Evidence map›Paper›PMID 37280260›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2023

Impact of gut microbiome on the renin-aldosterone system: Shika-machi Super Preventive Health Examination results.

Ren Mizoguchi, Shigehiro Karashima, Yuna Miyajima, Kohei Ogura, Mitsuhiro Kometani, Daisuke Aono, Seigo Konishi, Masashi Demura, Hiromasa Tsujiguchi, Akinori Hara and 4 more

Abstract read
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In one paragraph

Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Foods (Basel, Switzerland) · 2026
    Article
  4. Current hypertension epidemiology and contemporary approaches using the "Real-World Evidence Cycle" framework.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  5. Gut microbiota-derived polyamine pathways associated with mean blood pressure.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  6. Review
  7. Hypertension research update and perspectives 2025-epidemiology.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  8. Review
  9. Depletion ofFrontiers in microbiology · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. International journal of environmental research and public health · 2024
    Article
  18. The mineralocorticoid receptor in diabetic kidney disease.American journal of physiology. Renal physiology · 2024
    Review
  19. Gut bacteria-derived extracellular vesicles and hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  20. Commensal microbiota regulate aldosterone.American journal of physiology. Renal physiology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Ren MizoguchiSchool of Biological Science and Technology, College of Science and Engineering, Kanazawa University, Kanazawa, Japan.
Shigehiro KarashimaInstitute of Liberal Arts and Science, Kanazawa University, Kanazawa, Japan. skarashima@staff.kanazawa-u.ac.jp.
Yuna MiyajimaDepartment of Clinical Laboratory Science, Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
Kohei OguraAdvanced Health Care Science Research Unit, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Japan.
Mitsuhiro KometaniDepartment of Endocrinology and Metabolism, Kanazawa University Hospital, Kanazawa, Japan.
Daisuke AonoDepartment of Endocrinology and Metabolism, Kanazawa University Hospital, Kanazawa, Japan.
Seigo KonishiDepartment of Endocrinology and Metabolism, Kanazawa University Hospital, Kanazawa, Japan.
Masashi DemuraDepartment of Hygiene, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Hiromasa TsujiguchiDepartment of Public Health, Graduate School of Advanced Preventive Medical Sciences, Kanazawa University, Kanazawa, Japan.
Akinori HaraDepartment of Public Health, Graduate School of Advanced Preventive Medical Sciences, Kanazawa University, Kanazawa, Japan.
Hiroyuki NakamuraDepartment of Public Health, Graduate School of Advanced Preventive Medical Sciences, Kanazawa University, Kanazawa, Japan.
Takashi YonedaDepartment of Endocrinology and Metabolism, Kanazawa University Hospital, Kanazawa, Japan.
Shigefumi OkamotoDepartment of Clinical Laboratory Science, Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
Kenji SatouFaculty of Transdisciplinary Sciences for Innovation, Institute of Transdisciplinary Sciences for Innovation, Kanazawa University, Kanazawa, Japan. ken@t.kanazawa-u.ac.jp.
Kanazawa University · JPKanazawa University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The renin-angiotensin-aldosterone system (RAAS) is a regulatory mechanism of the endocrine system and is associated with various diseases, including hypertension and renal and cardiovascular diseases. The gut microbiota (GM) have been associated with various diseases, mainly in animal models. However, to our knowledge, no studies have examined the relationship between the RAAS and GM in humans. The present study aimed to assess the association between the systemic RAAS and GM genera and their causal relationships. The study participants were 377 members of the general population aged 40 years or older in Shika-machi, Japan. Plasma renin activity (PRA), plasma aldosterone concentration (PAC), aldosterone-renin ratio (ARR), and GM composition were analyzed using the 16S rRNA method. The participants were divided into high and low groups according to the PRA, PAC, and ARR values. U-tests, one-way analysis of covariance, and linear discriminant analysis of effect size were used to identify the important bacterial genera between the two groups, and binary classification modeling using Random Forest was used to calculate the importance of the features. The results showed that Blautia, Bacteroides, Akkermansia, and Bifidobacterium were associated with the RAAS parameters. Causal inference analysis using the linear non-Gaussian acyclic model revealed a causal effect of Blautia on PAC via SBP. These results strengthen the association between the systemic RAAS and GM in humans, and interventions targeting the GM may provide new preventive measures and treatments for hypertension and renal disease.

Indexed as

Gastrointestinal MicrobiomeHypertensionAldosteroneAnimalsHumansReninRenin-Angiotensin SystemRNA, Ribosomal, 16SAldosteroneReninRNA, Ribosomal, 16SAldosterone-renin ratioBlood pressureCausal inferenceGut microbiomeRenin-angiotensin-aldosterone system

Identifiers

PMID37280260
OpenAlexW4379520571

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.