Improved gut microbiota features after the resolution of SARS-CoV-2 infection

Background The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has a tropism for the gastrointestinal tract and several studies have shown an alteration of the gut microbiota in hospitalized infected patients. However, long-term data on microbiota changes after recovery are lacking. Met...

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Veröffentlicht in:Gut pathogens 2021-10, Vol.13 (1), p.1-62, Article 62
Hauptverfasser: De Maio, Flavio, Ianiro, Gianluca, Coppola, Gaetano, Santopaolo, Francesco, Abbate, Valeria, Bianco, Delia Mercedes, Del Zompo, Fabio, De Matteis, Giuseppe, Leo, Massimo, Nesci, Antonio, Nicoletti, Alberto, Pompili, Maurizio, Cammarota, Giovanni, Posteraro, Brunella, Sanguinetti, Maurizio, Gasbarrini, Antonio, Ponziani, Francesca Romana
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container_issue 1
container_start_page 1
container_title Gut pathogens
container_volume 13
creator De Maio, Flavio
Ianiro, Gianluca
Coppola, Gaetano
Santopaolo, Francesco
Abbate, Valeria
Bianco, Delia Mercedes
Del Zompo, Fabio
De Matteis, Giuseppe
Leo, Massimo
Nesci, Antonio
Nicoletti, Alberto
Pompili, Maurizio
Cammarota, Giovanni
Posteraro, Brunella
Sanguinetti, Maurizio
Gasbarrini, Antonio
Ponziani, Francesca Romana
description Background The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has a tropism for the gastrointestinal tract and several studies have shown an alteration of the gut microbiota in hospitalized infected patients. However, long-term data on microbiota changes after recovery are lacking. Methods We enrolled 30 patients hospitalized for SARS-CoV-2-related pneumonia. Their gut microbiota was analyzed within 48 h from the admission and compared with (1) that of other patients admitted for suspected bacterial pneumonia (control group) (2) that obtained from the same subject 6 months after nasopharyngeal swab negativization. Results Gut microbiota alpha-diversity increased 6 months after the resolution of SARS-CoV-2 infection. Bacteroidetes relative abundance was higher (approximate to 36.8%) in patients with SARS-CoV-2, and declined to 18.7% when SARS-CoV-2 infection resolved (p = 0.004). Conversely, Firmicutes were prevalent (approximate to 75%) in controls and in samples collected after SARS-CoV-2 infection resolution (p = 0.001). Ruminococcaceae, Lachnospiraceae and Blautia increased after SARS-CoV-2 infection resolution, rebalancing the gut microbiota composition. Conclusion SARS-CoV-2 infection is associated with changes in the gut microbiome, which tend to be reversed in long-term period.
doi_str_mv 10.1186/s13099-021-00459-9
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However, long-term data on microbiota changes after recovery are lacking. Methods We enrolled 30 patients hospitalized for SARS-CoV-2-related pneumonia. Their gut microbiota was analyzed within 48 h from the admission and compared with (1) that of other patients admitted for suspected bacterial pneumonia (control group) (2) that obtained from the same subject 6 months after nasopharyngeal swab negativization. Results Gut microbiota alpha-diversity increased 6 months after the resolution of SARS-CoV-2 infection. Bacteroidetes relative abundance was higher (approximate to 36.8%) in patients with SARS-CoV-2, and declined to 18.7% when SARS-CoV-2 infection resolved (p = 0.004). Conversely, Firmicutes were prevalent (approximate to 75%) in controls and in samples collected after SARS-CoV-2 infection resolution (p = 0.001). Ruminococcaceae, Lachnospiraceae and Blautia increased after SARS-CoV-2 infection resolution, rebalancing the gut microbiota composition. Conclusion SARS-CoV-2 infection is associated with changes in the gut microbiome, which tend to be reversed in long-term period.</description><identifier>ISSN: 1757-4749</identifier><identifier>EISSN: 1757-4749</identifier><identifier>DOI: 10.1186/s13099-021-00459-9</identifier><identifier>PMID: 34656179</identifier><language>eng</language><publisher>LONDON: Springer Nature</publisher><subject>Antibiotics ; Biological diversity ; Comparative analysis ; Coronaviruses ; COVID-19 ; Cytokines ; Digestive system ; Discriminant analysis ; Gastroenterology ; Gastroenterology &amp; Hepatology ; Gastrointestinal system ; Gastrointestinal tract ; Gut microbiota ; Health aspects ; Infections ; Intestinal microflora ; Letter to the Editor ; Life Sciences &amp; Biomedicine ; Microbiology ; Microbiomes ; Microbiota ; Microbiota (Symbiotic organisms) ; Pneumonia ; SARS-CoV-2 ; Science &amp; Technology ; Severe acute respiratory syndrome ; Severe acute respiratory syndrome coronavirus 2 ; Systematic review ; Tropism</subject><ispartof>Gut pathogens, 2021-10, Vol.13 (1), p.1-62, Article 62</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. 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However, long-term data on microbiota changes after recovery are lacking. Methods We enrolled 30 patients hospitalized for SARS-CoV-2-related pneumonia. Their gut microbiota was analyzed within 48 h from the admission and compared with (1) that of other patients admitted for suspected bacterial pneumonia (control group) (2) that obtained from the same subject 6 months after nasopharyngeal swab negativization. Results Gut microbiota alpha-diversity increased 6 months after the resolution of SARS-CoV-2 infection. Bacteroidetes relative abundance was higher (approximate to 36.8%) in patients with SARS-CoV-2, and declined to 18.7% when SARS-CoV-2 infection resolved (p = 0.004). Conversely, Firmicutes were prevalent (approximate to 75%) in controls and in samples collected after SARS-CoV-2 infection resolution (p = 0.001). Ruminococcaceae, Lachnospiraceae and Blautia increased after SARS-CoV-2 infection resolution, rebalancing the gut microbiota composition. Conclusion SARS-CoV-2 infection is associated with changes in the gut microbiome, which tend to be reversed in long-term period.</abstract><cop>LONDON</cop><pub>Springer Nature</pub><pmid>34656179</pmid><doi>10.1186/s13099-021-00459-9</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-6199-6372</orcidid><orcidid>https://orcid.org/0000-0002-9780-7059</orcidid><orcidid>https://orcid.org/0000-0002-5924-6238</orcidid><oa>free_for_read</oa></addata></record>
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subjects Antibiotics
Biological diversity
Comparative analysis
Coronaviruses
COVID-19
Cytokines
Digestive system
Discriminant analysis
Gastroenterology
Gastroenterology & Hepatology
Gastrointestinal system
Gastrointestinal tract
Gut microbiota
Health aspects
Infections
Intestinal microflora
Letter to the Editor
Life Sciences & Biomedicine
Microbiology
Microbiomes
Microbiota
Microbiota (Symbiotic organisms)
Pneumonia
SARS-CoV-2
Science & Technology
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Systematic review
Tropism
title Improved gut microbiota features after the resolution of SARS-CoV-2 infection
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