256 Conclusion and Future Directions TMAO may drive the cross-talk between inflammatory response and oxidative stress by mediating cell death (including apoptosis, pyroptosis, autophagy, and ferroptosis, etc) and then induce pathological processes such as foam cell activation, massive secretion of cytokines and adhesion molecules, overaccumulation of ROS, enhanced platelet reactivity and abnormal vascular tone regulation
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Ihubacter massiliensis is a key gut bacterium for human TMAO production Although a microbiome-based prediction model may be established to predict TMAO producer phenotypes, these selected microbial features represent correlations with TMAO productivity but lack of a cause-effect relationship