Aggravated Gut Microbiota and Metabolomic Imbalances Are Associated with Hypertension Patients Comorbid with Atrial Fibrillation

Disordered gut microbiota (GM) as the co-contributor of atrial fibrillation (AF) and hypertension (HTN) might be associated with AF risk in HTN. This study aimed to explore the altered GM community and metabolic patterns between 27 HTN patients with AF (HTN-AF) and 27 non-AF HTN patients through fec...

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Main Authors: Chen Fang, Kun Zuo, Yuan Fu, Xiaoming Zhu, Jing Li, Jiuchang Zhong, Li Xu, Xinchun Yang
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/12/10/1445
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author Chen Fang
Kun Zuo
Yuan Fu
Xiaoming Zhu
Jing Li
Jiuchang Zhong
Li Xu
Xinchun Yang
author_facet Chen Fang
Kun Zuo
Yuan Fu
Xiaoming Zhu
Jing Li
Jiuchang Zhong
Li Xu
Xinchun Yang
author_sort Chen Fang
collection DOAJ
description Disordered gut microbiota (GM) as the co-contributor of atrial fibrillation (AF) and hypertension (HTN) might be associated with AF risk in HTN. This study aimed to explore the altered GM community and metabolic patterns between 27 HTN patients with AF (HTN-AF) and 27 non-AF HTN patients through fecal metagenomic and serum metabolomic analysis. Compared to non-AF HTN patients, significant microbial alterations (<i>p</i> = 0.004), including increased microbial diversity (<i>p</i> < 0.05), shifted enterotype dominated by <i>Prevotella</i> to <i>Bacteroides</i>, and abundant disease-linked genera <i>Ruminococcus</i>, <i>Streptococcus</i>, <i>Veillonella</i>, <i>Dorea</i>, and <i>Enterococcus</i>, were observed in HTN-AF patients. A species-based random forest prediction model was associated with the risk of AF occurrence in HTN patients. Furthermore, GM metabolic profiles dramatically differed between HTN and HTN-AF patients, especially the imbalance of saturated and unsaturated fatty acids. In HTN-AF patients, circulating palmitic acid and arachidonic acid levels were significantly elevated, while the levels of tetracosahexaenoic acid, oleic acid, linoleic acid, and stearic acid were decreased (<i>p</i> < 0.001, VIP > 1), mediating 85.99% of gut microbial indirect effects on AF (<i>p</i> < 0.001). Thus, our findings preliminarily indicated that exacerbated dysbiosis of GM and relevant metabolites was associated with high AF susceptibility and might be a potential target for AF prediction and prevention in HTN.
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spelling doaj.art-fd045e8cb368417dab4afab24bf4f7092023-11-23T23:08:47ZengMDPI AGBiomolecules2218-273X2022-10-011210144510.3390/biom12101445Aggravated Gut Microbiota and Metabolomic Imbalances Are Associated with Hypertension Patients Comorbid with Atrial FibrillationChen Fang0Kun Zuo1Yuan Fu2Xiaoming Zhu3Jing Li4Jiuchang Zhong5Li Xu6Xinchun Yang7Heart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaHeart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaHeart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaHeart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaHeart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaHeart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaHeart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaHeart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, ChinaDisordered gut microbiota (GM) as the co-contributor of atrial fibrillation (AF) and hypertension (HTN) might be associated with AF risk in HTN. This study aimed to explore the altered GM community and metabolic patterns between 27 HTN patients with AF (HTN-AF) and 27 non-AF HTN patients through fecal metagenomic and serum metabolomic analysis. Compared to non-AF HTN patients, significant microbial alterations (<i>p</i> = 0.004), including increased microbial diversity (<i>p</i> < 0.05), shifted enterotype dominated by <i>Prevotella</i> to <i>Bacteroides</i>, and abundant disease-linked genera <i>Ruminococcus</i>, <i>Streptococcus</i>, <i>Veillonella</i>, <i>Dorea</i>, and <i>Enterococcus</i>, were observed in HTN-AF patients. A species-based random forest prediction model was associated with the risk of AF occurrence in HTN patients. Furthermore, GM metabolic profiles dramatically differed between HTN and HTN-AF patients, especially the imbalance of saturated and unsaturated fatty acids. In HTN-AF patients, circulating palmitic acid and arachidonic acid levels were significantly elevated, while the levels of tetracosahexaenoic acid, oleic acid, linoleic acid, and stearic acid were decreased (<i>p</i> < 0.001, VIP > 1), mediating 85.99% of gut microbial indirect effects on AF (<i>p</i> < 0.001). Thus, our findings preliminarily indicated that exacerbated dysbiosis of GM and relevant metabolites was associated with high AF susceptibility and might be a potential target for AF prediction and prevention in HTN.https://www.mdpi.com/2218-273X/12/10/1445atrial fibrillationhypertensionmetagenomemetabolomesaturated fatty acidsunsaturated fatty acids
spellingShingle Chen Fang
Kun Zuo
Yuan Fu
Xiaoming Zhu
Jing Li
Jiuchang Zhong
Li Xu
Xinchun Yang
Aggravated Gut Microbiota and Metabolomic Imbalances Are Associated with Hypertension Patients Comorbid with Atrial Fibrillation
Biomolecules
atrial fibrillation
hypertension
metagenome
metabolome
saturated fatty acids
unsaturated fatty acids
title Aggravated Gut Microbiota and Metabolomic Imbalances Are Associated with Hypertension Patients Comorbid with Atrial Fibrillation
title_full Aggravated Gut Microbiota and Metabolomic Imbalances Are Associated with Hypertension Patients Comorbid with Atrial Fibrillation
title_fullStr Aggravated Gut Microbiota and Metabolomic Imbalances Are Associated with Hypertension Patients Comorbid with Atrial Fibrillation
title_full_unstemmed Aggravated Gut Microbiota and Metabolomic Imbalances Are Associated with Hypertension Patients Comorbid with Atrial Fibrillation
title_short Aggravated Gut Microbiota and Metabolomic Imbalances Are Associated with Hypertension Patients Comorbid with Atrial Fibrillation
title_sort aggravated gut microbiota and metabolomic imbalances are associated with hypertension patients comorbid with atrial fibrillation
topic atrial fibrillation
hypertension
metagenome
metabolome
saturated fatty acids
unsaturated fatty acids
url https://www.mdpi.com/2218-273X/12/10/1445
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