topicPhytosterols LDL Cholesterol Randomized Trial
claimIn rats, phytosterol treatment altered gut microbial composition and the relative abundance of putative bile salt hydrolase (BSH)-producing taxa, accompanied by reduced ileal luminal BSH activity.
evidence level4
citationXia J (2026)
sourcePhytosterol-induced modulation of gut microbial bile salt hydrolases ameliorates hyperlipidemia via taurohyodeoxycholic acid-mediated FXR antagonism.
topicPhytosterols LDL Cholesterol Randomized Trial
claimThese changes coincided with bile acid remodeling, including increased concentrations of taurohyodeoxycholic acid (THDCA) in liver tissue and ileal contents.
evidence level4
citationXia J (2026)
sourcePhytosterol-induced modulation of gut microbial bile salt hydrolases ameliorates hyperlipidemia via taurohyodeoxycholic acid-mediated FXR antagonism.
topicPhytosterols LDL Cholesterol Randomized Trial
claimCollectively, these findings suggest that dietary phytosterols may ameliorate dyslipidemia partly through modulation of the gut microbiota-bile acid-FXR axis, with microbiota-associated BSH-THDCA-FXR signaling representing one plausible contributing pathway.
evidence level4
citationXia J (2026)
sourcePhytosterol-induced modulation of gut microbial bile salt hydrolases ameliorates hyperlipidemia via taurohyodeoxycholic acid-mediated FXR antagonism.
topicPhytosterols LDL Cholesterol Randomized Trial
claimAlthough dietary phytosterols have established lipid-lowering effects, their interactions with the gut-liver metabolic axis remain incompletely understood.
evidence level4
citationXia J (2026)
sourcePhytosterol-induced modulation of gut microbial bile salt hydrolases ameliorates hyperlipidemia via taurohyodeoxycholic acid-mediated FXR antagonism.
topicPhytosterols LDL Cholesterol Randomized Trial
claimThis review synthesizes mechanistic and clinical evidence on non-pharmacological strategies that modulate these pathways and contribute to ASCVD risk reduction.
evidence level4
citationKovyanova TI (2026)
sourceNon-Pharmacological Strategies in Atherosclerotic Cardiovascular Disease: From Molecular Mechanisms to Clinical Integration.
topicPhytosterols LDL Cholesterol Randomized Trial
claimModulation of the gut microbiome, particularly through increased short-chain fatty acid production and reduced TMAO formation, provides additional cardiometabolic benefits.
evidence level4
citationKovyanova TI (2026)
sourceNon-Pharmacological Strategies in Atherosclerotic Cardiovascular Disease: From Molecular Mechanisms to Clinical Integration.
topicPhytosterols LDL Cholesterol Randomized Trial
claimWhen combined with evidence-based pharmacotherapy, these interventions exert synergistic effects on cardiometabolic risk factors.
evidence level4
citationKovyanova TI (2026)
sourceNon-Pharmacological Strategies in Atherosclerotic Cardiovascular Disease: From Molecular Mechanisms to Clinical Integration.
topicPhytosterols LDL Cholesterol Randomized Trial
claimAtherosclerotic cardiovascular disease (ASCVD) remains the leading cause of morbidity and mortality worldwide, driven by complex interactions among dyslipidemia, chronic inflammation, insulin resistance, endothelial dysfunction, and gut microbiome-derived metabolites.
evidence level4
citationKovyanova TI (2026)
sourceNon-Pharmacological Strategies in Atherosclerotic Cardiovascular Disease: From Molecular Mechanisms to Clinical Integration.