Gut microbiota dysbiosis promotes coronary heart disease comorbid with depression through lipopolysaccharides and Toll-like receptor 4

From BugSigDB
Needs review
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI Uniform resource identifier for web resources.
Authors
Pan Y., Luo Y., Wu G., Lu Y., Yang P., Kong P., Zheng C., Wang C., Yang L., Li X.
Journal
BMC microbiology
Year
2025
Keywords:
Coronary heart disease, Depression, Gut microbiota, Lipopolysaccharides, TLR4 receptors
Coronary heart disease (CHD) and depression often coexist and complicate patient care. The gut microbiota plays a crucial role in overall health and is involved in both conditions. Dysbiosis, particularly, increased levels of lipopolysaccharides (LPSs), can activate the Toll-like receptor 4 (TLR4), triggering inflammatory pathways associated with CHD and depression. Although some associations have been observed, the direct mechanistic association among gut dysbiosis, LPSs, TLR4 activation, and comorbidity of CHD and depression remains unclear. Thus, in the present study, we aimed to explore this association and the potential of modulating gut microbiota as a therapeutic strategy.  METHODS: A rat model of CHD and depression was established using a high-fat diet and chronic unpredictable mild stress and verified by electrocardiogram, behavioral assessments, and cardiac marker analysis. Fecal microbiota transplantation (FMT) was performed by transferring microbiota from diseased rats to healthy rats (FMT-Disease group); the fecal microbiota of the rats from the FMT-Disease and FMT-Normal groups were compared. The TLR4 inhibitor TAK-242 was administered, creating the Disease + TAK-242 and FMT-Disease-TAK-242 groups. Gut microbiota composition was analyzed using 16 S rRNA high-throughput sequencing; LPS levels were measured using enzyme-linked immunosorbent assay. Polymerase chain reaction and western blotting were used to detect the expression of genes and proteins related to the TLR4/MYD88/NF-κB pathway in the heart and hippocampus, respectively.  RESULTS: We confirmed that in the FMT-Disease group, the gut microbiota of diseased rats altered the gut microbial composition of healthy rats in terms of β-diversity, α-diversity, and community structure. Notably, LPS levels in the serum of FMT-Disease rats were elevated, thereby activating the TLR4/MYD88/NF-κB inflammatory pathway and increasing susceptibility to CHD comorbid with depression. Additionally, after receiving fecal microbiota from healthy rats, the Disease group showed a restoration of gut microbiota balance, improvement in general condition, and normalization of pathological, biochemical, and inflammatory indicators, indicating a suppressive effect on the progression of CHD with depression.  CONCLUSION: Our findings further clarify the interrelationship between gut microbiota and CHD comorbid with depression, enhancing our understanding of its pathogenesis. Moreover, we propose a potential novel therapeutic strategy that focuses on modulating gut microbiota composition to block the TLR4/MYD88/NF-κB inflammatory pathway.

Experiment 1


Needs review

Curated date: 2025/10/21

Curator: Nina Takang

Revision editor(s): Nina Takang

Subjects

Location of subjects
China
Host species Species from which microbiome was sampled. Contact us to have more species added.
Rattus norvegicus
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Response to transplant Response to transplant,response to transplant
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy rats receiving autologous fecal matter transplant
Group 1 name Corresponds to the case (exposed) group for case-control studies
Healthy rats receiving fecal matter transplant from diseased rats
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Healthy rats receiving fecal microbiota transplantation from rats with coronary heart disease comorbid with depression (CHDWD), leading to altered gut microbiota composition and development of disease-like symptoms including weight loss, decreased appetite, and depressive behaviors
Group 0 sample size Number of subjects in the control (unexposed) group
7
Group 1 sample size Number of subjects in the case (exposed) group
7

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V3-V4
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
Mann-Whitney (Wilcoxon)
T-Test
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
No


Signature 1

Needs review

Curated date: 2025/10/21

Curator: Nina Takang

Revision editor(s): Nina Takang

Source: Figure 3, Table 2

Description: Increased in Group 1 (Fecal matter transplant-Disease compared to Fecal matter transplant-Normal)

Abundance in Group 1: increased abundance in Healthy rats receiving fecal matter transplant from diseased rats

NCBI Quality ControlLinks
Allobaculum
Bifidobacterium
Candidatus Parasutterella gallistercoris
Enterorhabdus
Oligella
Pygmaiobacter
Turicibacter
[Eubacterium]_nodatum_group[Eubacterium]_nodatum_group
Lachnospiraceae_FCS020_groupLachnospiraceae_FCS020_group

Revision editor(s): Nina Takang

Signature 2

Needs review

Curated date: 2025/10/21

Curator: Nina Takang

Revision editor(s): Nina Takang

Source: Figure 3, Table 2

Description: Decreased in Group 1 (Fecal matter transplant-Disease compared to Fecal matter transplant-Normal)

Abundance in Group 1: decreased abundance in Healthy rats receiving fecal matter transplant from diseased rats

NCBI Quality ControlLinks
Abiotrophia
Anaerovibrio
Odoribacter
Paludicola
Tyzzerella
UCG_004UCG_004
Coriobacteriaceae_UCG_002Coriobacteriaceae_UCG_002
[Eubacterium]_ventriosum_group[Eubacterium]_ventriosum_group

Revision editor(s): Nina Takang

Experiment 2


Needs review

Curated date: 2025/10/21

Curator: YokoC

Revision editor(s): YokoC

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Coronary artery disease , Depressive disorder Arterioscleroses, Coronary,Arteriosclerosis, Coronary,Artery Disease, Coronary,Artery Diseases, Coronary,Atheroscleroses, Coronary,Atherosclerosis, Coronary,CAD,CHD,CHD (coronary heart disease),CHD - Coronary heart disease,Coronary Arterioscleroses,Coronary Arteriosclerosis,coronary arteriosclerosis,CORONARY ARTERY DIS,Coronary Artery Disease,coronary artery disease,coronary artery disease or disorder,Coronary Artery Diseases,Coronary Atheroscleroses,Coronary Atherosclerosis,CORONARY DIS,Coronary Disease,coronary disease,Coronary Diseases,CORONARY HEART DIS,coronary heart disease,Coronary Heart Diseases,disease of coronary artery,disease or disorder of coronary artery,Disease, Coronary,Disease, Coronary Artery,Disease, Coronary Heart,Diseases, Coronary,Diseases, Coronary Artery,Diseases, Coronary Heart,disorder of coronary artery,Heart Disease, Coronary,Heart Diseases, Coronary,Coronary artery disease,depression,melancholia,melancholias,mental depression,syndrome, depressive,syndromes, depressive,Depressive disorder,depressive disorder
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Control
Group 1 name Corresponds to the case (exposed) group for case-control studies
Diseased model
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Male Sprague–Dawley rats that were used to establish a model of coronary heart disease comorbid with depression (CHDWD). The model was induced through a high-fat diet, chronic unpredictable mild stress (CUMS), and a coronary artery ligation surgery. Rats that met the predefined diagnostic criteria were considered successfully modeled.

Lab analysis

Statistical Analysis

Statistical test
T-Test


Signature 1

Needs review

Curated date: 2025/10/21

Curator: YokoC

Revision editor(s): YokoC

Source: Table 1, Figure 2b, Text in Results - CHDWD altered gut microbiota composition

Description: Table showing the significant differences and direction of the genera in the control and CHDWD model. Figure showing barplots of the differential abundance in phyla.

Abundance in Group 1: increased abundance in Diseased model

NCBI Quality ControlLinks
Campylobacterota
Candidatus Soleaferrea
Candidatus Stoquefichus
Dorea
Odoribacter
Parabacteroides
Staphylococcus
Thomasclavelia
uncultured Clostridium sp.
[Ruminococcus] gauvreauii group[Ruminococcus] gauvreauii group
Lachnospiraceae UCG 006Lachnospiraceae UCG 006
Family XIII UCG 001Family XIII UCG 001

Revision editor(s): YokoC

Signature 2

Needs review

Curated date: 2025/10/21

Curator: YokoC

Revision editor(s): YokoC

Source: Table 1

Description: Table showing the significant differences and direction of the genera in the control and CHDWD model.

Abundance in Group 1: decreased abundance in Diseased model

NCBI Quality ControlLinks
Allofournierella
Bacteroidales incertae sedis
Oribacterium
Ruminococcus
Streptococcus
Thermodesulfobacteriota
Escherichia/ShigellaEscherichia/Shigella
Prevotellaceae Ga6A1 groupPrevotellaceae Ga6A1 group
Bacteroidales RF16 groupBacteroidales RF16 group
[Eubacterium] coprostanoligenes group[Eubacterium] coprostanoligenes group
uncultured bacterium

Revision editor(s): YokoC