The Gut Axis Involvement in Heart Failure

Autor: Max Wong, Toru Suzuki, Muhammad Zubair Israr, Andrea Salzano, Shabana Cassambai, Yoshiyuki Yazaki, Dennis Bernieh
Rok vydání: 2022
Předmět:
Zdroj: Cardiology Clinics. 40:161-169
ISSN: 0733-8651
DOI: 10.1016/j.ccl.2021.12.004
Popis: A novel pathophysiological model of interest is the association between heart failure (HF) and the gastrointestinal system, the 'gut hypothesis'. The choline and carnitine metabolic by-product, Trimethylamine N-oxide (TMAO) is one of the more prominent molecules associated with the link between HF and the gut. Indeed, TMAO levels are increased in HF populations and higher TMAO levels are associated with poor prognosis, whereas low TMAO levels either at baseline/follow up confer better prognosis. Considering that TMAO levels seem not to be affected by guideline-HF treatment, this model could represent a novel and independent therapeutic target for HF.
Databáze: OpenAIRE