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Research progress of the relationship between intestinal flora and cardiovascular disease |
DOU Wenting1 LI Xiaohui2 |
1.Teaching Hospital of Capital Institute of Pediatrics, Peking University, Beijing 100020, China;
2.Department of Cardiovascular Medicine, Children’s Hospital, Capital Institute of Pediatrics, Beijing 100020, China |
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Abstract Trimethylamine-N-oxide (TMAO), a metabolite of intestinal flora, promotes the occurrence and development of atherosclerosis through the activation of PKC/NF-κB pathway or stimulating foam cell formation. Elevated plasma TMAO can be used as a risk stratification index of poor prognosis in patients with heart failure. Short chain fatty acids, the metabolites of intestinal flora, affect the blood pressure level of host by binding to G-protein-coupled receptors. Meanwhile, intestinal flora can regulate blood pressure by affecting sympathetic nervous, which is the hypothesis of “brain-gut-bone marrow axis”. The abundance and structure of intestinal flora in children with Kawasaki disease have changed. Some special bacteria in the intestine have superantigen activity and can produce heat shock protein. These factors may involve in the occurrence and development of Kawasaki disease by affecting the release of inflammatory factors.
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