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  1. Article ; Online: Gut microbiome as a novel cardiovascular therapeutic target.

    Singh, Vishal / Yeoh, Beng San / Vijay-Kumar, Matam

    Current opinion in pharmacology

    2016  Volume 27, Page(s) 8–12

    Abstract: ... on our current knowledge on gut microbiota in modulating CVD, how gut microbiota can be therapeutically exploited ... with intra-intestinal and extra-intestinal diseases including risk factors of cardiovascular disease (CVD ... the cardiovascular risk factors. Accordingly, in this review we summarized the potential strategies, based ...

    Abstract Over the last two decades, our understanding of gut microbiotal composition and its association with intra-intestinal and extra-intestinal diseases including risk factors of cardiovascular disease (CVD) namely metabolic syndrome and atherosclerosis, have been increased exponentially. A pertinent question which often arises in researchers' community is on how to manipulate the gut microbial ecology to 'cure' the cardiovascular risk factors. Accordingly, in this review we summarized the potential strategies, based on our current knowledge on gut microbiota in modulating CVD, how gut microbiota can be therapeutically exploited by targeting their metabolic activity to alleviate the risk factors of CVD.
    MeSH term(s) Animals ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/metabolism ; Cardiovascular Diseases/microbiology ; Gastrointestinal Microbiome/drug effects ; Gastrointestinal Microbiome/physiology ; Humans ; Intestines/microbiology ; Risk Factors
    Language English
    Publishing date 2016-04
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2037057-X
    ISSN 1471-4973 ; 1471-4892
    ISSN (online) 1471-4973
    ISSN 1471-4892
    DOI 10.1016/j.coph.2016.01.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Targeting the Gut Microbiome to Treat Cardiometabolic Disease.

    Theofilis, Panagiotis / Vlachakis, Panayotis K / Oikonomou, Evangelos / Tsioufis, Konstantinos / Tousoulis, Dimitris

    Current atherosclerosis reports

    2024  Volume 26, Issue 2, Page(s) 25–34

    Abstract: ... inflammation, and cardiovascular function. Furthermore, a growing corpus of research is available on microbiome ... cardiovascular diseases, constitute a worldwide health crisis of unparalleled proportions. The human gut microbiota has ... and clinical practice. The gut microbiome is a beacon of hope for improving the management ...

    Abstract Purpose of review: Cardiometabolic diseases, which include obesity, type 2 diabetes, and cardiovascular diseases, constitute a worldwide health crisis of unparalleled proportions. The human gut microbiota has emerged as a prominent topic of inquiry in the search for novel treatment techniques. This review summarizes current research on the potential of addressing the gut microbiota to treat cardiometabolic disease.
    Recent findings: Recent studies have highlighted a complex link between the gut microbiota and host physiology, shedding light on the several processes through which gut microorganisms impact metabolic health, inflammation, and cardiovascular function. Furthermore, a growing corpus of research is available on microbiome-based therapies such as dietary interventions, probiotics, prebiotics, synbiotics, and fecal microbiota transplantation. These therapies show promise as methods for reshaping the gut microbiota and, as a result, improving cardiometabolic outcomes. However, hurdles remain, ranging from the intricacies of microbiome research to the necessity for tailored treatments that take individual microbial variations into consideration, emphasizing the significance of furthering research to bridge the gap between microbiome science and clinical practice. The gut microbiome is a beacon of hope for improving the management of cardiometabolic disease in the age of precision medicine, since its association with their pathophysiology is constantly being unraveled and strengthened. Available studies point to the potential of gut microbiome-based therapeutics, which remains to be tested in appropriately designed clinical trials. Further preclinical research is, however, essential to provide answers to the existing obstacles, with the ultimate goal of enhancing patient care.
    MeSH term(s) Humans ; Gastrointestinal Microbiome/physiology ; Diabetes Mellitus, Type 2/therapy ; Prebiotics ; Probiotics/therapeutic use ; Cardiovascular Diseases/therapy
    Chemical Substances Prebiotics
    Language English
    Publishing date 2024-01-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057369-8
    ISSN 1534-6242 ; 1523-3804
    ISSN (online) 1534-6242
    ISSN 1523-3804
    DOI 10.1007/s11883-023-01183-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Alterations in the gut mycobiome with coronary artery disease severity.

    An, Kun / Jia, Yanxiong / Xie, Boqia / Gao, Jie / Chen, Yihang / Yuan, Wen / Zhong, Jiuchang / Su, Pixiong / Liu, Xiaoyan

    EBioMedicine

    2024  Volume 103, Page(s) 105137

    Abstract: ... highlights the potential role of gut fungi in CAD and may facilitate the development of novel biomarkers and ... were closely linked to gut microbiome dysbiosis in patients with CAD. Furthermore, disease classifiers ... therapeutic targets for CAD.: Funding: This work was supported by the grants from the National ...

    Abstract Background: Coronary artery disease (CAD) is a prevalent cardiovascular condition, and numerous studies have linked gut bacterial imbalance to CAD. However, the relationship of gut fungi, another essential component of the intestinal microbiota, with CAD remains poorly understood.
    Methods: In this cross-sectional study, we analyzed fecal samples from 132 participants, split into 31 healthy controls and 101 CAD patients, further categorized into stable CAD (38), unstable angina (41), and acute myocardial infarction (22) groups. We conducted internal transcribed spacer 1 (ITS1) and 16S sequencing to examine gut fungal and bacterial communities.
    Findings: Based on ITS1 analyses, Ascomycota and Basidiomycota were the dominant fungal phyla in all the groups. The α diversity of gut mycobiome remained unaltered among the control group and CAD subgroups; however, the structure and composition of the mycobiota differed significantly with the progression of CAD. The abundances of 15 taxa gradually changed with the occurrence and progression of the disease and were significantly correlated with major CAD risk factor indicators. The mycobiome changes were closely linked to gut microbiome dysbiosis in patients with CAD. Furthermore, disease classifiers based on gut fungi effectively identified subgroups with different degrees of CAD. Finally, the FUNGuild analysis further categorized these fungi into distinct ecological guilds.
    Interpretation: In conclusion, the structure and composition of the gut fungal community differed from healthy controls to various subtypes of CAD, revealing key fungi taxa alterations linked to the onset and progression of CAD. Our study highlights the potential role of gut fungi in CAD and may facilitate the development of novel biomarkers and therapeutic targets for CAD.
    Funding: This work was supported by the grants from the National Natural Science Foundation of China (No. 82170302, 92168117, 82370432), National clinical key specialty construction project- Cardiovascular Surgery, the Reform and Development Program of Beijing Institute of Respiratory Medicine (No. Ggyfz202417, Ggyfz202308), the Beijing Natural Science Foundation (No. 7222068); and the Clinical Research Incubation Program of Beijing Chaoyang Hospital Affiliated to Capital Medical University (No. CYFH202209).
    MeSH term(s) Humans ; Gastrointestinal Microbiome ; Coronary Artery Disease/microbiology ; Male ; Female ; Middle Aged ; Mycobiome ; Aged ; Cross-Sectional Studies ; Feces/microbiology ; Metagenomics/methods ; Fungi/genetics ; Fungi/classification ; Fungi/isolation & purification ; Severity of Illness Index ; Dysbiosis/microbiology ; Case-Control Studies ; RNA, Ribosomal, 16S/genetics ; Adult
    Language English
    Publishing date 2024-05-03
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2851331-9
    ISSN 2352-3964
    ISSN (online) 2352-3964
    DOI 10.1016/j.ebiom.2024.105137
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The gut microbiome across the cardiovascular risk spectrum.

    Prins, Femke M / Collij, Valerie / Groot, Hilde E / Björk, Johannes R / Swarte, J Casper / Andreu-Sánchez, Sergio / Jansen, Bernadien H / Fu, Jingyuan / Harmsen, Hermie J M / Zhernakova, Alexandra / Lipsic, Erik / van der Harst, Pim / Weersma, Rinse K / Gacesa, Ranko

    European journal of preventive cardiology

    2023  Volume 31, Issue 8, Page(s) 935–944

    Abstract: ... worldwide. Identifying new targets is crucial for enhancing preventive and therapeutic strategies. The gut ... metabolic pathways that were differently abundant among the groups. In the gut microbiome of STEMI patients, there ... therapeutic targets. ...

    Abstract Aims: Despite treatment advancements, cardiovascular disease remains a leading cause of death worldwide. Identifying new targets is crucial for enhancing preventive and therapeutic strategies. The gut microbiome has been associated with coronary artery disease (CAD), however our understanding of specific changes during CAD development remains limited. We aimed to investigate microbiome changes in participants without clinically manifest CAD with different cardiovascular risk levels and in patients with ST-elevation myocardial infarction (STEMI).
    Methods and results: In this cross-sectional study, we characterized the gut microbiome using metagenomics of 411 faecal samples from individuals with low (n = 130), intermediate (n = 130), and high (n = 125) cardiovascular risk based on the Framingham score, and STEMI patients (n = 26). We analysed diversity, and differential abundance of species and functional pathways while accounting for confounders including medication and technical covariates. Collinsella stercoris, Flavonifractor plautii, and Ruthenibacterium lactatiformans showed increased abundances with cardiovascular risk, while Streptococcus thermophilus was negatively associated. Differential abundance analysis revealed eight species and 49 predicted metabolic pathways that were differently abundant among the groups. In the gut microbiome of STEMI patients, there was a depletion of pathways linked to vitamin, lipid, and amino acid biosynthesis.
    Conclusion: We identified four microbial species showing a gradual trend in abundance from low-risk individuals to those with STEMI, and observed differential abundant species and pathways in STEMI patients compared to those without clinically manifest CAD. Further investigation is warranted to gain deeper understanding of their precise role in CAD progression and potential implications, with the ultimate goal of identifying novel therapeutic targets.
    MeSH term(s) Humans ; Gastrointestinal Microbiome ; Cross-Sectional Studies ; Male ; Female ; Middle Aged ; Feces/microbiology ; Heart Disease Risk Factors ; Risk Assessment ; Aged ; Bacteria/isolation & purification ; Bacteria/classification ; Bacteria/genetics ; ST Elevation Myocardial Infarction/microbiology ; Metagenomics ; Cardiovascular Diseases/microbiology ; Cardiovascular Diseases/epidemiology ; Dysbiosis ; Adult
    Language English
    Publishing date 2023-12-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2626011-6
    ISSN 2047-4881 ; 2047-4873
    ISSN (online) 2047-4881
    ISSN 2047-4873
    DOI 10.1093/eurjpc/zwad377
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Advancing lifelong precision medicine for cardiovascular diseases through gut microbiota modulation.

    Shi, Bozhong / Li, Haoyu / He, Xiaomin

    Gut microbes

    2024  Volume 16, Issue 1, Page(s) 2323237

    Abstract: ... machine learning to target gut microbiota for developing diagnosis system and screening for new therapeutic ... The gut microbiome is known as the tenth system of the human body that plays a vital role ... achievements of targeting gut microbiota in CVDs prevention, diagnosis and treatment. Personalized strategies ...

    Abstract The gut microbiome is known as the tenth system of the human body that plays a vital role in the intersection between health and disease. The considerable inter-individual variability in gut microbiota poses both challenges and great prospects in promoting precision medicine in cardiovascular diseases (CVDs). In this review, based on the development, evolution, and influencing factors of gut microbiota in a full life circle, we summarized the recent advances on the characteristic alteration in gut microbiota in CVDs throughout different life stages, and depicted their pathological links in mechanism, as well as the highlight achievements of targeting gut microbiota in CVDs prevention, diagnosis and treatment. Personalized strategies could be tailored according to gut microbiota characteristics in different life stages, including gut microbiota-blood metabolites combined prediction and diagnosis, dietary interventions, lifestyle improvements, probiotic or prebiotic supplements. However, to fulfill the promise of a lifelong cardiovascular health, more mechanism studies should progress from correlation to causality and decipher novel mechanisms linking specific microbes and CVDs. It is also promising to use the burgeoning artificial intelligence and machine learning to target gut microbiota for developing diagnosis system and screening for new therapeutic interventions.
    MeSH term(s) Humans ; Precision Medicine ; Cardiovascular Diseases/therapy ; Gastrointestinal Microbiome ; Artificial Intelligence ; Dietary Supplements
    Language English
    Publishing date 2024-02-27
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2575755-6
    ISSN 1949-0984 ; 1949-0984
    ISSN (online) 1949-0984
    ISSN 1949-0984
    DOI 10.1080/19490976.2024.2323237
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  6. Article ; Online: Cardiovascular diseases and the heart-gut cross talk.

    Majumder, Snehali / Kiritkumar Makwana, Rohan / Shetty, Varun / Mukherjee, Suparna / Narayan, Pradeep

    Indian heart journal

    2023  Volume 76, Issue 2, Page(s) 94–100

    Abstract: ... the gastrointestinal tract may lead to the development of novel therapeutic targets and therapies for the prevention and ... bidirectional connection between the heart and the gut, we shed light on novel future options for the prevention ... on heart-gut cross talk and its implications for cardiovascular disease. To uncover relevant preclinical ...

    Abstract The purpose of this narrative review is to provide a comprehensive overview of current research on heart-gut cross talk and its implications for cardiovascular disease. To uncover relevant preclinical and clinical research examining heart-gut cross talk, a thorough literature search was undertaken utilising electronic databases. The chosen publications were critically examined, and major findings were synthesised to offer a thorough perspective on the subject. We want to synthesise the most recent study findings, explain the underlying mechanisms, and provide potential treatment techniques. By exploring bidirectional connection between the heart and the gut, we shed light on novel future options for the prevention and treatment of cardiovascular diseases. The heart-gut cross talk is an exciting field of study with implications for cardiovascular disease. Understanding the complex connection between the heart and the gastrointestinal tract may lead to the development of novel therapeutic targets and therapies for the prevention and management of cardiovascular diseases. Future research should concentrate on identifying the specific processes driving this crosstalk as well as assessing the efficacy of therapies targeting the gut microbiota and the gut-brain axis in improving cardiovascular outcomes.
    MeSH term(s) Humans ; Cardiovascular Diseases/prevention & control ; Cardiovascular Diseases/physiopathology ; Cardiovascular Diseases/therapy ; Gastrointestinal Microbiome/physiology ; Gastrointestinal Tract/physiopathology ; Gastrointestinal Tract/physiology
    Language English
    Publishing date 2023-12-07
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 604366-5
    ISSN 2213-3763 ; 0019-4832
    ISSN (online) 2213-3763
    ISSN 0019-4832
    DOI 10.1016/j.ihj.2023.12.003
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  7. Article ; Online: Berberine promotes the degradation of phenylacetic acid to prevent thrombosis by modulating gut microbiota.

    Zhang, Hao-Jian / Fu, Jie / Yu, Hang / Xu, Hui / Hu, Jia-Chun / Lu, Jin-Yue / Bu, Meng-Meng / Zhai, Zhao / Wang, Jing-Yue / Ye, Meng-Liang / Zuo, Heng-Tong / Song, Jian-Ye / Zhao, Yi / Jiang, Jian-Dong / Wang, Yan

    Phytomedicine : international journal of phytotherapy and phytopharmacology

    2024  Volume 128, Page(s) 155517

    Abstract: ... as a novel target for preventing thrombosis, with a focus on berberine, a natural compound known ... alkaloid. While berberine's cardiovascular benefits are well-documented, its impact on thrombosis remains ... for its effectiveness in managing cardiovascular conditions.: Methods: Intraperitoneal injection of carrageenan ...

    Abstract Background: Berberine is the main bioactive constituent of Coptis chinensis, a quaternary ammonium alkaloid. While berberine's cardiovascular benefits are well-documented, its impact on thrombosis remains not fully understood.
    Purpose: This study investigates the potential of intestinal microbiota as a novel target for preventing thrombosis, with a focus on berberine, a natural compound known for its effectiveness in managing cardiovascular conditions.
    Methods: Intraperitoneal injection of carrageenan induces the secretion of chemical mediators such as histamine and serotonin from mast cells to promote thrombosis. This model can directly and visually observe the progression of thrombosis in a time-dependent manner. Thrombosis was induced by intravenous injection of 1 % carrageenan solution (20 mg/kg) to all mice except the vehicle control group. Quantitative analysis of gut microbiota metabolites through LC/MS. Then, the gut microbiota of mice was analyzed using 16S rRNA sequencing to assess the changes. Finally, the effects of gut microbiota on thrombosis were explored by fecal microbiota transplantation.
    Results: Our research shows that berberine inhibits thrombosis by altering intestinal microbiota composition and related metabolites. Notably, berberine curtails the biosynthesis of phenylacetylglycine, a thrombosis-promoting coproduct of the host-intestinal microbiota, by promoting phenylacetic acid degradation. This research underscores the significance of phenylacetylglycine as a thrombosis-promoting risk factor, as evidenced by the ability of intraperitoneal phenylacetylglycine injection to reverse berberine's efficacy. Fecal microbiota transplantation experiment confirms the crucial role of intestinal microbiota in thrombus formation.
    Conclusion: Initiating our investigation from the perspective of the gut microbiota, we have, for the first time, unveiled that berberine inhibits thrombus formation by promoting the degradation of phenylacetic acid, consequently suppressing the biosynthesis of PAG. This discovery further substantiates the intricate interplay between the gut microbiota and thrombosis. Our study advances the understanding that intestinal microbiota plays a crucial role in thrombosis development and highlights berberine-mediated intestinal microbiota modulation as a promising therapeutic approach for thrombosis prevention.
    MeSH term(s) Animals ; Gastrointestinal Microbiome/drug effects ; Berberine/pharmacology ; Berberine/analogs & derivatives ; Thrombosis/prevention & control ; Male ; Mice ; Phenylacetates/pharmacology ; Carrageenan ; Coptis/chemistry ; Disease Models, Animal ; Mice, Inbred C57BL ; Fecal Microbiota Transplantation ; RNA, Ribosomal, 16S
    Chemical Substances Berberine (0I8Y3P32UF) ; Phenylacetates ; phenylacetic acid (ER5I1W795A) ; Carrageenan (9000-07-1) ; RNA, Ribosomal, 16S
    Language English
    Publishing date 2024-03-07
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1205240-1
    ISSN 1618-095X ; 0944-7113
    ISSN (online) 1618-095X
    ISSN 0944-7113
    DOI 10.1016/j.phymed.2024.155517
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The Role of Gut Microbiota and the Potential Effects of Probiotics in Heart Failure.

    Petruzziello, Carmine / Saviano, Angela / Manetti, Luca Luigi / Macerola, Noemi / Ojetti, Veronica

    Medicina (Kaunas, Lithuania)

    2024  Volume 60, Issue 2

    Abstract: ... physiology, and environmental factors. Among these factors, the gut microbiota has emerged as a novel and ... Additionally, we explore the potential of using probiotics as a therapeutic strategy to modulate the gut ... signals, and microbial products exert profound effects on cardiovascular health. This review aims ...

    Abstract Heart failure (HF) remains a significant global health challenge, affecting millions of individuals worldwide and posing a substantial burden on healthcare systems. HF is a syndrome of intricate pathophysiology, involving systemic inflammation, oxidative stress, metabolic perturbations, and maladaptive structural changes in the heart. It is influenced by complex interactions between cardiac function, systemic physiology, and environmental factors. Among these factors, the gut microbiota has emerged as a novel and intriguing player in the landscape of HF pathophysiology. The gut microbiota, beyond its role in digestion and nutrient absorption, impacts immune responses, metabolic processes, and, as suggested by evidence in the literature, the development and progression of HF. There is a bidirectional communication between the gut and the heart, often known as the gut-heart axis, through which gut microbiota-derived metabolites, immune signals, and microbial products exert profound effects on cardiovascular health. This review aims to provide a comprehensive overview of the intricate relationship between the gut microbiota and HF. Additionally, we explore the potential of using probiotics as a therapeutic strategy to modulate the gut microbiota's composition and attenuate the adverse effects observed in HF. Conventional therapeutic approaches targeting hemodynamic and neurohormonal dysregulation have substantially improved the management of HF, but emerging research is exploring the potential implications of harnessing the gut microbiota for innovative approaches in HF treatment.
    MeSH term(s) Humans ; Gastrointestinal Microbiome/physiology ; Heart Failure/therapy ; Heart ; Probiotics/therapeutic use ; Inflammation
    Language English
    Publishing date 2024-02-04
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina60020271
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  9. Article: Role of Biological Sex in the Cardiovascular-Gut Microbiome Axis.

    Li, Shuangyue / Kararigas, Georgios

    Frontiers in cardiovascular medicine

    2022  Volume 8, Page(s) 759735

    Abstract: ... disease. Technological advances have dramatically expanded our knowledge of the gut microbiome. Increasing ... evidence has indicated a strong link between gut microbiota and the development of cardiovascular ... progression of CVD. We further discuss how the gut microbiome may differ between the sexes and how it may be ...

    Abstract There has been a recent, unprecedented interest in the role of gut microbiota in host health and disease. Technological advances have dramatically expanded our knowledge of the gut microbiome. Increasing evidence has indicated a strong link between gut microbiota and the development of cardiovascular diseases (CVD). In the present article, we discuss the contribution of gut microbiota in the development and progression of CVD. We further discuss how the gut microbiome may differ between the sexes and how it may be influenced by sex hormones. We put forward that regulation of microbial composition and function by sex might lead to sex-biased disease susceptibility, thereby offering a mechanistic insight into sex differences in CVD. A better understanding of this could identify novel targets, ultimately contributing to the development of innovative preventive, diagnostic and therapeutic strategies for men and women.
    Language English
    Publishing date 2022-01-10
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2021.759735
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  10. Article ; Online: Gut microbiota in sarcopenia and heart failure.

    Liu, Chia-Feng / Tang, W H Wilson

    The journal of cardiovascular aging

    2022  Volume 2, Issue 3

    Abstract: ... mechanistic and clinical insights into developing novel therapeutic strategies that target these GMM pathways ... diseases and aging. This review will examine the emerging evidence for the influence of the gut microbiome ... we have limited insights into who would benefit. Mechanistic links between gut microbial metabolites (GMM ...

    Abstract Sarcopenia is common in aging and in patients with heart failure (HF) who may experience worse outcomes. Patients with muscle wasting are more likely to experience falls and can have serious complications when undergoing cardiac procedures. While intensive nutritional support and exercise rehabilitation can help reverse some of these changes, they are often under-prescribed in a timely manner, and we have limited insights into who would benefit. Mechanistic links between gut microbial metabolites (GMM) have been identified and may contribute to adverse clinical outcomes in patients with cardio-renal diseases and aging. This review will examine the emerging evidence for the influence of the gut microbiome-derived metabolites and notable signaling pathways involved in both sarcopenia and HF, especially those linked to dietary intake and mitochondrial metabolism. This provides a unique opportunity to gain mechanistic and clinical insights into developing novel therapeutic strategies that target these GMM pathways or through tailored nutritional modulation to prevent progressive muscle wasting in elderly patients with heart failure.
    Language English
    Publishing date 2022-07-05
    Publishing country United States
    Document type Journal Article
    ISSN 2768-5993
    ISSN (online) 2768-5993
    DOI 10.20517/jca.2022.07
    Database MEDical Literature Analysis and Retrieval System OnLINE

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