Evidence map›Paper›PMID 40079338›Full record

ArticleJournal of the American Heart Association2025

Exploring the Causal Relationship Between Gut Microbiota and Pulmonary Artery Hypertension: Insights From Mendelian Randomization.

Lihuang Su, Xinghong Wang, Ya Lin, Yiying Zhang, Dan Yao, Tongtong Pan, Xiaoying Huang

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
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  3. Host mScientific reports · 2026
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lihuang SuDivision of Pulmonary Medicine, Wenzhou Key Laboratory of Interdisciplinary and Translational Medicine The First Affiliated Hospital of Wenzhou Medical University Wenzhou Zhejiang China.ORCID 0000-0001-5103-1817
Xinghong WangDivision of Pulmonary Medicine, Wenzhou Key Laboratory of Interdisciplinary and Translational Medicine The First Affiliated Hospital of Wenzhou Medical University Wenzhou Zhejiang China.
Ya LinDivision of Pulmonary Medicine, Wenzhou Key Laboratory of Interdisciplinary and Translational Medicine The First Affiliated Hospital of Wenzhou Medical University Wenzhou Zhejiang China.
Yiying ZhangDivision of Pulmonary Medicine, Wenzhou Key Laboratory of Interdisciplinary and Translational Medicine The First Affiliated Hospital of Wenzhou Medical University Wenzhou Zhejiang China.
Dan YaoDivision of Pulmonary Medicine, Wenzhou Key Laboratory of Interdisciplinary and Translational Medicine The First Affiliated Hospital of Wenzhou Medical University Wenzhou Zhejiang China.
Tongtong PanDepartment of Gerontology The First Affiliated Hospital of Wenzhou Medical University Wenzhou Zhejiang China.ORCID 0000-0003-4265-9623
Xiaoying HuangDivision of Pulmonary Medicine, Wenzhou Key Laboratory of Interdisciplinary and Translational Medicine The First Affiliated Hospital of Wenzhou Medical University Wenzhou Zhejiang China.ORCID 0000-0003-1102-3403

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch into the "gut-lung" axis links gut microbiota to pulmonary artery hypertension (PAH). However, the mechanisms by which gut microbiota influence PAH remain unclear. We aimed to investigate the causal relationship between the gut microbiota and PAH using Mendelian randomization analysis, identify key microbiota and metabolites, and explore the regulatory role of associated genes in PAH pathogenesis. METHODS AND

resultsWe examined the association between gut microbiota taxa and PAH using inverse variance weighted 2-sample Mendelian randomization analysis, Mendelian randomization-Egger, weighted median, and weighted mode methods. Additionally, we identified PAH-regulating genes in the intestinal microbiome using bioinformatics tools and validated their expression levels in the lung tissue of hypoxia-induced PAH mice models by quantitative reverse transcription polymerase chain reaction. Eleven gut microbiota taxa were associated with PAH. The order Clostridiales and genera

conclusionsThese findings suggest that gut microbiota composition and associated metabolites contribute to PAH development by regulating lung tissue gene expression. Our findings have implications for advancing gut microbiota-based PAH diagnostic technologies and targeted therapies.

Indexed as

Gastrointestinal MicrobiomePulmonary Arterial HypertensionAnimalsDisease Models, AnimalHumansMendelian Randomization AnalysisMicePulmonary Arterygene regulationgut microbiotaMendelian randomization analysismetabolitespulmonary hypertension

Identifiers

PMID40079338
PMCPMC12132740

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Registered trials

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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.