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
Results
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)
Results
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
Results
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
Methods
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)
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