Evidence map›Paper›PMID 41155754›Full record

ReviewMedicina (Kaunas, Lithuania)2025

TMAO and Cardiovascular Disease: Exploring Its Potential as a Biomarker.

Octavian Amaritei, Oana Laura Mierlan, Ciprian Adrian Dinu, Iulia Chiscop, Madalina Nicoleta Matei, Cristian Gutu, Gabriela Gurau

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
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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

7 authors.

Octavian AmariteiFaculty of Medicine and Pharmacy, University "Dunărea de Jos" Galați, 800008 Galați, Romania.ORCID 0009-0002-8932-7431
Oana Laura MierlanFaculty of Medicine and Pharmacy, University "Dunărea de Jos" Galați, 800008 Galați, Romania.ORCID 0009-0002-2390-6027
Ciprian Adrian DinuFaculty of Medicine and Pharmacy, University "Dunărea de Jos" Galați, 800008 Galați, Romania.
Iulia ChiscopFaculty of Medicine and Pharmacy, University "Dunărea de Jos" Galați, 800008 Galați, Romania.
Madalina Nicoleta MateiFaculty of Medicine and Pharmacy, University "Dunărea de Jos" Galați, 800008 Galați, Romania.
Cristian GutuFaculty of Medicine and Pharmacy, University "Dunărea de Jos" Galați, 800008 Galați, Romania.ORCID 0009-0000-5081-3577
Gabriela GurauFaculty of Medicine and Pharmacy, University "Dunărea de Jos" Galați, 800008 Galați, Romania.ORCID 0000-0001-8327-1364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gut microbiota has increasingly been shown to exert effects beyond the gastrointestinal tract, some of which are mediated through its metabolites, such as trimethylamine N-oxide (TMAO)-a compound converted by gut bacteria from dietary choline found predominantly in animal products that is associated with cardiovascular disease (CVD). However, a significant gap persists in human clinical trials assessing its potential causal role. This narrative review aims to present the current understanding of the gut microbiome, TMAO, and their relationship with CVD, while proposing future directions that may support the use of TMAO as a biomarker and guide potential interventions to reduce its harmful impact. Both animal and human studies have demonstrated a link between TMAO and CVD, with animal studies also indicating a causal effect-showing increased cardiovascular risk following TMAO administration and reduced risk when TMAO is eliminated. While direct extrapolation from animal models to humans is limited due to biological differences, these findings offer a foundation for the development of well-designed clinical trials in human populations. Although direct approaches to target TMAO-such as trimethylamine (TMA) lyase inhibitors and antisense oligonucleotide (ASO) therapy-have shown promising results in animal studies, they have yet to be investigated in human trials, leaving indirect strategies such as dietary changes and probiotics as the only currently available options.

Indexed as

BiomarkersCardiovascular DiseasesMethylaminesAnimalsGastrointestinal MicrobiomeHumansBiomarkersMethylaminestrimethyloxamineatherosclerosiscardiovascular diseasecholinegut microbiomeTMAO

Identifiers

PMID41155754
PMCPMC12565763

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.