Gut Bacteria Blamed For Heart Disease
But the microbiome and the surge in advertising for probiotics to
promote 'healthy' gut bacteria has implicated red meat again - this time
by correlating a nutrient that the authors say is changed by gut
bacteria into an atherosclerosis-causing metabolite, which means
hardening of the arteries.
Writing in Cell Metabolism, Dr. Stanley Hazen, of the Cleveland
Clinic and colleagues implicated a bacteria in the gut that converts
L-carnitine, a nutrient abundant in red meat, into a compound called
trimethylamine, which in turn changes to a metabolite named
trimethylamine-N-oxide (TMAO), which promotes atherosclerosis. Now they
believe another metabolite, called gamma-butyrobetaine, is generated to
an even greater extent by gut bacteria after L-carnitine is ingested,
and it too contributes to atherosclerosis.
The researchers found that gamma-butyrobetaine is produced as an
intermediary metabolite by microbes at a rate that is 1,000-fold higher
than the formation of trimethylamine in the gut, making it the most
abundant metabolite generated from dietary L-carnitine by microbes in
the mouse models examined. Moreover, gamma-butyrobetaine can itself be
converted into trimethylamine and TMAO. Interestingly, however, the
bacteria that produce gamma-butyrobetaine from L-carnitine are different
from the bacterial species that produce trimethylamine from
L-carnitine.
That's not causation but they believe it is important that metabolism of
L-carnitine involves two different gut microbial pathways, as well as
different types of bacteria, and to them this suggests new targets for
preventing atherosclerosis—for example, by inhibiting various bacterial
enzymes or shifting gut bacterial composition with probiotics and other
treatments.
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