TY - JOUR TI - TMAO metaorganismal pathway and chronic inflammatory diseases AU - Wang, Zeneng AU - Man, Shumei AU - Koeth, Robert PY - 2025 JO - Exploration of Medicine VL - 6 SP - 1001339 DO - 10.37349/emed.2025.1001339 UR - https://www.explorationpub.com/Journals/em/Article/1001339 AB - Nutrients containing a trimethylamine (TMA) moiety in their structure can be metabolized by the gut microbiota through enzymatic cleavage of the C-N bond, producing TMA. In the liver, TMA is subsequently oxidized to trimethylamine N-oxide (TMAO) by flavin monooxygenases (FMOs). TMAO exerts pro-atherogenic and pro-inflammatory effects that contribute mechanistically to several chronic inflammatory diseases including cardiovascular disease, chronic kidney disease, obesity, non-alcoholic fatty liver disease, and neurodegenerative diseases. Targeting this metaorganismal pathway may offer substantial health benefits in the prevention and treatment of chronic inflammatory conditions. ER -