Evidence mapPaperPMID 41220438Full record

ReviewCureus2025

The Role Played by Imidazole Propionic Acid in Modulating Gut-Heart Axis and the Development of Atherosclerosis: An Explorative Review.

Venkata BharatKumar Pinnelli, Jayashankar Ca, Venkataramana Kandi, Spandana P, Manish Gr, Mir Hyder Hussain, Akshay As, Kavitha R, Ramya Jp, Surendra Babu T and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Venkata BharatKumar PinnelliBiochemistry, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Jayashankar CaInternal Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Venkataramana KandiClinical Microbiology, Prathima Institute of Medical Sciences, Karimnagar, IND.
Spandana PGeneral Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Manish GrGeneral Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Mir Hyder HussainGeneral Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Akshay AsGeneral Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Kavitha RGeneral Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Ramya JpGeneral Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Surendra Babu TAnatomy, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Sabitha VadakedathBiochemistry, Prathima Institute of Medical Sciences, Karimnagar, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies have demonstrated the significant role of the normal human microbial component, also known as gut microbiome/gut microbiota (GM). Dysbiosis, or imbalance of GM, can predispose to systemic diseases, including cardiovascular disease (CVD). The GMs' influence extends further to cardiometabolic health, with microbial metabolites playing a pivotal role in these interactions. Traditional risk factors like hyperlipidemia and hypertension are now complemented by emerging evidence implicating GM-derived metabolites in the pathogenesis of atherosclerosis (ATS). Imidazole propionic acid (ImP), a metabolite of histidine derived from GM, has emerged as a significant mediator linking GM dysbiosis to ATS and CVD, or coronary artery disease (CAD). This comprehensive review synthesizes current knowledge on ImP's biosynthesis, molecular mechanisms, clinical relevance, and therapeutic potential, emphasizing its role in the gut-heart axis and cardiovascular pathology. Appropriate keywords, including "microbes", "dysbiosis", "gut microbiota/gut microbiome and cardiovascular disorders", "atherosclerosis and microbes", and "microbial metabolites", among others, were used to extract relevant studies in PubMed and Google Scholar from inception to date. ImP bridges microbial dysbiosis and CVD through endothelial dysfunction, inflammation, and metabolic disturbances. Its production is modifiable by diet and GM composition, positioning ImP as both a biomarker and therapeutic target in ATS and heart failure. Advancing understanding of ImP's biology and clinical impact will enable novel interventions to reduce the global burden of atherosclerotic cardiovascular disease (ASCVD), marking a change in basic assumptions in cardiovascular medicine centered on the gut-heart axis.

Indexed as

atherosclerosisbiomarkercardiovascular diseasecoronary artery diseasedysbiosisgut-heart axisgut microbiomegut microbiotaimidazole propionic acidtherapeutic target

Identifiers

PMID41220438
PMCPMC12602090

What Socratic holds

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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.