YANG Xiaohe,WANG Xuesen,WANG Jia,et al.Relationship between spleen-intestinal flora and CAD combined with cognitive impairment and regulation role of traditional Chinese medicine[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):239-245.
YANG Xiaohe,WANG Xuesen,WANG Jia,et al.Relationship between spleen-intestinal flora and CAD combined with cognitive impairment and regulation role of traditional Chinese medicine[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(02):239-245. DOI: 10.16025/j.1674-1307.2026.02.017.
Relationship between spleen-intestinal flora and CAD combined with cognitive impairment and regulation role of traditional Chinese medicine
The coexistence of coronary artery disease (CAD) and cognitive impairment is a common clinical phenomenon. Studies have shown that the intestinal flora plays an important role in the pathogenesis of diseases such as metabolic disorders, neurodegenerative diseases, and cardiovascular diseases. In traditional Chinese medicine (TCM), the physiological functions of the "spleen" are considered similar to those of the intestinal flora. Chinese herbal medicines focusing on "strengthening the spleen" can regulate the function and structure of the intestinal flora, reduce inflammatory responses, and have demonstrated definite efficacy in the treatment of cardiovascular and neurological diseases. The intestinal flora may serve as a new entry point for the treatment of CAD complicated with cognitive impairment.
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WHITTY C , MACEWEN C , GODDARD A , et al . Rising to the challenge of multimorbidity [J ] . BMJ , 2020 , 368 : l6964 .
MOU Y , DU Y , ZHOU L , et al . Gut microbiota interact with the brain through systemic chronic inflammation: implications on neuroinflammation, neurodegeneration, and aging [J ] . Front Immunol , 2022 , 13 : 796288 .
KOWALSKI K , MULAK A . Brain-gut-microbiota axis in alzheimer's disease [J ] . J Neurogastroenterol Motil , 2019 , 25 ( 1 ): 48 - 60 .
LIU F , DUAN M , FU H , et al . Orthopedic surgery causes gut microbiome dysbiosis and intestinal barrier dysfunction in prodromal alzheimer disease patients: a prospective observational cohort study [J ] . Ann Surg , 2022 , 276 ( 2 ): 271 - 280 .
HE J , LIU Y , LI J , et al . Intestinal changes in permeability, tight junction and mucin synthesis in a mouse model of Alzheimer's disease [J ] . Int J Mol Med , 2023 , 52 ( 6 ): 113 .
ULLAH H , ARBAB S , TIAN Y , et al . Crosstalk between gut microbiota and host immune system and its response to traumatic injury [J ] . Front Immunol , 2024 , 15 : 1413485 .
NATION DA , SWEENEY MD , MONTAGNE A , et al . Blood-brain barrier breakdown is an early biomarker of human cognitive dysfunction [J ] . Nat Med , 2019 , 25 ( 2 ): 270 - 276 .
SÁNCHEZ-TAPIA M , MIMENZA-ALVARADO A , GRANADOS-DOMÍNGUEZ L , et al . The gut microbiota–brain axis during aging, mild cognitive impairment and dementia: role of tau protein, β-amyloid and LPS in serum and curli protein in stool [J ] . Nutrients , 2023 , 15 ( 4 ): 932 .
LOFFREDO L , IVANOV V , CIOBANU N , et al . Low-grade endotoxemia and NOX2 in patients with coronary microvascular angina [J ] . Kardiol Pol , 2022 , 80 ( 9 ): 911 - 918 .
CARNEVALE R , NOCELLA C , PETROZZA V , et al . Localization of lipopolysaccharide from Escherichia coli into human atherosclerotic plaque [J ] . Sci Rep , 2018 , 8 ( 1 ): 3598 .
ZHAN X , STAMOVA B , SHARP FR . Lipopolysaccharide associates with amyloid plaques, neurons and oligodendrocytes in alzheimer's disease brain: a review [J ] . Front Aging Neurosci , 2018 , 10 : 42 .
ZHEN J , ZHOU Z , HE M , et al . The gut microbial metabolite trimethylamine N-oxide and cardiovascular diseases [J ] . Front Endocrinol (Lausanne) , 2023 , 14 : 1085041 .
ZEISEL SH , WARRIER M . Trimethylamine N-Oxide, the microbiome, and heart and kidney disease [J ] . Annu Rev Nutr , 2017 , 37 : 157 - 181 .
WANG Z , KLIPFELL E , BENNETT BJ , et al . Gut flora metabolism of phosphatidylcholine promotes cardiovascular disease [J ] . Nature , 2011 , 472 ( 7341 ): 57 - 63 .
ZHU W , GREGORY JC , ORG E , et al . Gut microbial metabolite TMAO enhances platelet hyperreactivity and thrombosis risk [J ] . Cell , 2016 , 165 ( 1 ): 111 - 124 .
SUN X , JIAO X , MA Y , et al . Trimethylamine N-oxide induces inflammation and endothelial dysfunction in human umbilical vein endothelial cells via activating ROS-TXNIP-NLRP3 inflammasome [J ] . Biochem Biophys Res Commun , 2016 , 481 ( 1-2 ): 63 - 70 .
WU K , YUAN Y , YU H , et al . The gut microbial metabolite trimethylamine N-oxide aggravates GVHD by inducing M1 macrophage polarization in mice [J ] . Blood , 2020 , 136 ( 4 ): 501 - 515 .
ZHANG Y , JIAN W . Signal pathways and intestinal flora through trimethylamine N-oxide in Alzheimer's Disease [J ] . Curr Protein Pept Sci , 2023 , 24 ( 9 ): 721 - 736 .
BRUNT VE , LAROCCA TJ , BAZZONI AE , et al . The gut microbiome-derived metabolite trimethylamine N-oxide modulates neuroinflammation and cognitive function with aging [J ] . Geroscience , 2021 , 43 ( 1 ): 377 - 394 .
CHEN M L , ZHU X H , RAN L , et al . Trimethylamine-N-oxide induces vascular inflammation by activating the NLRP3 inflammasome through the SIRT3-SOD2-mtROS signaling pathway [J ] . J Am Heart Assoc , 2017 , 6 ( 9 ): e006347 .
TÖNNIES E , TRUSHINA E . Oxidative stress, synaptic dysfunction, and Alzheimer's Disease [J ] . J Alzheimers Dis , 2017 , 57 ( 4 ): 1105 - 1121 .
CHEN W , ZHANG S , WU J , et al . Butyrate-producing bacteria and the gut-heart axis in atherosclerosis [J ] . Clin Chim Acta , 2020 , 507 : 236 - 241 .
CANYELLES M , BORRÀS C , ROTLLAN N , et al . Gut microbiota-derived TMAO: a causal factor promoting atherosclerotic cardiovascular disease? [J ] . Int J Mol Sci , 2023 , 24 ( 3 ): 1940 .
CHEN H , LIU Q , LIU X , et al . Berberine attenuates septic cardiomyopathy by inhibiting TLR4/NF-κB signalling in rats [J ] . Pharm Biol , 2021 , 59 ( 1 ): 121 - 128 .
SELDIN MM , MENG Y , QI H , et al . Trimethylamine N-Oxide promotes vascular inflammation through signaling of mitogen-activated protein kinase and nuclear factor-κB [J ] . J Am Heart Assoc , 2016 , 5 ( 2 ): e002767 .
YIN J , YANG J , ZHAO B , et al . Experimental Evidence of buyang huanwu decoction and related modern preparations (Naoxintong Capsule and Yangyin Tongnao Granule) in treating cerebral ischemia: intestinal microorganisms and transcriptomics in rats [J ] . Evid Based Complement Alternat Med , 2022 : 4016935 .
DURAIRAJAN SS , HUANG YY , YUEN PY , et al . Effects of Huanglian-Jie-Du-Tang and its modified formula on the modulation of amyloid-β precursor protein processing in Alzheimer's disease models [J ] . PLoS One , 2014 , 9 ( 3 ): e92954 .