Intestinal microbial metabolism of phosphatidylcholine: a novel insight in the cardiovascular risk scenario

被引:44
作者
Ierardi, Enzo [1 ,2 ]
Sorrentino, Claudia [1 ]
Principi, Mariabeatrice [1 ]
Giorgio, Floriana [1 ]
Losurdo, Giuseppe [1 ]
Di Leo, Alfredo [1 ]
机构
[1] Univ Bari, Dept Emergency & Organ Transplantat, Sect Gastroenterol, Bari, Italy
[2] Univ Hosp Consorziale Policlin, Gastroenterol Unit, I-70124 Bari, Italy
关键词
Intestinal microbiota; cardiovascular risk; trimethylamine-N-oxide (TMAO); choline; probiotics; antibiotics; TRIMETHYLAMINE-N-OXIDE; GUT MICROBIOTA; ATHEROSCLEROSIS; CHOLINE; DISEASE;
D O I
10.3978/j.issn.2304-3881.2015.02.01
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Intestinal microbiota is a "dynamic organ" influencing host metabolism, nutrition, physiology and immune system. Among its several interactions, the role of a phosphatidylcholine metabolite derived by gut flora activity, i.e., trimethylamine-N-oxide (TMAO), allows perceiving a novel insight in the cardiovascular risk scenario, being a strong predictor of this condition. Based on current reports, including the paper of Tang et al., we describe here: the possible role of intestinal microbiota in cardiovascular risk as well as potential interventions to reduce gut flora TMAO production by diet, probiotics and antibiotics. Finally, we highlight the possibility of evaluating, monitoring and modulating TMAO in order to use its serum levels as a marker of cardiovascular risk in the next future, when the need of controlled studies on large series will be satisfied.
引用
收藏
页码:289 / 292
页数:4
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