» Articles » PMID: 34405730

Gut Microbiota and Renin-angiotensin System: a Complex Interplay at Local and Systemic Levels

Overview
Authors
Affiliations
Soon will be listed here.
Abstract

Gut microbiota is a potent biological modulator of many physiological and pathological states. The renin-angiotensin system (RAS), including the local gastrointestinal RAS (GI RAS), emerges as a potential mediator of microbiota-related effects. The RAS is involved in cardiovascular system homeostasis, water-electrolyte balance, intestinal absorption, glycemic control, inflammation, carcinogenesis, and aging-related processes. Ample evidence suggests a bidirectional interaction between the microbiome and RAS. On the one hand, gut bacteria and their metabolites may modulate GI and systemic RAS. On the other hand, changes in the intestinal habitat caused by alterations in RAS may shape microbiota metabolic activity and composition. Notably, the pharmacodynamic effects of the RAS-targeted therapies may be in part mediated by the intestinal RAS and changes in the microbiome. This review summarizes studies on gut microbiota and RAS physiology. Expanding the research on this topic may lay the foundation for new therapeutic paradigms in gastrointestinal diseases and multiple systemic disorders.

Citing Articles

Alterations of the gut microbiota in patients with diabetic nephropathy and its association with the renin-angiotensin system.

Zali F, Absalan A, Bahramali G, Mousavi Nasab S, Esmaeili F, Ejtahed H J Diabetes Metab Disord. 2025; 24(1):69.

PMID: 39989880 PMC: 11842656. DOI: 10.1007/s40200-025-01579-8.


The role of gut-islet axis in pancreatic islet function and glucose homeostasis.

Chen Q, Gao Y, Li F, Yuan L Diabetes Obes Metab. 2025; 27(4):1676-1692.

PMID: 39916498 PMC: 11885102. DOI: 10.1111/dom.16225.


Differences in gut microbial diversity and composition between growth phenotypes of farmed juvenile sandfish, Holothuria scabra.

Tabardillo Jr J, Juinio-Menez M, Reitzel A, Ravago-Gotanco R BMC Microbiol. 2025; 25(1):14.

PMID: 39799280 PMC: 11724480. DOI: 10.1186/s12866-024-03665-y.


The Bidirectional Relationship Between Cardiovascular Medications and Oral and Gut Microbiome Health: A Comprehensive Review.

Dharmarathne G, Kazi S, King S, Jayasinghe T Microorganisms. 2024; 12(11).

PMID: 39597635 PMC: 11596509. DOI: 10.3390/microorganisms12112246.


Comparative study on the bioavailability of peptide extracts from Jeju black pigs and three-way crossbred pigs.

Jeong J, Mariano Jr E, Lee D, Lee S, Kim J, Yun S J Anim Sci Technol. 2024; 66(5):1049-1068.

PMID: 39398300 PMC: 11466743. DOI: 10.5187/jast.2023.e86.


References
1.
Restini C, Fink G, Watts S . Vascular reactivity stimulated by TMA and TMAO: Are perivascular adipose tissue and endothelium involved?. Pharmacol Res. 2020; 163:105273. PMC: 7855790. DOI: 10.1016/j.phrs.2020.105273. View

2.
Feng Q, Liang S, Jia H, Stadlmayr A, Tang L, Lan Z . Gut microbiome development along the colorectal adenoma-carcinoma sequence. Nat Commun. 2015; 6:6528. DOI: 10.1038/ncomms7528. View

3.
Wong T, Debnam E, Leung P . Involvement of an enterocyte renin-angiotensin system in the local control of SGLT1-dependent glucose uptake across the rat small intestinal brush border membrane. J Physiol. 2007; 584(Pt 2):613-23. PMC: 2277173. DOI: 10.1113/jphysiol.2007.138578. View

4.
Saxena P . Interaction between the renin-angiotensin-aldosterone and sympathetic nervous systems. J Cardiovasc Pharmacol. 1992; 19 Suppl 6:S80-8. DOI: 10.1097/00005344-199219006-00013. View

5.
Gawrys-Kopczynska M, Konop M, Maksymiuk K, Kraszewska K, Derzsi L, Sozanski K . TMAO, a seafood-derived molecule, produces diuresis and reduces mortality in heart failure rats. Elife. 2020; 9. PMC: 7334024. DOI: 10.7554/eLife.57028. View