“…In a healthy gut, a screen of the intestinal epithelium can prevent most LPS from activating the intestinal immune system, whereas unhealthy gut flora can cause increased intestinal permeability, the so-called "leaky gut," in which more LPS enters the blood circulation and triggers excessive inflammation of the vascular endothelium [ 95 ]. A large number of studies have shown that LPS can change the stability of plaques and make them more likely to rupture [ 19 , [96] , [97] , [98] , [99] , [100] , [101] ].…”