دورية أكاديمية

Sex Differences in Association Between Gut Microbiome and Essential Hypertension Based on Ambulatory Blood Pressure Monitoring

التفاصيل البيبلوغرافية
العنوان: Sex Differences in Association Between Gut Microbiome and Essential Hypertension Based on Ambulatory Blood Pressure Monitoring
المؤلفون: Virwani, Preeti Dinesh, Qian, Gordon, Hsu, Matthew S.S., Pijarnvanit, Tommy K.K.T.S., Cheung, Carman Nga-Man, Chow, Yick Hin, Tang, Lok Kan, Tse, Yiu-Hei, Xian, Jia-Wen, Lam, Shirley Sau-Wing, Lee, Crystal P.I., Lo, Chelsea C.W., Liu, Roxanna K.C., Ho, Tsi Lok, Chow, Bak Yue, Leung, Kin Sum, Tsang, Hing Wai, Lo, Emily K.K., Tung, Keith T.S., Chung, Sookja Kim, Yuen, Man-Fung, Leung, Suet Yi, Ip, Patrick, Hung, Ivan Fan-Ngai, Louie, Jimmy Chun Yu, El-Nezami, Hani, Ho, Joshua Wing Kei, Lau, Kui Kai
المصدر: Hypertension ; volume 80, issue 6, page 1331-1342 ; ISSN 0194-911X 1524-4563
بيانات النشر: Ovid Technologies (Wolters Kluwer Health)
سنة النشر: 2023
الوصف: Background: Sex differences in the pathogenesis of hypertension exist. While gut microbiota (GM) has been associated with hypertension, it is unclear whether there are sex-linked differences in the association between GM and hypertension. Methods: We conducted a cross-sectional study to investigate the sex differences in associations between GM characterized by shotgun sequencing, GM-derived short-chain fatty acids, and 24-hour ambulatory blood pressure in 241 Hong Kong Chinese (113 men and 128 women; mean age, 54±6 years). Results: The hypertensive group was associated with GM alterations; however, significant differences in β-diversity and GM composition in hypertensive versus normotensive groups were only observed in women and not in men under various statistical models adjusting for the following covariates: age, sex, body mass index, sodium intake estimated by spot urine analysis, blood glucose, triglycerides, low- and high-density lipoprotein cholesterol, smoking, menopause, and fatty liver status. Specifically, Ruminococcus gnavus , Clostridium bolteae , and Bacteroides ovatus were significantly more abundant in the hypertensive women, whereas Dorea formicigenerans was more abundant in the normotensive women. No bacterial species were found to be significantly associated with hypertension in men. Furthermore, total plasma short-chain fatty acids and propionic acid were independent predictors of systolic and diastolic blood pressure in women but not men. Conclusions: GM dysregulation was strongly associated with 24-hour ambulatory blood pressure in women but not men, which may be mediated through propionic acid. Our work suggests that sex differences may be an important consideration while assessing the role of GM in the development and treatment of hypertension.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1161/hypertensionaha.122.20752
DOI: 10.1161/HYPERTENSIONAHA.122.20752
الإتاحة: https://doi.org/10.1161/hypertensionaha.122.20752Test
حقوق: https://creativecommons.org/licenses/by-nc-nd/4.0Test/
رقم الانضمام: edsbas.2AF00A9F
قاعدة البيانات: BASE