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Causality of Opportunistic Pathogen Klebsiella pneumoniae to Hypertension Development

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机构: [1]Hypertension Center, FuWai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, Xicheng District, Beijing, Chi-na [2]Heart Center and Beiing Key L aboratory of Hy- pertension, Beijing Chaoyang Hospital, Capital Medical University, China [3]Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, China [4]School of Medicine, Institute of L aboratory Animal Sciences, Jinan University, Guangzhou, China [5]Guangzhou Key Laboratory for Germ-Free Animal and Microbiome Application, China [6]Yunnan University of Chinese Medicine, Kunming, China [7]State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, China
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Previous studies have reported a strong association between gut microbiome and hypertension; yet, the exact bacterial species associated with the disease development and progression have not yet been detected. This study aimed to investigate whether opportunistic pathogen Klebsiella pneumoniae is a causal factor for hypertension pathogenesis, and explore the potential mechanisms.The enrichment of Klebsiella pneumoniae in the gut of patients with hypertension was validated by meta-analysis based on 3 independent cohorts. Klebsiella pneumoniae was inoculated into germ-free mice, antibiotic pretreated and conventional mice.Klebsiella pneumoniae led to higher blood pressure, slight cardiac hypertrophy, and enhanced contractility of resistant arteries in recipient mice. Moreover, Klebsiella pneumoniae induced pathological damages, deficiency of tight junction proteins and transcriptional shifts. Metabolic alterations, especially the depletion of stearoylethanolamide, were observed upon Klebsiella pneumoniae administration. In addition, renal transcriptome dysfunction with significant upregulation of genes related to hypertension pathogenesis was observed in Klebsiella pneumoniae treated mice.These results provide evidence that the enrichment of Klebsiella pneumoniae acts as a direct contributor to blood pressure elevation and hypertension pathogenesis, and Klebsiella pneumoniae induced intestinal damages, fecal metabolic changes, and renal shifts may be integrated mediators.

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出版当年[2022]版:
大类 | 1 区 医学
小类 | 1 区 外周血管病
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 外周血管病
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出版当年[2022]版:
Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Hypertension Center, FuWai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, Xicheng District, Beijing, Chi-na [2]Heart Center and Beiing Key L aboratory of Hy- pertension, Beijing Chaoyang Hospital, Capital Medical University, China
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通讯机构: [1]Hypertension Center, FuWai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, Xicheng District, Beijing, Chi-na [4]School of Medicine, Institute of L aboratory Animal Sciences, Jinan University, Guangzhou, China [5]Guangzhou Key Laboratory for Germ-Free Animal and Microbiome Application, China [6]Yunnan University of Chinese Medicine, Kunming, China [7]State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, China [*1]Hypertension Center, Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, State Key Laboratory of Cardiovascular Disease of China, National Center for Cardiovascular Diseases of China, Xicheng District, North Lishi Rd, No. 167, Beijing 100037, China [*2]State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China [*3]School of Medicine, Institute of Laboratory Animal Sciences, Zhuhai Institute of Translational Medicine, Zhuhai People’s Hospital, Jinan University, Guangzhou 510632, China
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