BPG is committed to discovery and dissemination of knowledge
Articles Published Processes
3/23/2026 8:54:22 AM | Browse: 0 | Download: 0
Publication Name World Journal of Cardiology
Manuscript ID 116780
Country Italy
Received
2025-11-20 05:40
Peer-Review Started
2025-11-20 06:25
First Decision by Editorial Office Director
2025-12-09 08:40
Return for Revision
2025-12-09 08:40
Revised
2025-12-22 20:28
Publication Fee Transferred
Second Decision by Editor
2026-01-29 02:33
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-29 03:48
Articles in Press
2026-01-29 03:48
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-03-12 07:14
Publish the Manuscript Online
2026-03-23 08:54
ISSN 1949-8462 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Medicine, Research & Experimental
Manuscript Type Review
Article Title Gut microbiota-derived metabolite trimethylamine N-oxide in major adverse cardiovascular events: Mechanisms, risk assessment, and therapeutic strategies
Manuscript Source Invited Manuscript
All Author List Samuel Jaimez Alvarado, María Fernanda Flores Enciso, Amedeo Amedei and María Magdalena Aguirre García
ORCID
Author(s) ORCID Number
Samuel Jaimez Alvarado http://orcid.org/0009-0001-5095-4465
María Fernanda Flores Enciso http://orcid.org/0009-0008-6939-7874
Amedeo Amedei http://orcid.org/0000-0002-6797-9343
María Magdalena Aguirre García http://orcid.org/0000-0001-8696-9995
Funding Agency and Grant Number
Funding Agency Grant Number
Dirección General de Asuntos del Personal Académico-Programa de Apoyo a Proyectos de Investigación e Innovación Tecnológica IN219025
Consejo Nacional de Humanidades, Ciencias y Tecnologías CBF2023-2024-734
Corresponding Author Amedeo Amedei, Full Professor, Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla, 3, Florence 50134, Tuscany, Italy. amedeo.amedei@unifi.it
Key Words Trimethylamine N-oxide; Major adverse cardiovascular event; Atherosclerosis; Prognosis biomarker; 3,3-dimethyl-1-butanol; Fluoromethylcholine
Core Tip Trimethylamine N-oxide (TMAO) is increasingly proposed as a prognostic biomarker and therapeutic target in cardiovascular disease, yet its clinical signal is strongly shaped by renal function and cardiometabolic comorbidity. We synthesize evidence linking TMAO to risk stratification, including incremental value beyond GRACE in acute coronary syndrome, highlight mechanistic advances from microbiota-targeted trimethylamine-lyase inhibitors, 3,3-dimethyl-1-butanol/fluoromethylcholine, that improve vascular and cardiac phenotypes in preclinical models, and outline a precision-nutrition framework that tailors TMAO-lowering strategies to individual producer metabotypes.
Publish Date 2026-03-23 08:54
Citation

Jaimez Alvarado S, Flores Enciso MF, Amedei A, García MMA. Gut microbiota-derived metabolite trimethylamine N-oxide in major adverse cardiovascular events: Mechanisms, risk assessment, and therapeutic strategies. World J Cardiol 2026; 18(3): 116780

URL https://www.wjgnet.com/1949-8462/full/v18/i3/116780.htm
DOI https://dx.doi.org/10.4330/wjc.v18.i3.116780
Full Article (PDF) WJC-18-116780-with-cover.pdf
Manuscript File 116780_Auto_Edited_061839.docx
Answering Reviewers 116780-answering-reviewers.pdf
Audio Core Tip 116780-audio.mp3
Conflict-of-Interest Disclosure Form 116780-conflict-of-interest-statement.pdf
Copyright License Agreement 116780-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 116780-non-native-speakers.pdf
Peer-review Report 116780-peer-reviews.pdf
Scientific Misconduct Check 116780-scientific-misconduct-check.png
Scientific Editor Work List 116780-scientific-editor-work-list.pdf
CrossCheck Report 116780-crosscheck-report.pdf