肠道微生物群与心律失常的概述
Overview of the Gut Microbiota and Cardiovascular Disease
DOI: 10.12677/ACM.2023.13122781, PDF,   
作者: 郭 露:青海大学附属医院心内科,青海 西宁
关键词: 肠道微生物群及代谢物心律失常Intestinal Microbiota and Metabolites Cardiac Arrhythmia
摘要: 随着现代生活节奏和人口老龄化的加速推进,不健康生活习惯及饮食方式的日益突出,人们心血管疾病的罹患率逐年升高,患病年龄也越来越提前,其中据不完全统计每年因高血压死于心脑血管意外的人们就多达200万,并且呈逐年上升趋势,据统计,2000年至2010年间,美国住院心血管手术和程序的总数增加了28%,从593.9万增加到758.8万。且成逐年上升趋势,到2018年,超过500,000名的美国人死于心律失常,这表明心律失常对人们健康产生了致命性威胁。心血管疾病后期致残率高,心脏康复花费巨大。给社会及家庭带来巨大经济损失,提示对心血管疾病的早期干预刻不容缓。近年来随着心肠轴的发现,大量实验结果表明,肠道微生物群参与多种心血管疾病的发展,这为心血管疾病的治疗提供了新视野。
Abstract: With the pace of modern life and the aging of population accelerated, unhealthy living habits and diet increasingly prominent, cardiovascular disease rate increased year by year, sick age is more and more early, which according to incomplete statistics died of hypertension cardiovascular acci-dent people as many as 2 million, and with the rising trend year by year, according to statistics, between 2000 and 2010, the total number of hospital cardiovascular surgery and procedures in-creased by 28%, from 5.939 million to 7.588 million. By 2018, more than 500,000 Americans had died from cardiac arrhythmias, suggesting that cardiac arrhythmias pose a fatal threat to people’s health. The disability rate of cardiovascular disease is high, and cardiac rehabilitation is huge. It brings great economic losses to the society and the family, which suggests that the early interven-tion of cardiovascular disease is urgent. With the discovery of the cardiovascular axis in recent years, numerous experimental results show that the gut microbiota is involved in the development of many cardiovascular diseases, which provides a new field for the treatment of cardiovascular diseases.
文章引用:郭露. 肠道微生物群与心律失常的概述[J]. 临床医学进展, 2023, 13(12): 19759-19763. https://doi.org/10.12677/ACM.2023.13122781

参考文献

[1] 杨晓明, 郑祥, 王超超. 肠道菌群代谢产物与冠心病合并慢性心力衰竭的相关性及对患者预后水平的预测作用[J]. 中华全科医学, 2023, 21(10): 1676-1678+1718. [Google Scholar] [CrossRef
[2] Mogilevski, T., Burgell, R., Aziz, Q. and Gibson, P.R. (2019) Review Article: The Role of the Autonomic Nervous System in the Pathogenesis and Therapy of IBD. Alimentary Pharmacology & Therapeutics, 50, 720-737. [Google Scholar] [CrossRef] [PubMed]
[3] Zhang, Y., Zhang, S., Li, B. and Luo, Y. (2022) Gut Microbiota Dysbiosis Promotes Age-Related Atrial Fibrillation by Lipopolysaccharide and Glucose-Induced Activation of NLRP3-Inflammasome. Cardiovascular Research, 118, 785-797. [Google Scholar] [CrossRef] [PubMed]
[4] Sorboni, S.G., Moghaddam, H.S., Jafarzadeh-Esfehani, R. and So-leimanpour, S. (2022) A Comprehensive Review on the Role of the Gut Microbiome in Human Neurological Disorders. Clinical Microbiology Reviews, 35, e0033820. [Google Scholar] [CrossRef
[5] Booijink, C.C., El-Aidy, S., Rajilic-Stojanovic, M., Heilig, H.G., Troost, F.J., Smidt, H., et al. (2010) High Temporal and Inter-Individual Variation Detected in the Human Ileal Microbi-ota. Environmental Microbiology, 12, 3213-3227. [Google Scholar] [CrossRef] [PubMed]
[6] El Hage, R., Hernandez-Sanabria, E. and Van de Wiele, T. (2017) Emerging Trends in “Smart Probiotics”: Functional Consideration for the Development of Novel Health and In-dustrial Applications. Frontiers in Microbiology, 8, Article No. 1889. [Google Scholar] [CrossRef] [PubMed]
[7] Marques, F.Z., Nelson, E., Chu, P.Y., et al. (2017) High-Fiber Diet and Acetate Supplementation Change the Gut Microbiota and Prevent the Development of Hypertension and Heart Fail-ure in Hypertensive Mice. Circulation, 135, 964-977. [Google Scholar] [CrossRef
[8] Bechelli, C., Macabrey, D., Deglise, S. and Allag-nat, F. (2023) Clinical Potential of Hydrogen Sulfide in Peripheral Arterial Disease. International Journal of Molecular Sciences, 24, Article No. 9955. [Google Scholar] [CrossRef] [PubMed]
[9] Sun, H.J., Wu, Z.Y., Nie, X.W., Wang, X.Y. and Bian, J.S. (2021) An Updated Insight into Molecular Mechanism of Hydrogen Sulfide in Cardiomyopathy and Myocardial Ische-mia/Reperfusion Injury under Diabetes. Frontiers in Pharmacology, 12, Article ID: 651884. [Google Scholar] [CrossRef] [PubMed]
[10] Onal Emine, M., Afsar, B., Covic, A., et al. (2019) Gut Microbiota and Inflammation in Chronic Kidney Disease and Their Roles in the Development of Cardiovascular Disease. Hyperten-sion Research, 42, 123-140. [Google Scholar] [CrossRef] [PubMed]
[11] Round, J.L., Lee, S.M., Li, J., Tran, G., Jabri, B., Chatila, T.A., et al. (2011) The Toll-Like Receptor 2 Pathway Establishes Colonization by a Commensal of the Human Microbiota. Sci-ence, 332, 974-977. [Google Scholar] [CrossRef] [PubMed]
[12] Staudt, S., Ziegler-Martin, K., Visekruna, A., Slingerland, J., Shouval, R., Hudecek, M., van den Brink, M. and Luu, M. (2023) Learning from the Microbes: Exploiting the Microbiome to En-force T Cell Immunotherapy. Frontiers in Immunology, 14, Article ID: 1269015. [Google Scholar] [CrossRef] [PubMed]
[13] Younes, R., LeBlanc, C.-A. and Hiram, R. (2022) Evidence of Failed Resolution Mechanisms in Arrhythmogenic Inflammation, Fibrosis and Right Heart Disease. Biomolecules, 12, Article No. 720. [Google Scholar] [CrossRef] [PubMed]
[14] Srinivasan, A., Pansuriya, T. and Wilson, B. (2021) Systemic Inflam-mation-Related Bradycardia in COVID-19. Case Reports in Cardiology, 2021, Article ID: 9986955. [Google Scholar] [CrossRef] [PubMed]
[15] Dinan, T.G., Cryan, J.F. and Stanton, C. (2018) Gut Microbes and Brain Development Have Black Box Connectivity. Biological Psychiatry, 83, 97-99. [Google Scholar] [CrossRef] [PubMed]
[16] Tang, W.H.W., Bäckhed, F., Landmesser, U. and Hazen, S.L. (2019) Intestinal Microbiota in Cardiovascular Health and Disease: JACC State-of-the-Art Review. Journal of the Amer-ican College of Cardiology, 73, 2089-2105. [Google Scholar] [CrossRef] [PubMed]
[17] Tang, W.H.W., Li, D.Y. and Hazen, S.L. (2019) Dietary Metabo-lism, the Gutmicrobiome, and Heart Failure. Nature Reviews Cardiology, 16, 137-154. [Google Scholar] [CrossRef] [PubMed]
[18] Bachhawat, A.K., et al. (2020) Heart Failure and the Glutathione Cycle: An Integrated View. Biochemical Journal, 477, 3123-3130. [Google Scholar] [CrossRef
[19] Zuo, K., Li, J., Li, K., et al. (2019) Disordered Gut Microbiota and Alterations in Metabolic Patterns Are Associated with Atrial Fibrillation. Gigascience, 8, giz058. [Google Scholar] [CrossRef] [PubMed]
[20] Linz, D., Gawako, M., Sanders, P., et al. (2021) Does Gut Microbiota Affect Atrial Rhythm? Causalities and Speculations. European Heart Journal, 42, 3521-3525. [Google Scholar] [CrossRef] [PubMed]
[21] Wu, P., Chen, J.N., Chen, J.J., et al. (2020) Trimethylamine N-Oxide Promotes ApoE-/-Mice Atherosclerosis by Inducing Vascular Endothelial Cell Pyroptosis via the SDHB/ROS Pathway. Journal of Cellular Physiology, 235, 6582-6591. [Google Scholar] [CrossRef] [PubMed]
[22] Kwun, J.S., Kang, S.H., Lee, H.J., Park, H.K., Lee, W.J., Yoon, C.H., Suh, J.W., Cho, Y.S., Youn, T.J. and Chae, I.H. (2020) Comparison of Thrombus, Gut, and Oral Microbiomes in Korean Pa-tients with ST-Elevation Myocardial Infarction: A Case-Control Study. Experimental & Molecular Medicine, 52, 2069-2079. [Google Scholar] [CrossRef] [PubMed]
[23] Gomez-Arango, L.F., Barrett, H.L., McIntyre, H.D., et al. (2016) Increased Systolic and Diastolic Blood Pressure Is Associated with Altered Gut Microbiota Composition and Butyrate Production in Early Pregnancy. Hypertension, 68, 974-981. [Google Scholar] [CrossRef
[24] Jiao, Y., Li, W., Zhang, Q. and Jiang, Q. (2023) Gut Microbiota and Hypertension: A Bibliometric Analysis of Recent Research (2014-2023). Frontiers in Nutrition, 10, Article ID: 1253803. [Google Scholar] [CrossRef] [PubMed]
[25] Yap, W.B., Ahmad, F.M., Lim, Y.C., et al. (2016) Lactobacillus casei Strain C1 Attenuates Vascular Changes in Spontaneously Hypertensive Rats. The Korean Journal of Physiology & Pharmacology, 20, 621-628. [Google Scholar] [CrossRef] [PubMed]
[26] Liu, Y., Sanderson, D., Mian, M.F., McVey Neufeld, K.A. and Forsythe, P. (2021) Loss of Vagal Integrity Disrupts Immune Components of the Microbiota-Gut-Brain Axis and Inhib-its the Effect of Lactobacillus rhamnosus on Behavior and the Corticosterone Stress Response. Neuropharmacology, 195, Article ID: 108682. [Google Scholar] [CrossRef] [PubMed]