PMID- 35246806 OWN - NLM STAT- MEDLINE DCOM- 20220330 LR - 20220727 IS - 1976-3794 (Electronic) IS - 1225-8873 (Linking) VI - 60 IP - 4 DP - 2022 Apr TI - Gut microbiota metabolic characteristics in coronary artery disease patients with hyperhomocysteine. PG - 419-428 LID - 10.1007/s12275-022-1451-2 [doi] AB - Hyperhomocysteine (HHcy) is known as a risk factor for coronary artery disease (CAD). Despite the knowledge that gut microbiota related metabolism pathway shares metabolites with that of Hcy, little has been shown concerning the association between HHcy and gut microbiota. To explore their relationship in the context of CAD, 105 patients and 14 healthy controls were recruited from one single medical center located in Beijing, China. Their serum and fecal samples were collected, with multi-omics analyses performed via LC/MS/MS and 16S rRNA gene V3-V4 region sequencing, respectively. Participants from the prospective cohort were divided into CAD, CAD & HHcy and healthy controls (HC) groups based on the diagnosis and serum Hcy concentration. The results revealed significant different metabolic signatures between CAD and CAD & HHcy groups. CAD patients with HHcy suffered a heavier atherosclerotic burden compared to CAD patients, and the difference was closely associated to betaine-homocysteine S-methyltransferase (BHMT)-related metabolites and trimethylamine N-oxide (TMAO)-related metabolites. Dimethylglycine (DMG) exhibited a strong positive correlation with serum total Hcy (tHcy), and TMAO and trimethylysine (TML) were associated with heavier atherosclerotic burden. Multiple other metabolites were also identified to be related to distinct cardiovascular risk factors. Additionally, Clostridium cluster IV and Butyricimonas were enriched in CAD patients with elevated tHcy. Our study suggested that CAD patients with elevated tHcy were correlated with higher atherosclerotic burden, and the impaired Hcy metabolism and cardiovascular risk were closely associated with BHMT-related metabolites, TMAO-related metabolites and impaired gut microbiota homeostasis. CI - (c) 2022. The Microbiological Society of Korea. FAU - Tian, Ran AU - Tian R AD - Department of Cardiology, Peking Union Medical College Hospital, Beijing, 100730, P. R. China. FAU - Liu, Hong-Hong AU - Liu HH AD - Department of Cardiology, Peking Union Medical College Hospital, Beijing, 100730, P. R. China. FAU - Feng, Si-Qin AU - Feng SQ AD - Department of Cardiology, Peking Union Medical College Hospital, Beijing, 100730, P. R. China. FAU - Wang, Yi-Fei AU - Wang YF AD - School of Medicine, Tsinghua University, Beijing, 100084, P. R. China. AD - Department of Cardiology, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, 102218, P. R. China. FAU - Wang, Yi-Yang AU - Wang YY AD - School of Medicine, Tsinghua University, Beijing, 100084, P. R. China. FAU - Chen, Yu-Xiong AU - Chen YX AD - Department of Cardiology, Peking Union Medical College Hospital, Beijing, 100730, P. R. China. FAU - Wang, Hui AU - Wang H AD - Department of Cardiology, Peking Union Medical College Hospital, Beijing, 100730, P. R. China. FAU - Zhang, Shu-Yang AU - Zhang SY AD - Department of Cardiology, Peking Union Medical College Hospital, Beijing, 100730, P. R. China. shuyangzhang103@nrdrs.org. LA - eng PT - Journal Article DEP - 20220304 PL - Korea (South) TA - J Microbiol JT - Journal of microbiology (Seoul, Korea) JID - 9703165 RN - 0 (RNA, Ribosomal, 16S) SB - IM MH - *Coronary Artery Disease MH - *Gastrointestinal Microbiome MH - Humans MH - Prospective Studies MH - RNA, Ribosomal, 16S/genetics MH - Tandem Mass Spectrometry OTO - NOTNLM OT - coronary artery disease OT - gut microbiota OT - hyperhomocysteine OT - trimethylamine n-oxide OT - trimethylysine EDAT- 2022/03/06 06:00 MHDA- 2022/03/31 06:00 CRDT- 2022/03/05 05:31 PHST- 2021/08/30 00:00 [received] PHST- 2021/12/23 00:00 [accepted] PHST- 2021/12/13 00:00 [revised] PHST- 2022/03/06 06:00 [pubmed] PHST- 2022/03/31 06:00 [medline] PHST- 2022/03/05 05:31 [entrez] AID - 10.1007/s12275-022-1451-2 [pii] AID - 10.1007/s12275-022-1451-2 [doi] PST - ppublish SO - J Microbiol. 2022 Apr;60(4):419-428. doi: 10.1007/s12275-022-1451-2. Epub 2022 Mar 4.