Bioactive metabolites generated by intestinal dysbiosis and their pathophysiological implications in cardiovascular disease

Authors

Keywords:

microbiota intestinal, disbiosis, aterosclerosis, enfermedad cardiovascular, síndrome metabólico

Abstract

Introduction: Dysbiosis is known as the alteration of the symbiotic relationship between the intestinal microbiota and the host is involved in the pathogenesis of atherosclerotic cardiovascular disease.

Objective: To carry out a documentary review on the pathophysiological mechanisms that relate the bioactive metabolites generated by intestinal dysbiosis with the development and progression of atherosclerotic cardiovascular disease.

Methods: The Google Scholar search engine was used and free access articles were consulted in Pubmed, SciELO, Lilacs, Cumed and Hinari databases from September 2020 to March 2021. The keywords used for this review were “microbiome”, “gut microbiota”, “dysbiosis”, “atherosclerosis”, “cardiovascular disease” and their English equivalents, according to the Health Sciences (DeCS) descriptor. Original articles, review articles, systematic reviews and meta-analyses after 2015 were considered. A total of 73 articles were reviewed.

Findings: The pathophysiological relationships between intestinal dysbiosis and cardiovascular diseases are complex, since they influence each other through their endogenous toxins (bioactive metabolites), the circulatory system, immune responses and metabolic changes. Future research should focus on elucidating the underlying molecular players and on identifying whether the pathways that interconnect gut dysbiosis with ACE are causal, correlational, or consequential.

Conclusions: The accumulated evidence supports that the dysbiosis of the intestinal microbiota is involved in the synthesis of proatherogenic metabolites which modulate the mechanisms involved in the pathophysiology of ACE.

Keywords: intestinal microbiota; dysbiosis; atherosclerosis; cardiovascular disease; metabolic syndrome.

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Author Biography

José Miguel Rodríguez Perón, universidad de ciencias médicas de las FAR

Doctor en Ciencias Médicas

Jefe departamento  de la Universidad de Ciencias Médicas de las FAR

Especialista de 2do Grado en Medicina Interna

Especialista de 2do Grado en Medicina Intensiva y Emergencias

Profesor Titular

Investigador Titular

Miembro de la Comisión de Grado Científico de la Institución autorizada UCIMED –FAR perteneciente a la Sección de Ciencias Militares de la Comisión Nacional de Grados Científicos de la República de Cuba.

Experto de la Junta de Acreditación Nacional (JAN) para el proceso de evaluación de las Especialidades y las Instituciones de Educación Superior.

Miembro del Comité Editorial de la Revista Cubana de Medicina Militar.

 

Ostento la Orden “Carlos J Finlay

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Published

2022-03-06

How to Cite

1.
Rodríguez Perón JM, Rodríguez Izquierdo MM. Bioactive metabolites generated by intestinal dysbiosis and their pathophysiological implications in cardiovascular disease. Rev Cubana Med [Internet]. 2022 Mar. 6 [cited 2025 Feb. 6];61(1). Available from: https://revmedicina.sld.cu/index.php/med/article/view/2584

Issue

Vol. 61 No. 1 (2022): enero-marzo

Section

Review articles

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