文章摘要
肠道菌群在心脑血管疾病中的调节作用及机制
The Regulatory Role and Mechanism of Gut Microbiota in Cardiovascular and Cerebrovascular Diseases
  
DOI:doi:10.3969/j.issn.1005-7021.2025.02.013
中文关键词: 肠道菌群  动脉粥样硬化  心力衰竭  高血压  心肌纤维化  心肌梗死  冠心病  中风
英文关键词: gut microbiota  atherosclerosis  heart failure  hypertension  myocardial fibrosis  myocardial infarction  coronary heart disease  stroke
基金项目:山东省自然科学基金项目(ZR2022MH092)
作者单位
杜建成 山东大学第二医院 神经外科山东 济南 250033 
顿志平 山东大学第二医院 神经外科山东 济南 250033 
刘世利 山东大学 基础医学院山东 济南 250012 
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中文摘要:
      肠道菌群在人类健康和疾病中起着至关重要的作用。肠道菌群可以影响宿主的身体健康,这一观念已被大众逐渐接受。心脑血管疾病是引发死亡的主要因素。目前的数据表明,肠道菌群的作用还涉及包括心脑血管疾病在内的几种疾病相关的几种代谢和炎症过程,从而影响宿主的身体健康。肠道菌群有能力在肠道内通过多种路径来诱发动脉粥样硬化、心力衰竭、高血压、心肌纤维化、心肌梗死及冠状动脉疾病的发生。此外,肠道菌群与中风发病机制及后果相关性的研究也为此类心脑血管疾病的诊断治疗提供了新的潜在方法。本文主要综述了肠道菌群及其代谢物与动脉粥样硬化、心力衰竭、高血压、心肌纤维化、心肌梗死、冠状动脉疾病及中风等这几种常见的心脑血管疾病之间的联系以及相关机制,为推动心脑血管疾病发生发展过程中起到关键作用的菌群的认知提供参考。
英文摘要:
      The gut microbiota exerts a significant influence on human health and disease. The notion that the gut microbiome can impact the host′s physical health is increasingly being acknowledged. Cardiovascular and cerebrovascular diseases are among the leading causes of morbidity and mortality. Emerging evidence indicates that the gut microbiota is implicated in various metabolic and inflammatory processes linked to several diseases, including cardiovascular and cerebrovascular diseases, thereby affecting the host′s physical health. The gut microbiota can trigger atherosclerosis, heart failure, hypertension, myocardial fibrosis, myocardial infarction, and coronary artery disease via multiple pathways within the gut. Moreover, research into the relationship between the intestinal microbiota and the pathogenesis and outcomes of stroke offers a novel potential approach for diagnosing and treating such cardiovascular and cerebrovascular diseases. In summary, this review primarily discusses the relationship between the gut microbiota and its metabolites and several common cardiovascular and cerebrovascular diseases, such as atherosclerosis, heart failure, hypertension, myocardial fibrosis, myocardial infarction, coronary artery disease, and stroke, as well as the underlying mechanisms, targeting to provide a foundation for enhancing the understanding of the gut microbiota that plays a pivotal role in the onset and progression of cardiovascular and cerebrovascular diseases.
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