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GUT Microbiome-GUT Dysbiosis-Arterial Hypertension: New Horizons

[ Vol. 15 , Issue. 1 ]

Author(s):

Vasiliki Katsi, Matthaios Didagelos*, Stamatios Skevofilax, Iakovos Armenis, Athanasios Kartalis, Charalambos Vlachopoulos, Haralambos Karvounis and Dimitrios Tousoulis   Pages 40 - 46 ( 7 )

Abstract:


Arterial hypertension is a progressive cardiovascular syndrome arising from complex and interrelated etiologies. The human microbiome refers to the community of microorganisms that live in or on the human body. They influence human physiology by interfering in several processes such as providing nutrients and vitamins in Phase I and Phase II drug metabolism. The human gut microbiota is represented mainly by Firmicutes and Bacteroidetes and to a lesser degree by Actinobacteria and Proteobacteria, with each individual harbouring at least 160 such species. Gut microbiota contributes to blood pressure homeostasis and the pathogenesis of arterial hypertension through production, modification, and degradation of a variety of microbial-derived bioactive metabolites. Animal studies and to a lesser degree human research has unmasked relative mechanisms, mainly through the effect of certain microbiome metabolites and their receptors, outlining this relationship. Interventions to utilize these pathways, with probiotics, prebiotics, antibiotics and fecal microbiome transplantation have shown promising results. Personalized microbiome-based disease prediction and treatment responsiveness seem futuristic. Undoubtedly, a long way of experimental and clinical research should be pursued to elucidate this novel, intriguing and very promising horizon.

Keywords:

Gut microbiome, gut flora, microorganisms, arterial hypertension, short chain fatty acids, probiotics, prebiotics.

Affiliation:

1st Cardiology Department, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, 1st Cardiology Department, AHEPA General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Cardiology Department, Skylitseio General Hospital, Chios, Cardiology Department, Skylitseio General Hospital, Chios, Cardiology Department, Skylitseio General Hospital, Chios, 1st Cardiology Department, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, 1st Cardiology Department, AHEPA General Hospital, Aristotle University of Thessaloniki, Thessaloniki, 1st Cardiology Department, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens

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