腸内細菌が産生するパルミチン酸が高脂肪食と心血管疾患の血栓リスクを結びつける(Gut Microbiota-produced Palmitic Acid Links High-fat Diet to Thrombosis Risk in Cardiovascular Disease)

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2025-08-04 中国科学院(CAS)

中国科学院昆明動物研究所の頼仁教授とトロント大学のNI Heyu教授らは、高脂肪食が腸内細菌由来のパルミチン酸(PA)を介して心血管疾患(CVD)の血栓リスクを高める新たな経路を解明した(Cell Reports Medicine掲載)。研究では、CVD患者は健常者に比べ血中PA濃度と凝固亢進状態が有意に高く、腸内細菌BT属の存在量も約2.18倍だった。PAは生理的抗凝固系の重要因子APCを阻害し、血小板活性化を促進することが判明。マウス実験ではBT定着がPA上昇と凝固亢進を引き起こす因果関係を確認した。高脂肪食はBTの定着とPA増加を促進し、結果的に血栓形成を誘発する。さらに安価な食品由来フラボノイドであるヘスペリジンがPA-APC相互作用を阻害し、この凝固亢進を防ぐことも発見された。

腸内細菌が産生するパルミチン酸が高脂肪食と心血管疾患の血栓リスクを結びつける(Gut Microbiota-produced Palmitic Acid Links High-fat Diet to Thrombosis Risk in Cardiovascular Disease)
The mechanism of the high-fat diet-gut microbiota-palmitic acid axis in thrombosis. (Image by HUANG Xiaoshan)

<関連情報>

高脂肪食は、腸内細菌Bacteroides thetaiotaomicronによって産生される循環中のパルミチン酸を増やし、血栓形成を促進する High-fat diet increases circulating palmitic acid produced by gut Bacteroides thetaiotaomicron to promote thrombosis

Xiaoshan Huang ∙ Xiaopeng Tang ∙ Qiuyue He ∙ … ∙ James Mwangi ∙ Heyu Ni, ∙ Ren Lai
Cell Reports Medicine  Published:July 31, 2025
DOI:https://doi.org/10.1016/j.xcrm.2025.102260

Highlights

  • PA has a direct procoagulant effect by inhibiting APC and enhancing platelet activation
  • BT can produce PA
  • HFD promotes the colonization of BT to increase circulating PA and exacerbate thrombosis
  • Hesperidin blocks the interaction between PA and APC to prevent thrombosis induced by PA

Summary

Circulating palmitic acid (PA) is generally considered to be provided from diets and endogenous synthesis and is adversely correlated with cardiovascular disease (CVD). It is unknown, however, if gut microbiota modulates circulating PA and potentiates CVD risk. Here we demonstrate that, in CVD patients, elevated circulating PA is accompanied with hypercoagulability and high gut Bacteroides thetaiotaomicron (BT) abundance. PA promotes coagulation by inhibiting a major endogenous anticoagulant activated protein C (APC) and enhancing platelet activation. Importantly, BT is capable of synthesizing PA, and high-fat diet amplifies gut BT colonization. Our findings show that BT transplantation elevates plasma PA and triggers hypercoagulation without alternating host lipogenesis. Hesperidin, a dietary flavonoid, inhibits PA-APC interaction to prevent hypercoagulation induced by PA or BT transplantation. Collectively, we reveal the promotion of high-fat diet on gut BT colonization that elevates circulating PA and CVD risk, suggesting an approach controlling CVD by targeting PA and BT.

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