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Reconstitution of gut microbiota by medicinal plant isoflavones ameliorates heart failure with preserved ejection fraction.

PubMed · 2026-04-21

Compounds extracted from kudzu root improved heart function in mice with a common form of heart failure by reshaping gut bacteria and shifting their metabolic output toward heart-protective molecules. The findings position kudzu isoflavones as credible drug candidates for a condition that currently has few treatment options.

1

Kudzu isoflavone extract significantly improved left ventricular diastolic dysfunction and reduced hypertension in a high-fat-diet/L-NAME mouse model of heart failure

2

Treatment increased beneficial gut-derived metabolites (butyrate and S-equol) while reducing harmful heart-linked compounds trimethyllysine (TML) and phenylacetylglycine (PAGly)

3

Kudzu isoflavones activated estrogen receptor β and the downstream eNOS-cGMP-PKG cardioprotective signaling axis while simultaneously suppressing the pro-inflammatory MAPK pathway