Evidence mapPaperPMID 41678593Full record

ReviewCirculation research2026

Gut-Heart Axis in Myocardial Repair: Mechanisms, Cross-Organ Networks, and Therapeutic Opportunities.

Hung-Chih Chen, Tony W H Tang, Sumi Nani Novita Pasaribu, Deng-Chyang Wu, Federico E Rey, Patrick C H Hsieh

Abstract readReview
In one paragraph

Review in Circulation research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
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.

Hung-Chih ChenInstitute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan (H.-C.C., T.W.H.T., S.N.N.P., P.C.H.H.).ORCID 0000-0002-2579-9723
Tony W H TangInstitute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan (H.-C.C., T.W.H.T., S.N.N.P., P.C.H.H.).
Sumi Nani Novita PasaribuInstitute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan (H.-C.C., T.W.H.T., S.N.N.P., P.C.H.H.).ORCID 0009-0001-4363-5095
Deng-Chyang WuDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan (D.C.W.).
Federico E ReyDepartment of Bacteriology and Department of Medical Microbiology and Immunology, University of Wisconsin-Madison, Madison, WI 53706 (F.E.R.).ORCID 0000-0002-0239-7780
Patrick C H HsiehInstitute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan (H.-C.C., T.W.H.T., S.N.N.P., P.C.H.H.).ORCID 0000-0002-8910-3596

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular diseases remain the leading global cause of morbidity and mortality, placing an escalating burden on health care systems and economies. While the gut microbiota is well recognized in atherosclerosis and cardiometabolic disorders, its influence on myocardial injury, repair, and regeneration is only beginning to emerge. Growing evidence reveals that gut microbes and their metabolites regulate myocardial health through intricate cross-organ networks, including the gut-brain-heart, gut-liver-heart, and gut-lung-heart axes. These findings suggest that the heart plays a key role in systemic host-microbe communication. Advances in metagenomics, metabolomics, and single-cell transcriptomics are now defining the molecular and cellular pathways by which microbial metabolites modulate immune tone, endothelial integrity, metabolic resilience, and cardiomyocyte survival. Studies in gnotobiotic models have established causal links between specific microbial taxa and myocardial outcomes while illuminating their roles in fibrosis resolution, angiogenesis, and regeneration. In this review, we synthesize current knowledge on the bidirectional gut-heart dialogue, emphasizing immunometabolic signaling, cross-organ integration, and regenerative mechanisms. We propose that coupling high-resolution multiomics with mechanistic modeling in controlled microbial systems will be pivotal for next-generation, microbiota-informed diagnostics, and therapeutics. We explore the emerging role of the gut-myocardium axis as both a driver of disease and as a promising modifiable therapeutic target and highlight a new frontier in precision cardiovascular medicine, with the potential to transform strategies for prevention, repair, and tissue regeneration.

Indexed as

Gastrointestinal MicrobiomeHeartHeart DiseasesMyocardiumRegenerationAnimalsHumansMultiomicscardiovascular diseasesdietgastrointestinal microbiomeheart failurestroke volume

Identifiers

PMID41678593
PMCPMC12904235

What Socratic holds

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LicenceCC BY-NC-ND
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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.