scale
randomized
controlled
trials.
In
future,
multi-center
clinical
trials
needed
verify
efficacy
safety
TCM,
optimize
protocols,
establish
foundation
standardized
personalized
application
management.
Inflammatory
bowel
disease
(IBD),
which
includes
Crohn's
and
ulcerative
colitis,
is
a
chronic
inflammatory
condition
of
the
gastrointestinal
tract.
Recent
research
indicates
significant
link
between
IBD
cardiovascular
(CVD),
leading
cause
global
morbidity
mortality.
This
review
examines
association
CVD,
emphasizing
role
gut
microbiome
in
this
relationship.
patients
have
higher
risk
events,
such
as
coronary
artery
disease,
heart
failure,
cerebrovascular
incidents,
primarily
due
to
systemic
inflammation,
genetic
factors,
microbiota
imbalance
(dysbiosis).
Dysbiosis
increases
intestinal
permeability,
allowing
bacterial
products
enter
bloodstream,
promotes
inflammation
endothelial
dysfunction,
contributing
CVD.
Understanding
microbiome's
CVD
suggests
new
therapeutic
interventions.
Modulating
through
diet,
probiotics,
fecal
transplantation
(FMT)
are
promising
avenues.
These
interventions
aim
restore
healthy
balance,
potentially
reducing
improving
outcomes.
Additionally,
emphasizes
importance
regular
assessments
personalized
preventive
measures
managing
patients.
Such
include
routine
monitoring
health,
tailored
lifestyle
modifications,
early
intervention
strategies
mitigate
risk.
By
integrating
current
knowledge,
aims
improve
understanding
management
interconnected
pathophysiology
approach
will
ultimately
enhance
patient
outcomes
provide
foundation
for
future
clinical
practice
guidelines
area.
Journal of Clinical Hypertension,
Год журнала:
2023,
Номер
25(12), С. 1053 - 1068
Опубликована: Окт. 18, 2023
Abstract
Hypertension
is
a
major
public
health
issue
worldwide.
The
imbalance
of
gut
microbiota
thought
to
play
an
important
role
in
the
pathogenesis
hypertension.
authors
conducted
systematic
review
and
meta‐analysis
clarify
relationship
between
hypertension
through
conducting
electronic
search
six
databases.
Our
included
19
studies
results
showed
that
compared
with
healthy
controls,
Shannon
significantly
decreased
[
SMD
=
−0.13,
95%
CI
(−0.22,
−0.04),
p
.007];
however,
Simpson
−0.01,
(−0.14,
0.12),
.87],
ACE
0.18,
(−0.06,
0.43),
.14],
Chao1
0.11,
(−0.01,
0.23),
.08]
did
not
differ
controls.
F/B
ratio
increased
0.84,
(0.10,
1.58),
.03].
In
addition,
index
was
negatively
correlated
r
−0.12,
(−0.19,
−0.05)],
but
had
no
significant
correlation
SBP
0.10,
0.37)]
DBP
−0.39,
(−0.73,
0.12)].
At
phylum
level,
relative
abundance
Firmicutes
(−0.37,
0.34),
.94],
Bacteroidetes
−0.15,
(−0.44,
0.14),
.30],
Proteobacteria
0.25,
0.51),
.06],
Actinobacteria
0.21,
(−0.11,
0.53),
.21]
genus
Faecalibacterium
−0.16,
(−0.28,
.01],
while
Streptococcus
0.20,
(0.08,
0.32),
.001]
Enterococcus
0.33),
.002]
Available
evidence
suggests
hypertensive
patients
may
have
microbiota.
However,
it
still
needs
further
validation
by
large
sample
size
high
quality.
Nutrients,
Год журнала:
2024,
Номер
16(21), С. 3698 - 3698
Опубликована: Окт. 30, 2024
Background:
Understanding
the
causes
of
hypertension
is
important
in
order
to
prevent
disease.
Gut
microbiota
(GM)
seems
play
an
role,
but
detailed
physiology
remains
elusive,
with
alpha
diversity
being
most
studied
indicator.
Objectives:
This
review
aimed
systematically
synthesize
data
on
gut
(alpha
diversity)
and
hypertension.
Methods:
Databases,
including
MEDLINE/PubMed,
Scopus,
EMBASE,
citations
were
queried.
We
retrieved
articles
reporting
association
between
A
valid
critical
appraisal
tool
was
also
used
investigate
quality
included
studies.
Results:
Eighteen
eligible
studies
met
our
inclusion
criteria.
In
this
report,
we
focused
following
indices
diversity:
Shannon,
Chao1,
Simpson,
Abundance-based
Coverage
Estimator
(ACE)
indices.
Several
observed
a
significantly
lower
Shannon
index
hypertensive
patients
compared
healthy
control
group.
Nevertheless,
no
statistically
significant
difference
found
for
ACE
controls.
higher
Firmicutes-to-Bacteroidetes
ratio
(F/B
ratio)
consistently
controls,
indicating
potential
dysbiosis
microbiota.
Conclusions:
Our
systematic
indicates
that
may
exhibit
imbalance
microbiota,
evidenced
by
decreased
elevated
F/B
ratio.
However,
absence
differences
secondary
(Chao1,
ACE)
highlights
need
further
research.
Well-designed,
large-scale
are
necessary
clarify
these
associations
explore
role
development.
International Journal of Molecular Sciences,
Год журнала:
2025,
Номер
26(8), С. 3752 - 3752
Опубликована: Апрель 16, 2025
The
gut
microbiota,
shaped
by
factors
such
as
diet,
lifestyle,
and
genetics,
plays
a
pivotal
role
in
regulating
host
metabolism,
immune
function,
overall
health.
diversity
balance
of
the
microbiota
are
closely
linked
to
onset
progression
various
chronic
diseases.
A
growing
body
evidence
has
demonstrated
that
alterations
composition,
metabolites
significantly
associated
with
cardiovascular
diseases,
including
hypertension,
atherosclerosis,
heart
failure;
metabolic
disorders
obesity,
type
2
diabetes,
dysfunction-associated
steatotic
liver
disease;
gastrointestinal
conditions
like
inflammatory
bowel
disease
colorectal
cancer.
Despite
substantial
advances
microbiome
research,
challenges
remain
fully
elucidating
causal
relationships
between
disease,
well
translating
these
insights
into
clinical
applications.
This
review
aims
investigate
regulatory
pathways
via
which
affects
health,
disease.
Additionally,
it
highlights
emerging
strategies
for
prevention
treatment
conditions,
focusing
on
microbiota-targeted
therapies
personalized
dietary
interventions
promising
approaches
improving
health
outcomes.
Microorganisms,
Год журнала:
2024,
Номер
12(6), С. 1110 - 1110
Опубликована: Май 30, 2024
The
use
of
proton
pump
inhibitors
(PPIs)
has
increased
considerably
in
many
Western
countries,
and
there
is
concern
that
numerous
conditions
diseases
associated
with
PPI
may
be
adverse
events.
main
function
gastric
acid
to
defend
the
organism
against
orally
ingested
microorganisms,
also
alterations
not
only
microbiome
but
downstream
intestinal
increase
risk
disease
or
alter
course
preexisting
disease.
current
study
a
systematic
review
available
evidence
from
experimental
trials
investigating
effects
PPIs
on
gastrointestinal
microbiota
by
next-generation
sequencing.
Thirteen
studies
were
identified.
seen
diversity
richness
some
studies,
while
larger
proportion
detected
at
various
taxonomic
levels.
general
finding
was
caused
an
bacteria
normally
found
oral
both
upper
lower
GI
tract.
most
consistent
seemed
increases
flora
along
axis
Streptococcaceae
Streptococcus
genus
level
spp.,
as
well
Veillonellaceae,
Veillonella
Haemophilus.
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(24), С. 13344 - 13344
Опубликована: Дек. 12, 2024
Obstructive
sleep
apnea
syndrome
(OSAS)
is
prevalent
among
children
and
associated
with
elevated
blood
pressure
(BP),
posing
a
risk
for
future
hypertension
cardiovascular
diseases.
While
the
roles
of
gut
microbiota
systemic
inflammation
in
OSAS
pathogenesis
are
recognized
adults
animal
models,
their
impact
on
pediatric
BP
remains
less
understood.
This
cross-sectional
study
explored
relationships
between
polysomnographic
parameters,
microbiota,
inflammation,
60
OSAS.
Significant
associations
specific
microbial
profiles—including
beta
diversity
31
marker
microbes—and
variations
were
observed.
These
profiles
correlated
significant
alterations
markers
like
interleukin-17
tumor
necrosis
factor-α.
Notably,
relative
abundance
Acinetobacter
was
related
to
fluctuations
these
inflammatory
levels.
The
research
further
highlighted
unique
cytokine
exhibited
by
different
levels,
indicating
substantial
role
influencing
health.
findings
suggest
integrating
management
into
comprehensive
strategies
initiative
underscores
need
investigations
decode
mechanisms
behind
associations,
which
could
lead
innovative
treatments