RT Journal Article T1 Impact of Nutrition on Pulmonary Arterial Hypertension A1 Callejo, María A1 Barberá, Joan Albert A1 Duarte, Juan A1 Perez-Vizcaino, Francisco K1 Pulmonary hypertension K1 Microbiota K1 Vitamin C K1 Vitamin D K1 Iron K1 Diet K1 Hipertensión pulmonar K1 Ácido ascórbico K1 Vitamina D K1 Hierro K1 Dieta AB Pulmonary arterial hypertension (PAH) is characterized by sustained vasoconstriction, vascular remodeling, inflammation, and in situ thrombosis. Although there have been important advances in the knowledge of the pathophysiology of PAH, it remains a debilitating, limiting, and rapidly progressive disease. Vitamin D and iron deficiency are worldwide health problems of pandemic proportions. Notably, these nutritional alterations are largely more prevalent in PAH patients than in the general population and there are several pieces of evidence suggesting that they may trigger or aggravate disease progression. There are also several case reports associating scurvy, due to severe vitamin C deficiency, with PAH. Flavonoids such as quercetin, isoflavonoids such as genistein, and other dietary polyphenols including resveratrol slow the progression of the disease in animal models of PAH. Finally, the role of the gut microbiota and its interplay with the diet, host immune system, and energy metabolism is emerging in multiple cardiovascular diseases. The alteration of the gut microbiota has also been reported in animal models of PAH. It is thus possible that in the near future interventions targeting the nutritional status and the gut dysbiosis will improve the outcome of these patients. PB MDPI YR 2020 FD 2020-01-07 LK http://hdl.handle.net/10668/3687 UL http://hdl.handle.net/10668/3687 LA en NO Callejo M, Barberá JA, Duarte J, Perez-Vizcaino F. Impact of Nutrition on Pulmonary Arterial Hypertension. Nutrients. 2020 Jan 7;12(1):169 DS RISalud RD Apr 11, 2025