open access

Vol 20, No 1 (2016)
Review paper
Published online: 2016-03-31
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Microbiota patterns and risk of cardiometabolic disease — opportunities for intervention?

Peter Nilsson
DOI: 10.5603/AH.2016.0001
·
Arterial Hypertension 2016;20(1):1-4.

open access

Vol 20, No 1 (2016)
STATE-OF-THE ART REVIEW
Published online: 2016-03-31

Abstract

In every human being, there is a substantial proportion (1–2 kg) of total body weight constituted by the gut microbiota content in the gastro-intestinal system. Recent research findings, based on mapping of the microbiome, have stated that in healthy subjects, the gut microbiota richness and diversity is higher as compared to obese subjects or patients suffering from cardiometabolic disease, or even long-standing hypertension when a different and less rich pattern is seen (dysbiosis). Intervention with certain food constituents, e.g. Mediterranean diet or dairy products such as lactobacillae-containing yoghurt, holds promise that this could be of benefit for improved organ function, improved metabolism and lowering disease risk. Randomized, controlled intervention studies are needed to test the hypothesis that a reduction in dysbiosis induced by external dietary interventions could translate into health benefits.

Abstract

In every human being, there is a substantial proportion (1–2 kg) of total body weight constituted by the gut microbiota content in the gastro-intestinal system. Recent research findings, based on mapping of the microbiome, have stated that in healthy subjects, the gut microbiota richness and diversity is higher as compared to obese subjects or patients suffering from cardiometabolic disease, or even long-standing hypertension when a different and less rich pattern is seen (dysbiosis). Intervention with certain food constituents, e.g. Mediterranean diet or dairy products such as lactobacillae-containing yoghurt, holds promise that this could be of benefit for improved organ function, improved metabolism and lowering disease risk. Randomized, controlled intervention studies are needed to test the hypothesis that a reduction in dysbiosis induced by external dietary interventions could translate into health benefits.

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Keywords

microbiota; cardiometabolic disease

About this article
Title

Microbiota patterns and risk of cardiometabolic disease — opportunities for intervention?

Journal

Arterial Hypertension

Issue

Vol 20, No 1 (2016)

Article type

Review paper

Pages

1-4

Published online

2016-03-31

Page views

1003

Article views/downloads

1735

DOI

10.5603/AH.2016.0001

Bibliographic record

Arterial Hypertension 2016;20(1):1-4.

Keywords

microbiota
cardiometabolic disease

Authors

Peter Nilsson

References (22)
  1. Perk J, De Backer G, Gohlke H, et al. European Association for Cardiovascular Prevention & Rehabilitation (EACPR), ESC Committee for Practice Guidelines (CPG). European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur Heart J. 2012; 33(13): 1635–1701.
  2. Mancia G, Fagard R, Narkiewicz K, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension. J Hypertens. 2013; 31(7): 1281–1357.
  3. Ranthe MF, Carstensen L, Oyen N, et al. Family history of premature death and risk of early onset cardiovascular disease. J Am Coll Cardiol. 2012; 60(9): 814–821.
  4. Zöller B, Li X, Sundquist J, et al. Multiplex sibling history of coronary heart disease is a strong risk factor for coronary heart disease. Eur Heart J. 2012; 33(22): 2849–2855.
  5. Scott RA, Langenberg C, Sharp SJ, et al. InterAct Consortium. The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: the EPIC-InterAct study. Diabetologia. 2013; 56(1): 60–69.
  6. Nilsson PM, Boutouyrie P, Cunha P, et al. Early vascular ageing in translation: from laboratory investigations to clinical applications in cardiovascular prevention. J Hypertens. 2013; 31(8): 1517–1526.
  7. Tremaroli V, Bäckhed F. Functional interactions between the gut microbiota and host metabolism. Nature. 2012; 489(7415): 242–249.
  8. Cox AJ, West NP, Cripps AW. Obesity, inflammation, and the gut microbiota. Lancet Diabetes Endocrinol. 2015; 3(3): 207–215.
  9. Jose PA, Raj D. Gut microbiota in hypertension. Curr Opin Nephrol Hypertens. 2015; 24(5): 403–409.
  10. Kotsis V, Nilsson P, Grassi G, et al. WG on Obesity, Diabetes, the High Risk Patient, European Society of Hypertension. New developments in the pathogenesis of obesity-induced hypertension. J Hypertens. 2015; 33(8): 1499–1508.
  11. El Aidy S, Hooiveld G, Tremaroli V, et al. The gut microbiota and mucosal homeostasis: colonized at birth or at adulthood, does it matter? Gut Microbes. 2013; 4(2): 118–124.
  12. Tang WH, Wang Z, Li XS, et al. Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk. N Engl J Med. 2013; 368(17): 1575–1584.
  13. Tang WH, Wang Z, Fan Y, et al. Prognostic value of elevated levels of intestinal microbe-generated metabolite trimethylamine-N-oxide in patients with heart failure: refining the gut hypothesis. J Am Coll Cardiol. 2014; 64(18): 1908–1914.
  14. Ettinger G, MacDonald K, Reid G, et al. The influence of the human microbiome and probiotics on cardiovascular health. Gut Microbes. 2014; 5(6): 719–728.
  15. Mell B, Jala VR, Mathew AV, et al. Evidence for a link between gut microbiota and hypertension in the Dahl rat. Physiol Genomics. 2015; 47(6): 187–197.
  16. Yang T, Santisteban MM, Rodriguez V, et al. Gut dysbiosis is linked to hypertension. Hypertension. 2015; 65(6): 1331–1340.
  17. Kim S, Rodriguez V, Santisteban M, et al. 6B.07: HYPERTENSIVE PATIENTS EXHIBIT GUT MICROBIAL DYSBIOSIS AND AN INCREASE IN TH17 CELLS. J Hypertens. 2015; 33 Suppl 1: e77–e78.
  18. Soedamah-Muthu SS, Verberne LDM, Ding EL, et al. Dairy consumption and incidence of hypertension: a dose-response meta-analysis of prospective cohort studies. Hypertension. 2012; 60(5): 1131–1137.
  19. Ahrén IL, Xu J, Önning G, et al. Antihypertensive activity of blueberries fermented by Lactobacillus plantarum DSM 15313 and effects on the gut microbiota in healthy rats. Clin Nutr. 2015; 34(4): 719–726.
  20. Estruch R, Ros E, Salas-Salvadó J, et al. PREDIMED Study Investigators. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013; 368(14): 1279–1290.
  21. Del Chierico F, Vernocchi P, Dallapiccola B, et al. Mediterranean diet and health: food effects on gut microbiota and disease control. Int J Mol Sci. 2014; 15(7): 11678–11699.
  22. Cotillard A, Kennedy SP, Kong LC, et al. ANR MicroObes consortium. Dietary intervention impact on gut microbial gene richness. Nature. 2013; 500(7464): 585–588.

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