The association between gut microbiota-derived metabolites and arterial stiffness in hypertensive patients.

The present study aimed at investigating the association of gut microbial metabolites with arterial stiffness in patients with hypertension. This cross-sectional study was conducted on 120 hypertensive patients attending Tashkent clinics. Assessments included measurement of plasma levels of TMAO met...

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Publicado en:Revista Latinoamericana de Hipertensión Vol. 20; no. 11; pp. 818 - 825
Autores principales: Ibragimova, Feruza, Kalenderova, Guljakhan, Kalmuratova, Bibigul, Okhunova, Munojoat, Kholmuradova, Zilola, Ikramova, Feruza, Axmedov, Nodir
Formato: Artículo
Publicado: Revista Latinoamericana de Hipertension 2025
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: The association between gut microbiota-derived metabolites and arterial stiffness in hypertensive patients.
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          Ibragimova, Feruza
          Kalenderova, Guljakhan
          Kalmuratova, Bibigul
          Okhunova, Munojoat
          Kholmuradova, Zilola
          Ikramova, Feruza
          Axmedov, Nodir
        affil:
          Associate Professor of the department of orthopedic dentistry and orthodontics, Bukhara State Medical Institute, Bukhara, Uzbekistan
          Assistant teacher, Department of Preventive Medicine, Folk Medicine and Neurology, Karakalpakstan Medical Institute, Nukus, Republic of Uzbekistan
          Kokand State University, Kokand, Republic of Uzbekistan
          Assistant of the Department of Pediatrics, Faculty of Medicine, Samarkand State Medical University, Samarkand, Republic of Uzbekistan
          Endocrinologist at the Bukhara Regional Endocrinology Dispensary", Republic of Uzbekistan
      su:
        Gut microbiota
        Microbial metabolites
        Hypertension
        Pulse wave analysis
        Microbiota
        Metabolites
        Butyrates
        Arterial diseases
      sug:
        subj:
          Gut microbiota
          Microbial metabolites
          Hypertension
          Pulse wave analysis
          Microbiota
          Metabolites
          Butyrates
          Arterial diseases
      keyword:
        Arterial Stiffness
        Gut Microbiota
        Microbial Metabolites
        Hipertensión
        Metabolitos microbianos
        Microbiota intestinal
        Rigidez arterial
      ab:
        The present study aimed at investigating the association of gut microbial metabolites with arterial stiffness in patients with hypertension. This cross-sectional study was conducted on 120 hypertensive patients attending Tashkent clinics. Assessments included measurement of plasma levels of TMAO metabolites and SCFAs, arterial stiffness measured by the carotid-femoral pulse wave velocity method, and analysis of the microbiota composition. The study results indicated that TMAO levels were positively and significantly associated with the cf-PWV index, with a correlation coefficient of 0.48 (p < 0.001). On the other hand, butyrate was negatively associated with cf-PWV, with a correlation coefficient of -0.42 (p < 0.001). Multiple regression analysis presented both metabolites to be independently associated with arterial stiffness: the beta coefficient for TMAO was 0.35 and for butyrate was -0.28. When comparing different metabolic quartiles, the levels of cf-PWV were significantly higher for those patients with high TMAO levels: 11.2 vs. 8.5 m/s (p < 0.001). Moreover, microbiological analyses showed that richness in particular bacterial genera was significantly associated with metabolite levels. The results from this study confirm that gut microbial metabolites play an independent role in the pathophysiology of arterial stiffness and may provide novel strategies for risk assessment and therapeutic interventions in patients with hypertension.
        El presente estudio tuvo como objetivo investigar la asociación de los metabolitos microbianos intestinales con la rigidez arterial en pacientes hipertensos. Este estudio transversal se realizó en 120 pacientes hipertensos que acudían a clínicas de Tashkent. Las evaluaciones incluyeron la medición de los niveles plasmáticos de metabolitos de TMAO y AGCC, la rigidez arterial medida mediante el método de velocidad de la onda de pulso carótido-femoral y el análisis de la composición de la microbiota. Los resultados del estudio indicaron que los niveles de TMAO se asociaron de forma positiva y significativa con el índice cf-PWV, con un coeficiente de correlación de 0,48 (p < 0,001). Por otro lado, el butirato se asoció negativamente con el cf-PWV, con un coeficiente de correlación de -0,42 (p < 0,001). El análisis de regresión múltiple mostró que ambos metabolitos se asociaban de forma independiente con la rigidez arterial: el coeficiente beta para TMAO fue de 0,35 y para butirato, de -0,28. Al comparar diferentes cuartiles metabólicos, los niveles de cf-PWV fueron significativamente mayores en los pacientes con niveles elevados de TMAO: 11,2 frente a 8,5 m/s (p < 0,001). Además, los análisis microbiológicos mostraron que la riqueza de géneros bacterianos específicos se asociaba significativamente con los niveles de metabolitos. Los resultados de este estudio confirman que los metabolitos microbianos intestinales desempeñan un papel independiente en la fisiopatología de la rigidez arterial y podrían proporcionar nuevas estrategias para la evaluación del riesgo y las intervenciones terapéuticas en pacientes con hipertensión.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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