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Sep 12, 2026

Dietary Modulation of Gut Microbiome in High Cholesterol Diet–Induced Atherosclerosis

In a rabbit model of cholesterol-induced atherosclerosis, a cornstarch diet significantly suppressed serum TMAO and hepatic FMO3 expression, whereas casein and soy oil diets yielded only partial metabolic and microbial recovery.

Evidence levelDNarrative / animal / in vitro / mechanistic
Study typeother
Sample
Effect directionMechanistic only
CertaintyVery low
Clinical applicabilityVery low
Overinterpretation risk1/5 · Low
PICO
Population
Intervention
Comparator
Outcome

What the study showed

Atherosclerotic animals showed elevated serum TMAO and BCAA levels and increased hepatic FMO3 expression, associated with overrepresentation of TMA-producing taxa including Clostridium, Ruminococcus, and methanogenic archaea. The cornstarch-fed group exhibited significant suppression of these markers and enrichment of genera such as Olsenella and Dorea. Casein and soy oil diets produced only partial microbial and metabolic recovery with sustained TMA-generating bacteria.

How it was done

Experimental study in a rabbit model of high cholesterol diet–induced atherosclerosis, comparing groups fed cornstarch, casein, or soy oil. Outcomes included gut microbiota composition, serum TMAO and BCAA levels, and hepatic FMO3 expression.

Risk of bias

Rabbit animal model limits direct translation to humans; the abstract does not report sample size, study duration, or complete statistical details. Full-text inaccessibility prevents assessment of randomization, controls, and bias.

Interpretation limit

What this study does NOT prove

The study does not prove that equivalent dietary modifications reduce cardiovascular risk or atherosclerosis progression in humans.

In clinical practice

Findings do not support immediate clinical dietary recommendations; the diet–microbiota–TMAO relationship in humans involves individual variability not captured by this model. Cautious interpretation is required.

Limitations

Rabbit animal model limits direct translation to humans; the abstract does not report sample size, study duration, or complete statistical details. Full-text inaccessibility prevents assessment of randomization, controls, and bias.

Technical appendix

Version history

  • 1.0 · 2026-09-12 — Auto-generated under Evidence Standard v1.0
Source: DOI 10.1155/agm3/1962908 · 2026

Paid access: structured summary from public metadata; consult the original study at the source.

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