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      Gut–Brain Axis in Regulation of Blood Pressure

      review-article
      ,
      Frontiers in Physiology
      Frontiers Media S.A.
      gut microbiota, immune system, autonomic nervous system, butyrate, blood pressure

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          Abstract

          Hypertension (HTN) is an escalating health issue worldwide. It is estimated that 1.56 billion people will suffer from high blood pressure (BP) by 2025. Recent studies reported an association between gut dysbiosis and HTN, thus proposing interesting avenues for novel treatments of this condition. The sympathetic nervous system (SNS) and the immune system (IS) play a recognized role in the onset and progression of HTN, while reciprocal communication between gut microbiota and the brain can regulate BP by modulating the interplay between the IS and SNS. This review presents the current state of the science implicating brain-gut connection in HTN, highlighting potential pathways of their interaction in control of BP.

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          Most cited references162

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          Structure, Function and Diversity of the Healthy Human Microbiome

          Studies of the human microbiome have revealed that even healthy individuals differ remarkably in the microbes that occupy habitats such as the gut, skin, and vagina. Much of this diversity remains unexplained, although diet, environment, host genetics, and early microbial exposure have all been implicated. Accordingly, to characterize the ecology of human-associated microbial communities, the Human Microbiome Project has analyzed the largest cohort and set of distinct, clinically relevant body habitats to date. We found the diversity and abundance of each habitat’s signature microbes to vary widely even among healthy subjects, with strong niche specialization both within and among individuals. The project encountered an estimated 81–99% of the genera, enzyme families, and community configurations occupied by the healthy Western microbiome. Metagenomic carriage of metabolic pathways was stable among individuals despite variation in community structure, and ethnic/racial background proved to be one of the strongest associations of both pathways and microbes with clinical metadata. These results thus delineate the range of structural and functional configurations normal in the microbial communities of a healthy population, enabling future characterization of the epidemiology, ecology, and translational applications of the human microbiome.
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            Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

            Circulation, 135(10)
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              Commensal microbe-derived butyrate induces the differentiation of colonic regulatory T cells.

              Gut commensal microbes shape the mucosal immune system by regulating the differentiation and expansion of several types of T cell. Clostridia, a dominant class of commensal microbe, can induce colonic regulatory T (Treg) cells, which have a central role in the suppression of inflammatory and allergic responses. However, the molecular mechanisms by which commensal microbes induce colonic Treg cells have been unclear. Here we show that a large bowel microbial fermentation product, butyrate, induces the differentiation of colonic Treg cells in mice. A comparative NMR-based metabolome analysis suggests that the luminal concentrations of short-chain fatty acids positively correlates with the number of Treg cells in the colon. Among short-chain fatty acids, butyrate induced the differentiation of Treg cells in vitro and in vivo, and ameliorated the development of colitis induced by adoptive transfer of CD4(+) CD45RB(hi) T cells in Rag1(-/-) mice. Treatment of naive T cells under the Treg-cell-polarizing conditions with butyrate enhanced histone H3 acetylation in the promoter and conserved non-coding sequence regions of the Foxp3 locus, suggesting a possible mechanism for how microbial-derived butyrate regulates the differentiation of Treg cells. Our findings provide new insight into the mechanisms by which host-microbe interactions establish immunological homeostasis in the gut.
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                Author and article information

                Contributors
                Journal
                Front Physiol
                Front Physiol
                Front. Physiol.
                Frontiers in Physiology
                Frontiers Media S.A.
                1664-042X
                25 October 2017
                2017
                : 8
                : 845
                Affiliations
                Department of Physiological Sciences, College of Veterinary Medicine, University of Florida , Gainesville, FL, United States
                Author notes

                Edited by: Elisabeth Lambert, Swinburne University of Technology, Australia

                Reviewed by: Renata Maria Lataro, Medical School of Ribeirão Preto, University of São Paulo, Brazil; Deoclecio Alves Chianca-Jr., Universidade Federal de Ouro Preto, Brazil; Maria Cecilia Giron, Università degli Studi di Padova, Italy

                *Correspondence: Jasenka Zubcevic jasenkaz@ 123456ufl.edu

                This article was submitted to Autonomic Neuroscience, a section of the journal Frontiers in Physiology

                Article
                10.3389/fphys.2017.00845
                5661004
                29118721
                ff16fd91-bb23-41b6-a330-4334108f8950
                Copyright © 2017 Yang and Zubcevic.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 21 July 2017
                : 10 October 2017
                Page count
                Figures: 1, Tables: 0, Equations: 0, References: 161, Pages: 12, Words: 11162
                Funding
                Funded by: American Heart Association 10.13039/100000968
                Award ID: 14SDG18300010
                Categories
                Physiology
                Review

                Anatomy & Physiology
                gut microbiota,immune system,autonomic nervous system,butyrate,blood pressure
                Anatomy & Physiology
                gut microbiota, immune system, autonomic nervous system, butyrate, blood pressure

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