Evidence map›Paper›PMID 40640887›Full record

ArticleJournal of translational medicine2025

Gut microbiota dysbiosis exacerbates heart failure by the LPS-TLR4/NF-κB signalling axis: mechanistic insights and therapeutic potential of TLR4 inhibition.

Chunlei Zhang, Xiaodong Teng, Qiuhang Cao, Yanyan Deng, Mo Yang, Lei Wang, Daorong Rui, Xiu Ling, Cao Wei, Yue Chen and 2 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Chunlei Zhang *The Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Xiaodong Teng *The Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Qiuhang Cao *The Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Yanyan DengThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Mo YangThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Lei WangThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Daorong RuiThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Xiu LingThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Cao WeiThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Yue ChenThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China.
Dasheng LuThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China. ldslds@126.com.
Hongxiang ZhangThe Second Affiliated Hospital of Wannan Medical College Department of Cardiology, Wuhu, AnHui, China. zhang_hxx@126.com.ORCID 0000-0002-2098-3062

Funding

National Natural Science Foundation of China 81800445Natural Science Fund of Wuhu science and Technology Bureau 2021yf41
6 · The paper itself

Abstract

objectiveThis study aimed to investigate the associations between gut microbiota dysbiosis and alterations in cardiac function and to elucidate the underlying molecular mechanisms involved.

methodsEighteen rats were divided into a control group (n = 6), a heart failure (HF) group (n = 6), and a TAK-242 intervention group (n = 6). Cardiac function was assessed using small-animal echocardiography. Serum levels of brain natriuretic peptide (BNP) and inflammatory cytokines were measured by ELISA. Western blotting was used to detect phosphorylated p65 (P-p65) protein expression in myocardial tissue, and 16 S rRNA sequencing was performed to analyse the composition of the faecal gut microbiota.

resultsCompared with the control group, the heart failure group presented significant gut microbiota dysbiosis, characterized by increased relative abundance of Bacteroidetes and Spirochaetes and decreased relative abundance of Actinobacteria and Proteobacteria, along with reduced species diversity. The serum levels of lipopolysaccharide (LPS), IL-1β, IL-17, IL-6, and TNF-α were significantly elevated (P < 0.05). Myocardial tissue pathology revealed disordered myocardial fibre arrangement and significant lymphocyte infiltration. TAK-242 intervention normalized the gut microbiota composition; reduced LPS and inflammatory cytokine levels; improved the left ventricular ejection fraction (LVEF) and left ventricular fractional shortening (LVFS); and decreased the left ventricular end-systolic diameter (LVESD), left ventricular end-diastolic diameter (LVEDD), and BNP levels. Myocardial tissue pathology also improved. Western blot analysis revealed increased TLR4 、P-IKBα/ IKBα and P-p65/p65 expressions in the heart failure group, which were significantly inhibited by TAK-242 (P < 0.05).

conclusionGut microbiota dysbiosis exacerbates heart failure by activating myocardial inflammation through the LPS-TLR4/NF-κB signalling pathway. By modulating this pathway, TAK-242 improves cardiac function, suggesting its potential as a therapeutic target for heart failure. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

DysbiosisGastrointestinal MicrobiomeHeart FailureLipopolysaccharidesNF-kappa BSignal TransductionToll-Like Receptor 4AnimalsCytokinesInflammationMaleMyocardiumRatsRats, Sprague-DawleySulfonamidesCytokinesethyl 6-(N-(2-chloro-4-fluorophenyl)sulfamoyl)cyclohex-1-ene-1-carboxylateLipopolysaccharidesNF-kappa BSulfonamidesToll-Like Receptor 4Gut microbiotaHeart failureLipopolysaccharidePhosphorylated p65 proteinTLR4/NF-κB signalling pathway

Identifiers

PMID40640887
PMCPMC12243407

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.