Gut Microbiome

Gut microbiota profiles by LDL-C target achievement in statin-treated patients: A cross-sectional study.

TL;DR

The LDL-C target-achieved group (LDL-C < 70 mg/dL) in statin-treated chronic disease patients showed no significant differences in alpha or beta diversity or microbial dysbiosis index, but was associated with significant reductions in short-chain fatty acid-producing bacteria including Barnesiella, Coprococcus 1, Flavonifractor, and Odoribacter.

Key Findings

No significant differences in microbial species diversity were found between LDL-C target-achieved and target-not-achieved groups.

  • Alpha diversity was assessed using the Chao1 index and Shannon index
  • Beta diversity was also compared between the two groups
  • Microbial dysbiosis index showed no significant difference between groups
  • The LDL-C target-achieved group was defined as LDL-C < 70 mg/dL (n=57) and target-not-achieved as LDL-C ≥ 70 mg/dL (n=68)

The LDL-C target-achieved group exhibited a distinct microbial community structure with decreased abundances of specific genera.

  • Decreased abundances were found at the genus level in the LDL-C target-achieved group
  • Specific genera with reduced abundance included Barnesiella, Coprococcus 1, Flavonifractor, Odoribacter, and Coprobacter
  • Despite the distinct community structure, overall beta diversity was not significantly different between groups

The LDL-C target-achieved group was associated with a significant reduction in short-chain fatty acid-producing bacteria.

  • Short-chain fatty acid-producing taxa with reduced abundance included Barnesiella, Coprococcus 1, Flavonifractor, and Odoribacter
  • These taxa are recognized as short-chain fatty acid-producing bacteria
  • Coprobacter was also decreased but was not listed among the short-chain fatty acid-producing bacteria in the abstract

The study population consisted of 125 statin-treated chronic disease patients with high comorbidity burden.

  • Total of 125 patients were recruited (77 males and 48 females)
  • Comorbidities included diabetes mellitus (87%), hypertension (74%), and chronic kidney disease (48%)
  • Fecal samples were analyzed using Illumina sequencing of the 16S ribosomal RNA gene
  • Patients were divided into two groups: LDL-C < 70 mg/dL (n=57) and LDL-C ≥ 70 mg/dL (n=68)

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Citation

Liu Y, Peng P, Hung W, Wu P, Kao C, Wu P, et al.. (2026). Gut microbiota profiles by LDL-C target achievement in statin-treated patients: A cross-sectional study.. Nutrition, metabolism, and cardiovascular diseases : NMCD. https://doi.org/10.1016/j.numecd.2025.104465