Evidence map›Paper›PMID 41199864›Full record

SynthesisFrontiers in endocrinology2025

Angiotensin converting enzyme inhibitors and angiotensin receptor blockers impact on the gut microbiome: a systematic review.

Elisabeth M Wang, Abdulwhab Shremo Msdi, Vy N Quach, Selena Q Nguyen, Emily Quach, Jinhee Jo, Taryn A Eubank, Kevin W Garey, Natalie Rosario

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Elisabeth M Wang *College of Pharmacy, University of Houston, Houston, TX, United States.
Abdulwhab Shremo Msdi *College of Pharmacy, University of Houston, Houston, TX, United States.
Vy N QuachCollege of Pharmacy, University of Houston, Houston, TX, United States.
Selena Q NguyenCollege of Pharmacy, University of Houston, Houston, TX, United States.
Emily QuachCollege of Pharmacy, University of Houston, Houston, TX, United States.
Jinhee JoCollege of Pharmacy, University of Houston, Houston, TX, United States.
Taryn A EubankCollege of Pharmacy, University of Houston, Houston, TX, United States.
Kevin W GareyCollege of Pharmacy, University of Houston, Houston, TX, United States.
Natalie RosarioCollege of Pharmacy, University of Houston, Houston, TX, United States.

Funding

VENOUS: A translational study of enterococcal bacteremiaR01AI148342 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ARIAS, CESAR AUGUSTO · 2020 to 2024
$3.9M
Clinical Impact of the Cefazolin Inoculum EffectR01AI173138 · NIAID · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Cesar Augusto Arias · 2023 to 2026
$2.6M
POR Program on Genomic Prediction of Antimicrobial Resistance in VREK24AI121296 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ARIAS, CESAR AUGUSTO · 2016 to 2025
$1.5M
Texas Medical Center Training Program in Antimicrobial ResistanceT32AI141349 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI GARSIN, DANIELLE A · 2019 to 2023
$1.3M
NIAID NIH HHS K24 AI121296NIAID NIH HHS R01 AI148342NIAID NIH HHS R01 AI173138NIAID NIH HHS T32 AI141349
6 · The paper itself

Abstract

Background: Inhibition of the renin-angiotensin system (RAS) may influence gut microbial composition and blood pressure, yet current evidence remains limited. This review examines how angiotensin-converting enzyme inhibitors (ACEis) and angiotensin receptor blockers (ARBs) modify gut microbiome composition, function, and blood pressure regulation. Methods: We conducted a systematic search of MEDLINE and EMBASE from inception to September 2025 using terms including "human," "rat," "angiotensin converting enzyme inhibitor," "angiotensin receptor blocker," and "gut microbiome." Eligible studies were required to report changes in microbiome diversity, bacterial composition, or short-chain fatty acids (SCFAs) associated with ACEi/ARB treatment across animal or human models. Data extraction and risk of bias assessments were performed independently by multiple reviewers. Results: After deduplication, 642 retrieved articles were filtered and nine met inclusion criteria (eight in rodent models, one human study). ACEi/ARB administration in animals was associated with increased microbial diversity, restoration of intestinal oxygen balance, and enrichment of SCFA-producing anaerobic genera such as Conclusions: ACEi and ARB therapies appear to reshape gut microbiome structure and metabolic function, promoting SCFA-producer expansion, improved gut barrier integrity, and modulation of microbial taxa linked to inflammation and hypertension. However, human data is limited, and further transitional research is needed to confirm these findings.

Indexed as

Angiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsGastrointestinal MicrobiomeAnimalsBlood PressureHumansHypertensionRenin-Angiotensin SystemAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsACEi (angiotensin-converting enzyme inhibitor)ARB (angiotensin II receptor blocker)dysbiosishypertensionmicrobiome

Identifiers

PMID41199864
PMCPMC12588817

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.