{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:46:16Z","timestamp":1790628376472,"version":"4.1.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Gut microbiota have been linked to blood lipid levels and cardiovascular diseases (CVDs). The composition and abundance of gut microbiota trophic networks differ between ethnicities. We aim to evaluate the relationship between gut microbiotal trophic networks and CVD phenotypes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We included cross-sectional data from 3860 individuals without CVD history from 6 ethnicities living in the Amsterdam region participating in the prospective Healthy Life in Urban Setting (HELIUS) study. Genetic variants were genotyped, faecal gut microbiota were profiled, and blood and anthropometric parameters were measured. A machine learning approach was used to assess the relationship between CVD risk (Framingham score) and gut microbiota stratified by ethnicity. Potential causal relationships between gut microbiota composition and CVD were inferred by performing two-sample Mendelian randomization with hard CVD events from the Pan-UK Biobank and microbiome genome-wide association studies summary data from a subset of the HELIUS cohort (n = 4117). Microbial taxa identified to be associated with CVD by machine learning and Mendelian randomization were often ethnic-specific, but some concordance across ethnicities was found. The microbes Akkermansia muciniphila and Ruminococcaceae UCG-002 were protective against ischaemic heart disease in African-Surinamese and Moroccans, respectively. We identified a strong inverse association between blood lipids, CVD risk, and the combined abundance of the correlated microbes Christensenellaceae\u2013Methanobrevibacter\u2013Ruminococcaceae (CMR). The CMR cluster was also identified in two independent cohorts and the association with triglycerides was replicated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Certain gut microbes can have a potentially causal relationship with CVD events, with possible ethnic-specific effects. We identified a trophic network centred around Christensenellaceae, Methanobrevibacter, and various Ruminococcaceae, frequently lacking in South-Asian Surinamese, to be protective against CVD risk and associated with low triglyceride levels.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/cvr\/cvae018","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T17:58:43Z","timestamp":1706637523000},"page":"372-384","source":"Crossref","is-referenced-by-count":39,"title":["Networks of gut bacteria relate to cardiovascular disease in a multi-ethnic population: the HELIUS study"],"prefix":"10.1093","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3548-6728","authenticated-orcid":false,"given":"Moritz V","family":"Warmbrunn","sequence":"first","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Institute, Amsterdam UMC, University of Amsterdam , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrika","family":"Boulund","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Institute, Amsterdam UMC, University of Amsterdam , Amsterdam , The Netherlands"},{"name":"Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam , Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Aron-Wisnewsky","sequence":"additional","affiliation":[{"name":"Nutrition and Obesities: Systemic Approaches Research Unit (Nutriomics), Sorbonne Universit\u00e9, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale , Paris , France"},{"name":"Nutrition Department, Assistantea Publique H\u00f4pitaux de Paris, Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Centres de Recherche en Nutrition Humaine , Paris, Ile de France , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus C","family":"de Goffau","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"},{"name":"HorAIzon BV , 2625 GZ Delft , The Netherlands"},{"name":"Tytgat Institute for Liver and Intestinal Research, Amsterdam University Medical Centers , Meibergdreef 69, 1105 BK Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosamel E","family":"Abeka","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Davids","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas R F","family":"Bresser","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"},{"name":"HorAIzon BV , 2625 GZ Delft , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evgeni","family":"Levin","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"},{"name":"HorAIzon BV , 2625 GZ Delft , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine","family":"Clement","sequence":"additional","affiliation":[{"name":"Nutrition and Obesities: Systemic Approaches Research Unit (Nutriomics), Sorbonne Universit\u00e9, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale , Paris , France"},{"name":"Nutrition Department, Assistantea Publique H\u00f4pitaux de Paris, Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Centres de Recherche en Nutrition Humaine , Paris, Ile de France , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrike","family":"Galenkamp","sequence":"additional","affiliation":[{"name":"Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart","family":"Ferwerda","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology and Biostatistics, Amsterdam University Medical Centers , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bert-Jan J H","family":"van den Born","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Kurilshikov","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Groningen, University Medical Center Groningen , Groningen , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyuan","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Genetics, University of Groningen, University Medical Center Groningen , Groningen , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aeilko H","family":"Zwinderman","sequence":"additional","affiliation":[{"name":"Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten R","family":"Soeters","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Internal Medicine, Amsterdam University Medical Centers , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel H","family":"van Raalte","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Amsterdam University Medical Center (UMC), Vrije Universiteit (VU) University Medical Center , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilde","family":"Herrema","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert K","family":"Groen","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Nieuwdorp","sequence":"additional","affiliation":[{"name":"Department of Internal and Vascular Medicine, Amsterdam University Medical Centers , Location AMC, Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"},{"name":"Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam , Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,30]]},"container-title":["Cardiovascular Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/cardiovascres\/advance-article-pdf\/doi\/10.1093\/cvr\/cvae018\/56594148\/cvae018.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/cardiovascres\/article-pdf\/120\/4\/372\/57128366\/cvae018.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/cardiovascres\/article-pdf\/120\/4\/372\/57128366\/cvae018.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T18:23:52Z","timestamp":1711823032000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/cardiovascres\/article\/120\/4\/372\/7593022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,30]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,1,30]]},"published-print":{"date-parts":[[2024,3,30]]}},"URL":"https:\/\/doi.org\/10.1093\/cvr\/cvae018","relation":{},"ISSN":["0008-6363","1755-3245"],"issn-type":[{"value":"0008-6363","type":"print"},{"value":"1755-3245","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,3]]},"published":{"date-parts":[[2024,1,30]]}}}