Hypertension

Intestinal Serotonergic Vagal Signaling as a Mediator of Microbiota-Induced Hypertension

CirculationPublished Mechanistic study

Authors' conclusion

Here, we describe a neural host-microbiota interaction that is mediated by intestinal serotonin (5-HT) signaling via the vagal 5HT3a, which is crucial for maintenance of blood pressure homeostasis.

Study context

Population
Normotensive and hypertensive rats; colonic biopsies from normotensive and hypertensive human subjects (36 to 75 years of age)N=5 per group (human biopsies)
Participants
5 vs 5
Comparison
Hypertensive vs normotensive (rats and humans); fecal microbiota transplantation from hypertensive vs normotensive rats
  • Hypertensiven = 5
  • Normotensiven = 5reference
Outcome
Intestinal 5-HT and vagal 5HT3a receptor signaling, and blood pressure
Methodological detailsrat model, human colonic biopsies
  • Rat model
  • Human colonic biopsies

Main finding

As reported in the abstract

Intestinal 5-HT and vagal 5HT3a receptor signaling, and effect of vagal 5-HT signaling on blood pressure
  • Marked decrease in intestinal 5-HT and vagal 5HT3a receptor signaling in hypertensive rats and humans, and in rats after fecal microbiota transplantation from hypertensive rats
  • Intestinal 5HT3a receptor vagal signaling is a crucial link between gut microbiota and blood pressure homeostasis
  • Recovery of 5-HT signaling in colon innervating vagal neurons can alleviate hypertension
  • Intersectional genetic strategy in a 5HT3a receptor Cre rat line to activate, ablate, and restore serotonin-sensing colonic vagal neurons
  • In vivo calcium imaging and radiotelemetric blood pressure recordings

Original publication

Intestinal Serotonergic Vagal Signaling as a Mediator of Microbiota-Induced Hypertension. Circulation. Published 15 September 2026. doi:10.1161/circulationaha.124.072363

Summarised from the published abstract; every number is checked against it

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