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Genome-Resolved Study Links 15 Gut Microbes to Coronary Artery Disease

The small observational study sets up integrated genetic and metabolomic tests to clarify causality.

Overview

  • Researchers in Seoul used metagenome-assembled genomes to compare stool from 14 coronary artery disease patients with 28 matched controls.
  • Fifteen species were associated with disease, with seven enriched in patients and eight depleted relative to healthy participants.
  • Functional profiling pointed to inflammation-linked shifts, a loss of short-chain fatty acid producers such as Faecalibacterium prausnitzii, and overactivation of the urea cycle.
  • Strain-level differences emerged as typically beneficial taxa like Akkermansia muciniphila or F. prausnitzii showed context-dependent roles, while Lachnospiraceae displayed mixed patterns across species.
  • An exploratory machine-learning model separated cases from controls using microbial features with an area under the curve near 0.89, indicating potential for screening that requires validation in larger cohorts.