Red meat increases risk for cardiovascular disease? Blame your gut bacteria

Before I go on with this blog post, I would like to put the message in this post in a context—everything is in moderation.  I am not against red meat—in fact, I am a big proponent of red meat in moderation as part of a diet for its quality protein and iron content.  However, red meat does have its downside including increasing the risk for cardiovascular disease.

A research led by Dr. Stanley Hazen, at Cleveland Clinic, revealed a pathway by which red meat can promote atherosclerosis, or hardening of the arteries. Essentially, bacteria in the gut convert L-carnitine, a nutrient abundant in red meat, into a compound called trimethylamine, which in turn changes to a metabolite named trimethylamine-N-oxide (TMAO), which promotes atherosclerosis.

In a recent article published on the journal, Cell Metabolism, Dr. Hazen and his team extend their earlier research and identify another metabolite, gamma-butyrobetaine, that is generated to an even greater extent by gut bacteria after L-carnitine is ingested, and it too contributes to atherosclerosis.
The researchers found that gamma-butyrobetaine is produced as an intermediary metabolite by microbes at a rate that is 1,000-fold higher than the formation of trimethylamine in the gut, making it the most abundant metabolite generated from dietary L-carnitine by microbes in the mouse models examined. Moreover, gamma-butyrobetaine can itself be converted into trimethylamine and TMAO. Interestingly, however, the bacteria that produce gamma-butyrobetaine from L-carnitine are different from the bacterial species that produce trimethylamine from L-carnitine.

Therefore, now we know that metabolism of L-carnitine into atherosclerosis causing metabolites involves at least two different gut microbial pathways and different types of bacteria.  The researchers suggest that shifting gut bacterial composition with probiotics might be a potential strategy for preventing atherosclerosis.

Journal Reference:  Robert A. Koeth, Bruce S. Levison, Miranda K. Culley, Jennifer A. Buffa, Zeneng Wang, Jill C. Gregory, Elin Org, Yuping Wu, Lin Li, Jonathan D. Smith, W.H. Wilson Tang, Joseph A. DiDonato, Aldons J. Lusis, Stanley L. Hazen. γ-Butyrobetaine Is a Proatherogenic Intermediate in Gut Microbial Metabolism of L-Carnitine to TMAO. Cell Metabolism, 2014; 20 (5): 799 DOI: 10.1016/j.cmet.2014.10.006

Thanks for reading!
Connie
connie@cherRuby.com

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