Abstract:Aim To investigate the regulatory effects of coenzyme Q10 (CoQ10) on blood lipid level and intestinal flora abundance in atherosclerotic (As) rats. Methods 24 rats were randomly divided into control group, As group and CoQ10 intervention group. Rats in the As group and CoQ10 intervention group were fed with high-fat chow for 2 weeks, combined with abdominal aortic balloon injury to replicate the As model. CoQ10 was administered by gavage starting on the next day of modeling, once daily for 4 weeks. Aortic Movat's staining and lipid levels were used to verify the effect of CoQ10 intervention in As, and the abundance of intestinal flora in intestinal contents was analyzed using metagenomics. Results Compared with the control group, rat aortic tissues in the As group showed endothelial damage, structural disorganization of the internal elastic plate and inflammatory infiltration, serum triglyceride (TG), total cholesterol (TC) and low density lipoprotein cholesterol (LDLC) levels were increased, and high density lipoprotein cholesterol (HDLC) levels were decreased. Compared with the As group, the structure of the endothelial cells of the aorta and the structure of the endothelial cells, the internal elastic plates and the smooth muscle cell morphology were relatively regular, serum TC, TG and LDLC levels were decreased, and HDLC levels were increased in the CoQ10 intervention group. Compared with the control group, the intestinal bacterial biodiversity in the As group was reduced. At the phylum level, the abundance of the Firmicutes and the Bacteroidetes were down-regulated, whereas that of Proteobacteria was up-regulated. At the genus level, the relative abundance of Lactobacillus, Bacteroides, Akkermansia, Limosilactobacillus, Parabacteroides and Ligilactobacillus was down-regulated, and the relative abundance of Muribaculum was up-regulated. Compared with the As group, CoQ10 intervention restored the biodiversity of the intestinal microbiota in As rats and increased the relative abundance of Firmicutes, Bacteroidetes, Lactobacillus, Bacteroides, Akkermansia, Limosilactobacillus, Parabacteroides and Ligilactobacillus, while reducing the relative abundance of Proteobacteria and Muribaculum (all P<0.05). ConclusionCoQ10 can regulate blood lipid levels in As rats, upregulate the abundance of beneficial microbiota, downregulate the abundance of harmful microbiota, and modulate the diversity of the gut microbiota.