Diversified Shifts in the Cross Talk between Members of the Gut Microbiota and Development of Coronary Artery Diseases

ABSTRACT Coronary artery disease (CAD) is one of leading causes of mortality worldwide. Studies on roles that the gut microbiota plays in development of atherosclerosis or acute myocardial infarction (AMI) have been widely reported. However, the gut microbiota is affected by many factors, including...

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Main Authors: Tao Zhang, Haiqing Ren, Zhihui Du, Tong Zou, Xuefeng Guang, Yanan Zhang, Yuqing Tian, Lei Zhu, Jiangkun Yu, Xue Yu, Zhigang Zhang, Hailong Dai
Format: Article
Language:English
Published: American Society for Microbiology 2022-12-01
Series:Microbiology Spectrum
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/spectrum.02804-22
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author Tao Zhang
Haiqing Ren
Zhihui Du
Tong Zou
Xuefeng Guang
Yanan Zhang
Yuqing Tian
Lei Zhu
Jiangkun Yu
Xue Yu
Zhigang Zhang
Hailong Dai
author_facet Tao Zhang
Haiqing Ren
Zhihui Du
Tong Zou
Xuefeng Guang
Yanan Zhang
Yuqing Tian
Lei Zhu
Jiangkun Yu
Xue Yu
Zhigang Zhang
Hailong Dai
author_sort Tao Zhang
collection DOAJ
description ABSTRACT Coronary artery disease (CAD) is one of leading causes of mortality worldwide. Studies on roles that the gut microbiota plays in development of atherosclerosis or acute myocardial infarction (AMI) have been widely reported. However, the gut microbiota is affected by many factors, including age, body mass index (BMI), and hypertension, that lead to high CAD risk. However, the associations between gut microbiota and CAD development or other CAD risk factors remain unexplored. Here, we performed a 16S RNA gene sequencing analysis of 306 fecal samples collected from patients with mild coronary stenosis (MCS; n = 36), stable angina (SA; n = 91), unstable angina (UA; n = 48), and acute myocardial infarction (AMI; n = 66) and 65 non-CAD controls. Using a noise-corrected method based on principal-component analysis (PCA) and the random forest algorithm, we identified the interference with gut microbial profiling of multiple factors (including age, gender, BMI, and hypertension) that potentially contributed significantly to the development of CAD. After correction of noise interference from certain interfering factors, we found consistent indicator microbiota organisms (such as Vampirovibrio, Ruminococcus, and Eisenbergiella) associated with the presence of MCS, SA, and AMI. Establishment of a diagnostic model revealed better performance in early CAD than clinical indexes with indicator microbes. Furthermore, indicator microbes can improve the accuracy of clinical indexes for the diagnosis of AMI. Additionally, we found that the microbial indicators of AMI Sporobacter and Eisenbergiella showed consistent positive and negative correlations to the clinical indexes creatine kinase (CK) and hemoglobin (Hb), respectively. As a control indicator of AMI, Dorea was negatively correlated with CK but positively correlated with Hb. IMPORTANCE Our study discovered the effect of confounding factors on gut microbial variations and identified gut microbial indicators possibly associated with the CAD development after noise correction. Our discovered indicator microbes may have potential for diagnosis or therapy of cardiovascular disorders.
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spelling doaj.art-f3e2599ba8d44b8e9fc7be9a3d2be2542022-12-22T03:03:14ZengAmerican Society for MicrobiologyMicrobiology Spectrum2165-04972022-12-0110610.1128/spectrum.02804-22Diversified Shifts in the Cross Talk between Members of the Gut Microbiota and Development of Coronary Artery DiseasesTao Zhang0Haiqing Ren1Zhihui Du2Tong Zou3Xuefeng Guang4Yanan Zhang5Yuqing Tian6Lei Zhu7Jiangkun Yu8Xue Yu9Zhigang Zhang10Hailong Dai11State Key Laboratory for Conservation and Utilization of Bio-Resources in Yunnan, School of Life Sciences, Yunnan University, Kunming, Yunnan, People’s Republic of ChinaDepartment of Cardiology, Key Laboratory of Cardiovascular Disease of Yunnan Province, Yan’an Affiliated Hospital of Kunming Medical University, Kunming, People’s Republic of ChinaDepartment of Ultrasonography, Ordos Central Hospital, Ordos, Inner Mongolia, People’s Republic of ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People’s Republic of ChinaDepartment of Cardiology, Key Laboratory of Cardiovascular Disease of Yunnan Province, Yan’an Affiliated Hospital of Kunming Medical University, Kunming, People’s Republic of ChinaDepartment of Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People’s Republic of ChinaDepartment of Cardiology, Affiliated Hospital of Panzhihua University, Panzhihua, People’s Republic of ChinaState Key Laboratory for Conservation and Utilization of Bio-Resources in Yunnan, School of Life Sciences, Yunnan University, Kunming, Yunnan, People’s Republic of ChinaState Key Laboratory for Conservation and Utilization of Bio-Resources in Yunnan, School of Life Sciences, Yunnan University, Kunming, Yunnan, People’s Republic of ChinaDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People’s Republic of ChinaState Key Laboratory for Conservation and Utilization of Bio-Resources in Yunnan, School of Life Sciences, Yunnan University, Kunming, Yunnan, People’s Republic of ChinaDepartment of Cardiology, Key Laboratory of Cardiovascular Disease of Yunnan Province, Yan’an Affiliated Hospital of Kunming Medical University, Kunming, People’s Republic of ChinaABSTRACT Coronary artery disease (CAD) is one of leading causes of mortality worldwide. Studies on roles that the gut microbiota plays in development of atherosclerosis or acute myocardial infarction (AMI) have been widely reported. However, the gut microbiota is affected by many factors, including age, body mass index (BMI), and hypertension, that lead to high CAD risk. However, the associations between gut microbiota and CAD development or other CAD risk factors remain unexplored. Here, we performed a 16S RNA gene sequencing analysis of 306 fecal samples collected from patients with mild coronary stenosis (MCS; n = 36), stable angina (SA; n = 91), unstable angina (UA; n = 48), and acute myocardial infarction (AMI; n = 66) and 65 non-CAD controls. Using a noise-corrected method based on principal-component analysis (PCA) and the random forest algorithm, we identified the interference with gut microbial profiling of multiple factors (including age, gender, BMI, and hypertension) that potentially contributed significantly to the development of CAD. After correction of noise interference from certain interfering factors, we found consistent indicator microbiota organisms (such as Vampirovibrio, Ruminococcus, and Eisenbergiella) associated with the presence of MCS, SA, and AMI. Establishment of a diagnostic model revealed better performance in early CAD than clinical indexes with indicator microbes. Furthermore, indicator microbes can improve the accuracy of clinical indexes for the diagnosis of AMI. Additionally, we found that the microbial indicators of AMI Sporobacter and Eisenbergiella showed consistent positive and negative correlations to the clinical indexes creatine kinase (CK) and hemoglobin (Hb), respectively. As a control indicator of AMI, Dorea was negatively correlated with CK but positively correlated with Hb. IMPORTANCE Our study discovered the effect of confounding factors on gut microbial variations and identified gut microbial indicators possibly associated with the CAD development after noise correction. Our discovered indicator microbes may have potential for diagnosis or therapy of cardiovascular disorders.https://journals.asm.org/doi/10.1128/spectrum.02804-22CADgut microbiotamild coronary stenosisstable anginaunstable anginaacute myocardial infarction
spellingShingle Tao Zhang
Haiqing Ren
Zhihui Du
Tong Zou
Xuefeng Guang
Yanan Zhang
Yuqing Tian
Lei Zhu
Jiangkun Yu
Xue Yu
Zhigang Zhang
Hailong Dai
Diversified Shifts in the Cross Talk between Members of the Gut Microbiota and Development of Coronary Artery Diseases
Microbiology Spectrum
CAD
gut microbiota
mild coronary stenosis
stable angina
unstable angina
acute myocardial infarction
title Diversified Shifts in the Cross Talk between Members of the Gut Microbiota and Development of Coronary Artery Diseases
title_full Diversified Shifts in the Cross Talk between Members of the Gut Microbiota and Development of Coronary Artery Diseases
title_fullStr Diversified Shifts in the Cross Talk between Members of the Gut Microbiota and Development of Coronary Artery Diseases
title_full_unstemmed Diversified Shifts in the Cross Talk between Members of the Gut Microbiota and Development of Coronary Artery Diseases
title_short Diversified Shifts in the Cross Talk between Members of the Gut Microbiota and Development of Coronary Artery Diseases
title_sort diversified shifts in the cross talk between members of the gut microbiota and development of coronary artery diseases
topic CAD
gut microbiota
mild coronary stenosis
stable angina
unstable angina
acute myocardial infarction
url https://journals.asm.org/doi/10.1128/spectrum.02804-22
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