A gut microbiome-kidney-heart axis predictive of future cardiovascular diseases
Artikel i vetenskaplig tidskrift, 2026

Cardiovascular diseases (CVD) remain a major global health challenge. Early markers of disease initiation and progression are urgently needed. We, and others, have previously shown changes in the gut microbiome in association with metabolic and CVD. Here, we demonstrate that gut microbiome-related changes can be detected in association with subclinical variations in heart and kidney function. Markers related to gut microbial metabolism of aromatic amino acids, phenylalanine and tyrosine, associate with circulating pro-atrial natriuretic peptide and estimated glomerular filtration rate in a metabolically healthy European population. Observational and genetic evidence further identify microbiome-related metabolites as mediators of this gut microbiome-kidney axis, with their baseline levels associating with incident CVD in an external Canadian population. Altogether, our work suggests that the gut microbiome interacts with the cardiorenal axis and participates in an interorgan crosstalk affecting host physiology and risk of CVD.

Författare

Kanta Chechi

Department of Metabolism

National Heart and Lung Institute

Rima Chakaroun

Wallenberg Lab.

Universität Leipzig

Antonis Myridakis

Department of Metabolism

Sofia K. Forslund

Max Delbrueck Centrum Fuer Molekulare Medizin

Deutsches Zentrum für Herz-Kreislauf-Forschung e. V.

Charité Universitätsmedizin Berlin

Sebastien Fromentin

Université Paris-Saclay

Trine Nielsen

Sjællands Universitetshospital

Steno Diabetes Center

Köpenhamns universitet

Novo Nordisk Fonden

Judith Aron-Wisneswky

Université Pierre et Marie Curie (UPMC)

Assistance publique – Hôpitaux de Paris (AP-HP)

Eugeni Belda

Université Pierre et Marie Curie (UPMC)

Edi Prifti

Université Pierre et Marie Curie (UPMC)

Pierre Bel-Lassen

Université Pierre et Marie Curie (UPMC)

Assistance publique – Hôpitaux de Paris (AP-HP)

Gwen Falony

KU Leuven

Flanders Interuniversity Institute for Biotechnology

University Medical Center Mainz

Wageningen University and Research

Sara Vieira-Silva

KU Leuven

University Medical Center Mainz

Flanders Interuniversity Institute for Biotechnology

Universite catholique de Louvain

J. Chilloux

Department of Metabolism

Kazuhiro Sonomura

Shimadzu Corporation

L. Hoyles

Nottingham Trent University

Department of Metabolism

Laura Martinez-Gili

Department of Metabolism

Francesco Pallotti

Università degli Studi di Enna “Kore”

Department of Metabolism

Petros Andrikopoulos

Department of Metabolism

Francesc Puig-Castellvi

CHU Lille

Romina Pacheco Tapia

CHU Lille

Inés Castro-Dionicio

CHU Lille

Hugo Roume

Université Paris-Saclay

Nicolas Pons

Université Paris-Saclay

Emmanuelle Le Chatelier

Université Paris-Saclay

Benoit Quinquis

Université Paris-Saclay

Nathalie Galleron

Université Paris-Saclay

Magali Berland

Université Paris-Saclay

Michael Olanipekun

Department of Metabolism

Manyi Jia

Department of Metabolism

Angelos Manolias

Department of Metabolism

Bridget Holmes

Danone Research

Food and Agriculture Organization of the United Nations

Solia Adriouch

Université Pierre et Marie Curie (UPMC)

M. Bluher

Universität Leipzig

Luis P. Coelho

European Molecular Biology Laboratory

Kévin Da Silva

Université Paris-Saclay

Pilar Galan

Inserm Transfert

Boyang Ji

BioInnovation Institute

Chalmers, Life sciences, Systembiologi

Ana Luisa Neves

Imperial College London

Department of Metabolism

Christine Rouault

Université Pierre et Marie Curie (UPMC)

Joe-Elie Salem

Assistance publique – Hôpitaux de Paris (AP-HP)

Valentina Tremaroli

Wallenberg Lab.

Tue H. Hansen

Köpenhamns universitet

Sjællands Universitetshospital

Novo Nordisk Fonden

Nadja B. Søndertoft

Novo Nordisk Fonden

Christian Lewinter

Novo Nordisk Fonden

Helle K. Pedersen

Novo Nordisk Fonden

Peter D. Mark

Rigshospitalet

Jens P. Goetze

Rigshospitalet

Lars Køber

Köpenhamns universitet

Rigshospitalet

H. Vestergaard

Novo Nordisk Fonden

Steno Diabetes Center

Torben Hansen

Novo Nordisk Fonden

Syddansk Universitet

Jean-Daniel Zucker

Université Pierre et Marie Curie (UPMC)

Taka Aki Sato

Shimadzu Corporation

Serge Hercberg

Inserm Transfert

Fredrik Bäckhed

Wallenberg Lab.

Sahlgrenska universitetssjukhuset

Ivica Letunic

Universität Heidelberg

Biobyte Solutions

Jean-Michel Oppert

Assistance publique – Hôpitaux de Paris (AP-HP)

Jens B Nielsen

Chalmers, Life sciences, Systembiologi

BioInnovation Institute

Jeroen Raes

KU Leuven

Flanders Interuniversity Institute for Biotechnology

Ioanna Tzoulaki

Academy of Athens

Imperial College London

Department of Metabolism

Abbas Dehghan

Department of Metabolism

Imperial College London

Verena Zuber

Department of Metabolism

Imperial College London

MRC Centre for Environment and Health

Emmanuelle Bouzigon

Inserm Transfert

Mark Lathrop

McGill University

Parminder Raina

McMaster University

Philippe Froguel

CHU Lille

Imperial College London

Fumihiko Matsuda

Kyoto University

Florence Demenais

Inserm Transfert

Dominique Gauguier

McGill University

Centre national de la recherche scientifique (CNRS)

Kyoto University

M. Stumvoll

Universität Leipzig

Peer Bork

Max Delbrueck Centrum Fuer Molekulare Medizin

Universität Heidelberg

European Molecular Biology Laboratory

O. B. Pedersen

Köpenhamns universitet

Gentofte Hospital

Novo Nordisk Fonden

Stanislav Dusko Ehrlich

Université Paris-Saclay

University College London (UCL)

K. Clement

Assistance publique – Hôpitaux de Paris (AP-HP)

Université Pierre et Marie Curie (UPMC)

Marc-Emmanuel Dumas

Department of Metabolism

McGill University

National Heart and Lung Institute

CHU Lille

Nature Communications

2041-1723 (ISSN) 20411723 (eISSN)

Vol. 17 1

Ämneskategorier (SSIF 2025)

Mikrobiologi inom det medicinska området

Kardiologi och kardiovaskulära sjukdomar

Endokrinologi och diabetes

DOI

10.1038/s41467-026-69405-0

PubMed

41786749

Mer information

Senast uppdaterat

2026-04-24