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. 2021 Apr 28;73(3):264–272. doi: 10.1016/j.ihj.2021.04.008

Table 1.

Therapeutic Interventions related to Gut microbiota for Cardiometabolic diseases.

Diabetes Mellitus
Study Intervention Patients Comments
Vrieze et al.80 FMT Individuals with MS Improves insulin sensitivity
deGroot et al.81
RCT
Chambers et al.22 SCFA (Propionate) Overweight individuals Stimulates glucose metabolism Improves insulin sensitivity
Bock et al.82 Lactobacillus, Bifidobacterium and Streptococcus strains Individuals with diabetes Decreased FPG and insulinaemia
Meta-analysis
Hypertension
Bartolomaeus et al.83 SCFA (Propionate) Angiotensin II infused wild-type NMRI mice, Reduction in BP
Khalesi et al.84 Probiotics of Lactobacillus, Bifidobacterium, Saccharomyces, Enterococcus and Streptococcus strains Individuals with or without hypertension Significant reduction in BP, especially improvement in lower baseline BP. Significant decrease with long-term intervention
Meta-analysis
Dyslipidaemia/obesity
Jung et al.85 Probiotics of L. gasser Overweight and obese adults Significant reduction in BMI, waist and hip circumference
RCT
Pedret et al.86 Probiotics of B. animalis Abnormal overweigh adults Significant reduction in BMI, abdominal visceral fat and hip circumference
RCT
Reimer et al.87 Prebiotics of Inulin-type fructans Overweight and obese adults Patients reported outcomes of subjective hunger rating and subjective satiety rating is increased. Energy and carbohydrate consumption are also reduced
RCT
Ruscica et al.88 Co-administration of Bifidobacterium/yeast extract Individuals with moderate hypercholesterolemia Decrease in total cholesterol, LDL and triglycerides as well as an increase in HDL
Meta-analysis
Atherosclerosis and CAD
Moludi et al.58 Weight loss diet along with probiotics supplementation LGG Individuals with CVD Improved endotoxemia, by reducing the LPS and TMAO levels. Also improved microbiota profile
Kawase et al.36 L. casei TMC0409 and S. thermophilus TMC1543 Rodents Significant decrease in the atherogenic index
Chen et al.89 L.acidophilus ApoE−/- mice Decrease in Atherosclerotic burden
Chronic Heart failure
Contstanza et al.90 Probiotics of S. boulardii Patients with NYHA II and III, CHF and EF <50% Improvement in ventricular function
RCT Decrease in inflammatory biomarkers
Uremic toxins
Ranganathan et al.91 S. thermophilus, L. acidophilus, and B. longum Patients with CKD Reduction in BUN
de Preter et al.92 Oligofructose-enriched inulin Healthy individuals Decrease in p-cresol

BP: Blood pressure; BMI: Body mass index; BUN: Blood urea nitrogen; CAD: Coronary artery disease; CHF: Congestive heart failure; CKD: Chronic kidney disease CVD: Cardiovascular disease; EF: Ejection fraction; FMT: Fecal Microbiota Transplantation; FPG: Fasting plasma glucose; HDL: High-density lipoproteins; LDL: Low-density lipoproteins; LGG: Lactobacillus rhamnosus GG; LPS: Lipopolysaccharide; MS: Metabolic syndrome; NHYA: New York Heart Association; RCT: Randomized clinical trial.; SCFA: Short chain fatty acids; TAMO: Trimethylamine N-oxide.