The Role of Gut Microbiota in Hypertension Management - A Review

Introduction and purpose: Hypertension, or high blood pressure, is a condition characterized by persistently elevated arterial pressure, leading to severe complications such as heart disease, stroke, and kidney failure. According to the World Health Organization (WHO), hypertension affects approxim...

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Main Authors: Alicja Kot, Marta Wojtczak, Natalia Myśliwiec, Adrian Różycki, Michał Pniak, Paweł Miklis, Maciej Mawlichanów, Aleksandra Ciesielska, Aleksandra Sieradzka, Krzysztof Szerej
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-02-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/57655
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author Alicja Kot
Marta Wojtczak
Natalia Myśliwiec
Adrian Różycki
Michał Pniak
Paweł Miklis
Maciej Mawlichanów
Aleksandra Ciesielska
Aleksandra Sieradzka
Krzysztof Szerej
author_facet Alicja Kot
Marta Wojtczak
Natalia Myśliwiec
Adrian Różycki
Michał Pniak
Paweł Miklis
Maciej Mawlichanów
Aleksandra Ciesielska
Aleksandra Sieradzka
Krzysztof Szerej
author_sort Alicja Kot
collection DOAJ
description Introduction and purpose: Hypertension, or high blood pressure, is a condition characterized by persistently elevated arterial pressure, leading to severe complications such as heart disease, stroke, and kidney failure. According to the World Health Organization (WHO), hypertension affects approximately 1.13 billion people worldwide, contributing significantly to global morbidity and mortality. Emerging research has revealed a significant connection between gut microbiota—the diverse community of microorganisms residing in the gastrointestinal tract—and the regulation of blood pressure. This comprehensive review explores the intricate relationship between gut microbiota and hypertension, delving into the underlying mechanisms, evidence from animal and human studies, and potential therapeutic interventions. The state of knowledge: Key mechanisms involved into regulation of blood pressure include the production of short- chain fatty acids (SCFAs), modulation of the renin-angiotensin system (RAS), immune system regulation, and metabolite production such as trimethylamine-N-oxide (TMAO). Animal studies using fecal microbiota transplantation (FMT) have provided strong evidence for a causal role of gut microbiota in blood pressure regulation. Human studies have shown associations between gut microbiota composition and hypertension, highlighting the potential for dietary interventions, probiotics, prebiotics, physical activity and FMT as therapeutic strategies. Summary: This review underscores the promise of microbiota-targeted therapies in managing hypertension and calls for further research to elucidate precise mechanisms and develop personalized medicine approaches. Understanding the complex interactions between gut microbiota and hypertension could pave the way for innovative treatments and improved cardiovascular health outcomes.
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publisher Nicolaus Copernicus University in Toruń
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spelling doaj-art-0134bbbe7e2e43ee890540049267c0352025-02-12T08:26:26ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-02-013810.12775/QS.2025.38.57655The Role of Gut Microbiota in Hypertension Management - A ReviewAlicja Kot0https://orcid.org/0009-0001-2999-6775Marta Wojtczak1https://orcid.org/0009-0007-0032-7520Natalia Myśliwiec2https://orcid.org/0000-0002-4359-9899Adrian Różycki3https://orcid.org/0000-0002-9110-5443Michał Pniak4https://orcid.org/0009-0006-2982-6078Paweł Miklis5https://orcid.org/0009-0008-4578-233XMaciej Mawlichanów6https://orcid.org/0000-0002-6543-8105Aleksandra Ciesielska7https://orcid.org/0009-0000-5015-6140Aleksandra Sieradzka8https://orcid.org/0009-0004-2281-7617Krzysztof Szerej9https://orcid.org/0009-0003-7581-4965Medical Univeristy of Warsaw, Żwirki i Wigury 61, 02-901 Warsaw, PolandCounty Health Center in Otwock Sp. z o.o. Otwock, PolandNational Medicine Institute of the Ministry of the Interior and Administration, Wołoska 137, 02-507 Warsaw, PolandMedica Plus Family Clinic Sp. z o. o., Gdańsk, PolandJohn Paul II Memorial Masovia Provincial Hospital in Siedlce, PolandUniversity Clinical Center of the Medical University of Warsaw, PolandMilitary Institute of Medicine, Warsaw PolandMazovian Rehabilitation Center "STOCER" Sp. z o.o. Railway Hospital in Pruszków: Pruszków, PLMedical Univeristy of Warsaw, Żwirki i Wigury 61, 02-901 Warsaw, PolandDistrict Hospital in Sochaczew, Batalionów Chłopskich 3/7, Sochaczew, Poland, Introduction and purpose: Hypertension, or high blood pressure, is a condition characterized by persistently elevated arterial pressure, leading to severe complications such as heart disease, stroke, and kidney failure. According to the World Health Organization (WHO), hypertension affects approximately 1.13 billion people worldwide, contributing significantly to global morbidity and mortality. Emerging research has revealed a significant connection between gut microbiota—the diverse community of microorganisms residing in the gastrointestinal tract—and the regulation of blood pressure. This comprehensive review explores the intricate relationship between gut microbiota and hypertension, delving into the underlying mechanisms, evidence from animal and human studies, and potential therapeutic interventions. The state of knowledge: Key mechanisms involved into regulation of blood pressure include the production of short- chain fatty acids (SCFAs), modulation of the renin-angiotensin system (RAS), immune system regulation, and metabolite production such as trimethylamine-N-oxide (TMAO). Animal studies using fecal microbiota transplantation (FMT) have provided strong evidence for a causal role of gut microbiota in blood pressure regulation. Human studies have shown associations between gut microbiota composition and hypertension, highlighting the potential for dietary interventions, probiotics, prebiotics, physical activity and FMT as therapeutic strategies. Summary: This review underscores the promise of microbiota-targeted therapies in managing hypertension and calls for further research to elucidate precise mechanisms and develop personalized medicine approaches. Understanding the complex interactions between gut microbiota and hypertension could pave the way for innovative treatments and improved cardiovascular health outcomes. https://apcz.umk.pl/QS/article/view/57655hypertensiongut microbiotashort chain fatty acidsfecal microbiota transplantationprobioticstrimethylamine-N-oxide
spellingShingle Alicja Kot
Marta Wojtczak
Natalia Myśliwiec
Adrian Różycki
Michał Pniak
Paweł Miklis
Maciej Mawlichanów
Aleksandra Ciesielska
Aleksandra Sieradzka
Krzysztof Szerej
The Role of Gut Microbiota in Hypertension Management - A Review
Quality in Sport
hypertension
gut microbiota
short chain fatty acids
fecal microbiota transplantation
probiotics
trimethylamine-N-oxide
title The Role of Gut Microbiota in Hypertension Management - A Review
title_full The Role of Gut Microbiota in Hypertension Management - A Review
title_fullStr The Role of Gut Microbiota in Hypertension Management - A Review
title_full_unstemmed The Role of Gut Microbiota in Hypertension Management - A Review
title_short The Role of Gut Microbiota in Hypertension Management - A Review
title_sort role of gut microbiota in hypertension management a review
topic hypertension
gut microbiota
short chain fatty acids
fecal microbiota transplantation
probiotics
trimethylamine-N-oxide
url https://apcz.umk.pl/QS/article/view/57655
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