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Journal of translational medicine · 2026

Distinct gut microbiome profiles characterize obese and non-obese patients with atherosclerosis: a metagenomic analysis.

СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Issilbayeva Argul, Vinogradova Elizaveta, Chulenbayeva Laura, Kozhakhmetov Samat, Jarmukhanov Zharkyn, Myrzakhmetova Gulzhan, Umriukhin Aleksei, Andossova Saltanat, Bekbossynova Makhabbat, Kushugulova Almagul

Аннотация

BACKGROUND: Obesity is widely recognized as an aggravating risk factor for atherosclerosis (AS), yet the effects of obesity on AS-associated microbiome dysbiosis are not sufficiently characterized. This study aims to identify the contribution of obesity-related dysbiosis in AS.

METHODS: Using shotgun metagenomic sequencing, we studied gut microbiome composition and functional capacity across non-obese AS patients (AS-NOB, BMI < 30, n = 93), age-sex-matched non-obese controls (Ctrl-NOB, BMI < 30, n = 27), and obese AS patients (AS-OB, BMI ≥ 30, n = 68).

RESULTS: Gut community composition differed significantly across study groups (PERMANOVA F = 3.23, p = 0.001). Among metadata, obesity had the strongest effect (F = 3.1, p < 0.01) on the microbiome structure of AS patients. Furthermore, obese AS patients demonstrated a decrease in species richness and evenness (p < 0.05). Taxonomic and functional analysis further suggested that obesity does not simply aggravate AS-associated gut dysbiosis but instead redirects it towards a distinct community state, characterized by a Prevotella expansion that consistently opposes the rest of the bacterial community. Among AS microbiome markers, an increase was detected in Pseudomonadota (Proteobacteria), Bilophila, Dysosmobacter, and Faecalibacterium.

CONCLUSION: Taken together, these results suggest that pathological expansion of Prevotella, potentially in conjunction with reduced alpha diversity, may represent a putative indicator of increased risk in AS patients, particularly within populations where the Prevotella enterotype or subtype is prevalent, warranting further investigation.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты