Evidence mapPaperPMID 40862134Full record

SynthesisFrontiers in microbiology2025

Gut microbiota regulate atherosclerosis via the gut-vascular axis: a scoping review of mechanisms and therapeutic interventions.

Dezhi Zhang, Xiaoqing He, Yewei Shi, Xinyue Chen, Kai Yu, Shuang Wang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dezhi Zhang *Department of General Practice, The First Hospital of China Medical University, Shenyang, China.
Xiaoqing He *Department of General Practice, The First Hospital of China Medical University, Shenyang, China.
Yewei ShiDepartment of Orthopedics and Traumatology, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Xinyue ChenDepartment of General Practice, The First Hospital of China Medical University, Shenyang, China.
Kai YuDepartment of General Practice, The First Hospital of China Medical University, Shenyang, China.
Shuang WangDepartment of General Practice, The First Hospital of China Medical University, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atherosclerosis (AS) is a chronic inflammatory and metabolic disease, and advancements in its treatment have long been hampered by the complexity of its underlying mechanisms. The newly proposed "gut-vascular axis" theory holds promise for systematically elucidating the interactions between gut microbiota (GM) and vascular homeostasis. This provides a novel research framework for formulating precise preventive and therapeutic strategies against AS. Objective: To explore the mechanisms by which GM and their metabolites regulate AS via the gut-vascular axis, and the potential application of intervention strategies targeting this axis in the prevention and treatment of AS. Methods: Following the methods of a scoping review, we searched the databases Cochrane Library, Embase, PubMed and Web of Science, and the search period was from January 1, 2014, to July 25, 2024. Two researchers individually reviewed the basic characteristics of the included studies. Results: A total of articles were retrieved, identified 3556 articles and 192 of which were ultimately included in the study. The results are divided into three main sections, including the impact of GM and gut microbial metabolites (GMMs) on AS, and how various intervention factors can influence AS by influencing the composition of the GM. Conclusion: Based on the gut-vascular axis theory, a multi-target combined intervention strategy has been proposed, encompassing probiotics/prebiotics regulation and precise nutritional interventions, thereby establishing novel approaches for AS prevention and treatment. Future research should prioritize the integration of artificial intelligence (AI) with multi-omics technologies to comprehensively decipher the interaction mechanisms between microbial metabolic networks and vascular pathologies within the gut-vascular axis framework. This interdisciplinary approach will promote the advancement of AS management toward emerging personalized precision medicine. Systematic review registration: 10.17605/OSF.IO/X8WQM.

Indexed as

atherosclerosisgut microbiotagut-vascular axismetabolitespathogenesistreatment strategies

Identifiers

PMID40862134
PMCPMC12370700

What Socratic holds

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Registered trials

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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.