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Gut microbiota composition and interactions with diet: dysbiosis in heart failure is partly related to lower fiber intake

Session Young Investigator Award - Basic Science and Translational Science

Speaker Cristiane Mayerhofer

Event : Heart Failure 2019

  • Topic : heart failure
  • Sub-topic : Heart Failure with Reduced Ejection Fraction
  • Session type : Young Investigator Award Abstracts

Authors : C Mayerhofer (Oslo,NO), M Kummen (Oslo,NO), K Holm (Oslo,NO), K Broch (Oslo,NO), A Awoyemi (Oslo,NO), B Vestad (Oslo,NO), C Storm-Larsen (Oslo,NO), I Seljeflot (Oslo,NO), T Ueland (Oslo,NO), P Bohov (Bergen,NO), RK Berge (Bergen,NO), A Svardal (Bergen,NO), L Gullestad (Oslo,NO), JR Hov (Oslo,NO), M Troseid (Oslo,NO)

C Mayerhofer1 , M Kummen2 , K Holm2 , K Broch1 , A Awoyemi3 , B Vestad2 , C Storm-Larsen2 , I Seljeflot3 , T Ueland2 , P Bohov4 , RK Berge4 , A Svardal4 , L Gullestad1 , JR Hov2 , M Troseid5 , 1Oslo University Hospital, Department of Cardiology Rikshospitalet - Oslo - Norway , 2Oslo University Hospital, Research Institute of Internal Medicine - Oslo - Norway , 3Oslo University Hospital, Department of Cardiology Ullevål - Oslo - Norway , 4University of Bergen - Bergen - Norway , 5Oslo University Hospital, Section of Clinical Immunology and Infectious diseases - Oslo - Norway ,


Objectives: To explore differences in the gut microbiota between patients with heart failure (HF) and healthy controls with a particular focus on associations with diet, etiology and disease severity. Background: Recent reports have suggested alterations in the gut microbiota of patients with HF. Associations with diet remain largely uninvestigated. Methods: The microbiota composition of two independent, cross-sectional cohorts (discovery, n=40 and validation, n=44) of patients with systolic HF and healthy controls (n=266) were characterized by sequencing of the bacterial 16S rRNA gene. Dietary and metabolite data were available for the validation cohort and follow-up data were available for the discovery cohort. Results: The overall microbial community (beta diversity) differed between patients with HF and healthy controls in both cohorts (P<0.05). Patients with HF had a lower Firmicutes/Bacteroidetes (F/B)-ratio than controls (P=0.005), with a decreasing trend going from healthy controls via ischemic HF to non-ischemic HF (p for trend <0.05). Patients reaching a clinical endpoint (heart transplant or death) showed lower alpha diversity and lower F/B-ratio compared to healthy controls (P<0.01). Meat intake was associated with levels of trimethylamine-N-oxide (P=0.016). Finally, bacterial richness and abundance of several genera in the Firmicutes phylum were positively associated with fiber intake. Conclusions: The gut microbiota composition in chronic HF was characterized by a decreased F/B ratio, which was associated with etiology and clinical outcome. The dysbiosis in patients with HF was related to low fiber intake, thus dietary patterns should be included in future studies, both as covariates and potential treatment targets.

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