Circulation research

Transferring Human Gut Bacteria with CutC Can Increase Platelet Activity and Blood Clot Risk

Updated

Abstract

Microbial cutC-dependent production of trimethylamine (TMA) is sufficient to enhance platelet reactivity and thrombosis potential in mice.

  • Gut microbes produce trimethylamine N-oxide (TMAO), which is linked to cardiovascular disease and thrombosis risks.
  • The generation of TMA, a precursor to TMAO, is regulated by choline TMA-lyases encoded by cutC/D genes in human gut bacteria.
  • Gnotobiotic mice studies demonstrate that microbial cutC gene expression leads to increased TMA production.
  • Heightened platelet reactivity and thrombosis potential were observed in mice colonized with TMA-producing human fecal communities.
  • Targeting the microbial choline TMA-lyase pathway may offer a new approach for treating atherothrombotic heart disease.

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Full Text

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Funding

Competing interests

CONFLICT OF INTEREST. Z.W. and S.L.H. are named as co-inventors on pending and issued patents held by the Cleveland Clinic relating to cardiovascular diagnostics and therapeutics and have the right to receive royalty payment for inventions or discoveries related to cardiovascular diagnostics or therapeutics from Cleveland Heart Lab, Quest Diagnostics and Proctor & Gamble. S.L.H. also reports having been paid as a consultant from Proctor & Gamble and having received research funds from Proctor & Gamble and Roche.
PubMed

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