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Jul 25, 2026

Gut Microbiota Modulation Attenuates Myocardial Ischemia-Reperfusion Injury in Diabetic Mice

Fecal microbiota transplantation from lean donors reduced myocardial infarct size in diabetic mice subjected to ischemia-reperfusion injury.

Evidence levelCObservational / small clinical study
Study typein_vitro
Sample
Effect directionFavorable
CertaintyLow
Clinical applicabilityLow
Overinterpretation risk1/5 · Low
PICO
Population
Intervention
Comparator
Outcome

What the study showed

FMT significantly reduced infarct size as a percentage of area at risk (38.7% vs 58.7%, p=0.003) in db/db T2DM mice. Microbiome analysis showed modest but significant beta-diversity shift and identified Akkermansia muciniphila as a candidate taxon depleted in diabetic mice and partially restored after FMT. Alpha-diversity differences were limited to the Simpson index.

How it was done

Male db/db mice received a 14-day FMT course from lean db/m donors or vehicle following antibiotic pretreatment; myocardial IRI was surgically induced and infarct size quantified; gut microbiota assessed by 16S rRNA gene sequencing.

Risk of bias

Study conducted exclusively in a murine animal model with no human validation. The protective mechanism is not characterized in the abstract, and full-text inaccessibility limits comprehensive methodological appraisal.

Interpretation limit

What this study does NOT prove

A causal role for A. muciniphila in cardioprotection cannot be established, nor can protection be extrapolated to human ischemia-reperfusion settings.

In clinical practice

Findings are not transferable to clinical practice. FMT as cardioprotection in diabetic patients remains purely experimental.

Limitations

Study conducted exclusively in a murine animal model with no human validation. The protective mechanism is not characterized in the abstract, and full-text inaccessibility limits comprehensive methodological appraisal.

Technical appendix

Version history

  • 1.0 · 2026-07-25 — Auto-generated under Evidence Standard v1.0

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

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