益生元通过调节肠道微生物群组成和功能改善血压控制:一项系统评价和荟萃分析。

Prebiotics Improve Blood Pressure Control by Modulating Gut Microbiome Composition and Function: A Systematic Review and Meta-Analysis.

作者信息

Shremo Msdi Abdulwhab, Wang Elisabeth M, Garey Kevin W

机构信息

Department of Pharmacy Practice and Translational Research, College of Pharmacy, University of Houston, 4349 Martin Luther King Boulevard, Houston, TX 77204, USA.

出版信息

Nutrients. 2025 Jul 30;17(15):2502. doi: 10.3390/nu17152502.

Abstract

Ingestion of dietary fibers (DFs) is a safe and accessible intervention associated with reductions in blood pressure (BP) and cardiovascular mortality. However, the mechanisms underlying the antihypertensive effects of DFs remain poorly defined. This systematic review and meta-analysis evaluates how DFs influence BP regulation by modulating gut microbial composition and enhancing short-chain fatty acid (SCFA) production. MEDLINE and EMBASE were systematically searched for interventional studies published between January 2014 and December 2024. Eligible studies assessed the effects of DFs or other prebiotics on systolic BP (SBP) and diastolic BP (DBP) in addition to changes in gut microbial or SCFA composition. Of the 3010 records screened, nineteen studies met the inclusion criteria (seven human, twelve animal). A random-effects meta-analysis was conducted on six human trials reporting post-intervention BP values. Prebiotics were the primary intervention. In hypertensive cohorts, prebiotics significantly reduced SBP (-8.5 mmHg; 95% CI: -13.9, -3.1) and DBP (-5.2 mmHg; 95% CI: -8.5, -2.0). A pooled analysis of hypertensive and non-hypertensive patients showed non-significant reductions in SBP (-4.5 mmHg; 95% CI: -9.3, 0.3) and DBP (-2.5 mmHg; 95% CI: -5.4, 0.4). Animal studies consistently showed BP-lowering effects across diverse etiologies. Prebiotic interventions restored bacterial genera known to metabolize DFs to SCFAs (e.g., , , and ) and increased SCFA levels. Mechanistically, SCFAs act along gut-organ axes to modulate immune, vascular, and neurohormonal pathways involved in BP regulation. Prebiotic supplementation is a promising strategy to reestablish BP homeostasis in hypertensive patients. Benefits are likely mediated through modulation of the gut microbiota and enhanced SCFA production.

摘要

摄入膳食纤维(DFs)是一种安全且易于实施的干预措施,与血压(BP)降低及心血管疾病死亡率下降相关。然而,膳食纤维降压作用的潜在机制仍不清楚。本系统综述和荟萃分析评估了膳食纤维如何通过调节肠道微生物组成和增加短链脂肪酸(SCFA)生成来影响血压调节。对MEDLINE和EMBASE进行了系统检索,以查找2014年1月至2024年12月期间发表的干预性研究。符合条件的研究除了评估膳食纤维或其他益生元对肠道微生物或短链脂肪酸组成的变化外,还评估了其对收缩压(SBP)和舒张压(DBP)的影响。在筛选的3010条记录中,有19项研究符合纳入标准(7项人体研究,12项动物研究)。对6项报告干预后血压值的人体试验进行了随机效应荟萃分析。主要干预措施为益生元。在高血压队列中

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8afa/12348426/e1a71363ca2e/nutrients-17-02502-g001.jpg

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