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Fecal microbiota transplantation alleviates myocardial damage in myocarditis by restoring the microbiota composition

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Cardiol, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Liyuan Hosp, Dept Geriatr, Wuhan, Hubei, Peoples R China [3]Huazhong Univ Sci & Technol Hosp, Dept Rehabil, Wuhan, Hubei, Peoples R China [4]Huazhong Univ Sci & Technol,Key Lab Organ Transplantat,NHC Key Lab Organ Transplantat,Chinese Acad Med S,Inst Organ Transplantat,Tongji Hosp,Tongji Med Co,Wuhan,Hubei,Peoples R China
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关键词: Myocarditis Microbiota Dysbiosis Fecal microbiota transplantation

摘要:
Myocarditis can be caused by several infectious and noninfectious causes. Treatment for myocarditis is still a difficult task in clinical practice. The gut microbiota is related to cardiovascular diseases such as atherosclerosis and hypertension. However, little is known about the role of the gut microbiota in myocarditis. In our study, we tested the hypothesis that gut dysbiosis is associated with myocarditis. We focused on whether fecal microbiota transplantation (FMT) can be used as an effective treatment for myocarditis. We used an experimental auto immune myocarditis (EAM) mouse model. Fecal samples were isolated from the control and EAM groups for bacterial genome analysis. We observed an increase in microbial richness and diversity in the myocarditis mice. These changes were accompanied by an increased Firmicutes/Bacteroidetes ratio. We also evaluated the efficacy of FMT for the treatment of myocarditis. EAM mouse guts were repopulated with fecal contents from an untreated male mouse donor. We found that myocardial injury was improved by diminished inflammatory infiltration, showing that IFN-gamma gene expression in the heart tissue and CD4(+)IFN-gamma(+) cells in the spleen were decreased after FMT in EAM mice. We also found that FMT was able to rebalance the gut microbiota by restoring the Bacteroidetes population and reshaping the microbiota composition. Myocarditis is associated with gut microbiota dysbiosis and characterized by an increased F/B ratio. FMT treatment can rebalance the gut microbiota and attenuate myocarditis. Thus, FMT may be a potential therapeutic strategy for the treatment of myocarditis.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 2 区 药学
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 药学
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出版当年[2017]版:
Q1 PHARMACOLOGY & PHARMACY
最新[2024]版:
Q1 PHARMACOLOGY & PHARMACY

影响因子: 最新[2024版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Cardiol, Wuhan, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Cardiol, Wuhan, Hubei, Peoples R China [4]Huazhong Univ Sci & Technol,Key Lab Organ Transplantat,NHC Key Lab Organ Transplantat,Chinese Acad Med S,Inst Organ Transplantat,Tongji Hosp,Tongji Med Co,Wuhan,Hubei,Peoples R China [*1]Union Hosp, 1277 Jiefang Ave, Wuhan 430022, Hubei, Peoples R China [*2]Tongji Hosp,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China
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