Relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fraction

Aim. To study the relationship of gut microbiota (GM) with serum myocardial fibrosis markers in patients with heart failure with preserved ejection fraction (HFpEF).Material and methods. The composition of the gut microbiota among 42 patients with HFpEF aged 67,0 [64,0; 71,5] years (men, 57,1%) was...

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Main Authors: A. N. Kaburova, O. M. Drapkina, S. M. Yudin, S. N. Koretsky, V. V. Makarov, M. S. Pokrovskaya, S. A. Kraevoy, B. B. Shoybonov, I. A. Efimova
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Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2021-07-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/2834
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author A. N. Kaburova
O. M. Drapkina
S. M. Yudin
S. N. Koretsky
V. V. Makarov
M. S. Pokrovskaya
S. A. Kraevoy
B. B. Shoybonov
I. A. Efimova
author_facet A. N. Kaburova
O. M. Drapkina
S. M. Yudin
S. N. Koretsky
V. V. Makarov
M. S. Pokrovskaya
S. A. Kraevoy
B. B. Shoybonov
I. A. Efimova
author_sort A. N. Kaburova
collection DOAJ
description Aim. To study the relationship of gut microbiota (GM) with serum myocardial fibrosis markers in patients with heart failure with preserved ejection fraction (HFpEF).Material and methods. The composition of the gut microbiota among 42 patients with HFpEF aged 67,0 [64,0; 71,5] years (men, 57,1%) was assessed by 16S ribosomal ribonucleic acid sequencing. The quantitative determination of myocardial fibrosis markers was carried out by enzyme-linked immunosorbent assay. Correlation and multivariate regression analysis of relationships between the relative abundance of intestinal bacteria and the concentration of the procollagen type I carboxy-terminal propeptide (PICP) and N-terminal propeptide of procollagen type III (PIIINP) was carried out.Results. The PICP and PIIINP concentrations were 918,0 [700,0; 1032,8] pg/ml and 6,2±2,7 pg/ml, respectively. Correlation analysis revealed a direct relationship between the relative abundance of Allisonella and PICP (r=0,32), as well as Blautia, Enterobаcteriaceae (unclassified) and PIIINP (r=0,37 and r=0,32), p<0,05. The inverse relationship was determined for the relative abundance of the genera Ruminococcus (r=-0,37), Ruminococcaceae (unclassified) (r=-0,31), Gemmiger (r=(-0,35) and PICP, as well as Bilophila and PIIICP (r=(-0,34). Multivariate regression found (normalized coefficient in parentheses) that the abundance of Butyricimonas (0,27) и Blautia (0,35) was directly related to the PICP levels, while the abundance of the genus Intestinimonas ((-0,23) showed an inverse association with the marker level. The abundance of most genera had an inverse relationship with PIIINP: Atopobium (-0,25), Cellulosilyticum (-0,31), Solobacterium (-0,32), Turicibacter (-0,47), Bilophila (-0,30). The directness of the association with  PIIINP concentration was demonstrated for the relative abundance of Paraprevotella (0,32) и Desulfovibrio (0,28). The p-value for all associations is <0,05.Conclusion. The relative abundance of GM genera in patients with HFpEF is associated with fibrosis markers (PICP and PIIINP). The results obtained make it possible to deepen the understanding of the relationship between GM and pathogenesis of HFpEF, which may become a step towards understanding the GM role in the progression of left ventricular diastolic dysfunction and rationale for future studies.
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spelling doaj-art-5461fbb0a80b45b19e4f0569c9e56d502025-08-04T12:50:26Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252021-07-0120410.15829/1728-8800-2021-28342298Relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fractionA. N. Kaburova0O. M. Drapkina1S. M. Yudin2S. N. Koretsky3V. V. Makarov4M. S. Pokrovskaya5S. A. Kraevoy6B. B. Shoybonov7I. A. Efimova8National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineCenter for Strategic Planning and Management of Biomedical Health RisksNational Medical Research Center for Therapy and Preventive MedicineCenter for Strategic Planning and Management of Biomedical Health RisksNational Medical Research Center for Therapy and Preventive MedicineCenter for Strategic Planning and Management of Biomedical Health RisksNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineAim. To study the relationship of gut microbiota (GM) with serum myocardial fibrosis markers in patients with heart failure with preserved ejection fraction (HFpEF).Material and methods. The composition of the gut microbiota among 42 patients with HFpEF aged 67,0 [64,0; 71,5] years (men, 57,1%) was assessed by 16S ribosomal ribonucleic acid sequencing. The quantitative determination of myocardial fibrosis markers was carried out by enzyme-linked immunosorbent assay. Correlation and multivariate regression analysis of relationships between the relative abundance of intestinal bacteria and the concentration of the procollagen type I carboxy-terminal propeptide (PICP) and N-terminal propeptide of procollagen type III (PIIINP) was carried out.Results. The PICP and PIIINP concentrations were 918,0 [700,0; 1032,8] pg/ml and 6,2±2,7 pg/ml, respectively. Correlation analysis revealed a direct relationship between the relative abundance of Allisonella and PICP (r=0,32), as well as Blautia, Enterobаcteriaceae (unclassified) and PIIINP (r=0,37 and r=0,32), p<0,05. The inverse relationship was determined for the relative abundance of the genera Ruminococcus (r=-0,37), Ruminococcaceae (unclassified) (r=-0,31), Gemmiger (r=(-0,35) and PICP, as well as Bilophila and PIIICP (r=(-0,34). Multivariate regression found (normalized coefficient in parentheses) that the abundance of Butyricimonas (0,27) и Blautia (0,35) was directly related to the PICP levels, while the abundance of the genus Intestinimonas ((-0,23) showed an inverse association with the marker level. The abundance of most genera had an inverse relationship with PIIINP: Atopobium (-0,25), Cellulosilyticum (-0,31), Solobacterium (-0,32), Turicibacter (-0,47), Bilophila (-0,30). The directness of the association with  PIIINP concentration was demonstrated for the relative abundance of Paraprevotella (0,32) и Desulfovibrio (0,28). The p-value for all associations is <0,05.Conclusion. The relative abundance of GM genera in patients with HFpEF is associated with fibrosis markers (PICP and PIIINP). The results obtained make it possible to deepen the understanding of the relationship between GM and pathogenesis of HFpEF, which may become a step towards understanding the GM role in the progression of left ventricular diastolic dysfunction and rationale for future studies.https://cardiovascular.elpub.ru/jour/article/view/2834gut microbiotaheart failure with preserved ejection fractiondiastolic dysfunctionmyocardial fibrosis
spellingShingle A. N. Kaburova
O. M. Drapkina
S. M. Yudin
S. N. Koretsky
V. V. Makarov
M. S. Pokrovskaya
S. A. Kraevoy
B. B. Shoybonov
I. A. Efimova
Relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fraction
Кардиоваскулярная терапия и профилактика
gut microbiota
heart failure with preserved ejection fraction
diastolic dysfunction
myocardial fibrosis
title Relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fraction
title_full Relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fraction
title_fullStr Relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fraction
title_full_unstemmed Relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fraction
title_short Relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fraction
title_sort relationship between gut microbiota and markers of myocardial fibrosis in with chronic heart failure with preserved ejection fraction
topic gut microbiota
heart failure with preserved ejection fraction
diastolic dysfunction
myocardial fibrosis
url https://cardiovascular.elpub.ru/jour/article/view/2834
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