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Gut bacteria linked to fatty deposits in heart arteries - researchers discovered link between levels of certain bacteria in the gut microbiome and coronary atherosclerotic plaques, which are formed by the build-up of fatty and cholesterol deposits, and a major cause of heart attacks. (ahajournals.org)
submitted 1d ago by mvea
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Author: u/mvea
URL: https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.123.063914

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SaltZookeepergame691 106 points 1d ago
At this stage, purely associative at a single point in time, in a selective cohort.

If you look close enough, you’ll see tens of thousands of cohort-level differences between those with plaques and those without. The hard bit is working which of these lie on the causal pathway.

Not to say that work like this isn’t somewhat interesting - but it is the very first step in a very long process, and if we press-released every paper reporting cross-sectional gut microbe species associations with X/Y/Z we wouldn’t have time to read anything else!
Manisbutaworm 29 points 1d ago
yeah, what to make of it is difficult. Its far form surprising a certain diet gives rise to a certain set of gut bacteria. Whether these actually have a role in forming atherosclerosis is not known from this. It could be that that the diet is the cause, and the presence of bacteria is coincidental. it could be that the bacteria are sole causative agents of the disease and the diet is feeding the bacteria. Or (most likely) some wildly more complex interactions.
loup-garou3 3 points 18h ago
The title sounds very different from the reddit posted headline : "Streptococcus Species Abundance in the Gut Is Linked to Subclinical Coronary Atherosclerosis in 8973 Participants From the SCAPIS Cohort"
MrGooseHerder 1 points 2h ago
Basically every cell is wrapped in cholesterol. The cholesterol deposits are actually bandaids to repair damage done to the endothelium by sugar in the blood acting like a sand blaster.

Doctors see the cholesterol deposits and recommend "heart healthy grains" that exacerbate the issue. The gut bacteria probably don't cause anything but help digest foods high in sugar that cause the damage cholesterol try to repair.
mvea [OP] 15 points 1d ago
I’ve linked to the primary source, the journal article, in the post above. In this comment, for those interested, here’s the link to the press release: https://www.mynewsdesk.com/uu/pressreleases/gut-bacteria-linked-to-fatty-deposits-in-heart-arteries-3264220
OldDog47 29 points 1d ago
This article is typical of many science articles today. There are two issues here.

One is that people in general are not able to assess and interpret what is presented. This is a skill of critical thinking that many people do not possess. As science has progressed people's ability to understand science has lagged behind. This is not just an issue with science but also in social, political and economic arenas as well. The proliferation of misinformation and its acceptance by the populace is a more generalized feature of lack of critical thinking skills. A large contributor to this lack will probably be found in educational curricula that has not kept abreast of the complexity of science and other disciplines.

On the other hand, science has not done a particularly good job of presenting its complex findings to the public in a manner that facilitates the publics ability assimilate the information and draw an appropriate conclusion.

An example is this article, which while interesting and intriguing typifies the above arguments. On the science side it fails to guide understanding about what *accociation* (gut microbiota to heart disease) might mean. Association might be anything from causal to comorbidity to no relation whatsoever. This might have been addressed more explicitly in conclusion statement. On the public side, what will the average person take away from the article... *OH my God ... too much Strepptococci in my gut is causing heart disease!*... without, too much critical thinking.

The reality of the article is that there is much about the relationship of gut microbiota to health states that is not well understood. In praise of the article, it illustrates the level of science involved in exploring this complex issue but it is not to be taken as conclusive.

As a modern society we need to be more critical in how we present information and in how we receive and understand it.
Rawrin23 3 points 20h ago
Will kombucha save me?
Zenoisright 2 points 18h ago
Throw in some Kimchee and sauerkraut for good measure.
johnboy5678 1 points 11h ago
No. It's a hoax. It is only the acid acid that has any value and you can get that with so many other (and healthy) produce
RabidPanda95 5 points 20h ago
Trash article just from reading the title. It’s been known for a long time that a poor diet leads to a poor distribution of certain bacterial species in the GI system. A poor diet also leads to arterial atherosclerosis.
AdkRaine12 2 points 17h ago
And some bacterial colonies seem to promote chronic inflammation; and we know chronic inflammation can wreak all kinds of havoc in all kinds of bodily systems.
_CMDR_ 2 points 19h ago
The question is whether terrible diet makes the gut bacteria live there or not. I suspect it does as eating a lot of fiber isn’t available to a lot of people.
AdkRaine12 2 points 17h ago
Some hypothesize that what you feed your gut is as important as what you feed your body; the type and amount of roughage (or lack thereof) promotes bacterial flora by what it feeds on and then flourishes in your gut. But there are billions of bacteria setting up shop or dying in there,and colonies shifting all the time so there's a lot to look at.
_CMDR_ 2 points 16h ago
Easy and cheap way to get lots of fiber is carrots. Raw carrots.
RougeRoguelike 5 points 1d ago
I drink a couple swallows of kefir everyday with lunch, hopefully this protects me from these evil microbes.
HorsesMeow 2 points 1d ago
It's as good, or better than buttermilk. I think quality kefir is better.
FillThisEmptyCup 2 points 12h ago
Yogurt is a poor probiotic, as I guess kefir will be as well. Unpasteurized sauerkraut has at least 100x the probiotics for amount.

Anyway, neither kefir nor sauerkraut will undo bad diet. Gut bacteria need prebiotic (fiber) and not just seeding (probiotic). It would be like growing plants in a pot by continually adding new seeds but no fertilizer.
johnboy5678 2 points 11h ago
Great point. Unfortunately, the general public doesn't really get this.
Adventurous_Tap_7348 1 points 1d ago
Bookmark to read on my break
bonerjam 1 points 17h ago
(not a scientist, layman opinion)The thing that I feel these gut bacteria studies seem to ignore is that the bacteria that exists in the gut is the type of bacteria that thrives on the type of food being eaten. People who eat a ton of broccoli are going to have a type of gut bacteria that thrives on broccoli, while people who eat a ton of fried chicken will have bacteria that thrives on fried chicken.

It's not the bacteria determining the person's health, it's the person's diet determining their bacteria.
crusoe 1 points 16h ago
Yes. But it might not be diet that directly causes it but diet run through the gut biome.
elchignacio 1 points 17h ago
Gut bacteria…is there anything they can’t do?
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