Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha.
Department of Pharmacy, First hospital of Nanchang, Nanchang.
J Hypertens. 2024 Mar 1;42(3):460-470. doi: 10.1097/HJH.0000000000003613. Epub 2023 Nov 16.
Hypertension is linked to gut dysbiosis. Here, the impact of the angiotensin receptor antagonist irbesartan on the gut microbiota of spontaneously hypertensive rats (SHR) were investigated. In addition, we assessed their contribution to its antihypertensive effect.
Eight-week-old Wistar-Kyoto (WKY) rats and SHR were administered irbesartan for 8 weeks. Fecal microbiota transplantation (FMT) was performed from SHR treated with irbesartan or untreated SHR to recipient untreated SHR. The preventive effect of Lactobacillus on hypertension in SHR was evaluated. Blood pressure (BP) was calculated using a tail-sleeve sphygmomanometer. To better assess the composition of the gut microbiota, the V3-V4 region of the 16S rRNA gene was amplified while short-chain fatty acids (SCFAs) in feces were tested by liquid chromatography-mass spectrometry/mass spectrometry (LC-MS/MS).
Irbesartan restored gut dysbiosis, increased the abundance of Lactobacillus , and improved anti-inflammatory ability, antioxidative ability, intestinal integrity, and intestinal inflammation in SHR. The microbiota in SHR-treated irbesartan could reduce BP and improve antioxidative ability and gut integrity in SHR. Lactobacillus johnsonii ( L. johnsonii ) and Lactobacillus reuteri ( L. reuteri ) reduced BP, restored gut dysbiosis and improved anti-inflammatory ability, antioxidative ability, intestinal integrity in SHR. Most notably, irbesartan, L. johnsonii , and L. reuteri can significantly increase SCFA content in SHR feces.
The current study demonstrated that irbesartan treatment ameliorated gut dysbiosis in SHR. Irbesartan induced alterations in gut microbiota, with increased prevalence of Lactobacillus .
高血压与肠道菌群失调有关。本研究旨在探讨血管紧张素受体拮抗剂厄贝沙坦对自发性高血压大鼠(SHR)肠道微生物群的影响,并评估其对其降压作用的贡献。
将 8 周龄的 Wistar-Kyoto(WKY)大鼠和 SHR 给予厄贝沙坦治疗 8 周。将接受厄贝沙坦治疗或未接受治疗的 SHR 的粪便微生物群移植(FMT)给未接受治疗的 SHR 受体。评估乳杆菌对 SHR 高血压的预防作用。使用尾套式血压计计算血压(BP)。为了更好地评估肠道微生物群的组成,扩增了 16S rRNA 基因的 V3-V4 区,同时通过液相色谱-质谱/质谱(LC-MS/MS)测试粪便中的短链脂肪酸(SCFA)。
厄贝沙坦恢复了 SHR 的肠道菌群失调,增加了乳杆菌的丰度,并改善了 SHR 的抗炎能力、抗氧化能力、肠道完整性和肠道炎症。经厄贝沙坦治疗的 SHR 肠道微生物群可降低 SHR 的血压,并改善 SHR 的抗氧化能力和肠道完整性。乳杆菌约翰逊(L. johnsonii)和乳杆菌雷特(L. reuteri)可降低 SHR 的血压,恢复 SHR 的肠道菌群失调,改善其抗炎能力、抗氧化能力和肠道完整性。值得注意的是,厄贝沙坦、L. johnsonii 和 L. reuteri 可显著增加 SHR 粪便中 SCFA 的含量。
本研究表明,厄贝沙坦治疗可改善 SHR 的肠道菌群失调。厄贝沙坦诱导肠道微生物群发生改变,增加了乳杆菌的流行。