Longitudinal alterations of the gut mycobiota and microbiota on COVID-19 severity.


Journal

BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551

Informations de publication

Date de publication:
24 Jun 2022
Historique:
received: 25 12 2021
accepted: 01 04 2022
entrez: 24 6 2022
pubmed: 25 6 2022
medline: 29 6 2022
Statut: epublish

Résumé

The impact of SARS-CoV-2 infection on the gut fungal (mycobiota) and bacterial (microbiota) communities has been elucidated individually. This study analyzed both gut mycobiota and microbiota and their correlation in the COVID-19 patients with severe and mild conditions and follow-up to monitor their alterations after recovery. We analyzed the gut mycobiota and microbiota by bacterial 16S and fungal ITS1 metagenomic sequencing of 40 severe patients, 38 mild patients, and 30 healthy individuals and reanalyzed those of 10 patients with severe COVID-19 approximately 6 months after discharge. The mycobiota of the severe and mild groups showed lower diversity than the healthy group, and in some, characteristic patterns dominated by a single fungal species, Candida albicans, were detected. Lower microbial diversity in the severe group was observed, but no differences in its diversity or community structure were detected between the mild and healthy groups. The microbiota of the severe group was characterized by an increase in Enterococcus and Lactobacillus, and a decrease in Faecalibacterium and Bacteroides. The abundance of Candida was positively correlated with that of Enterococcus in patients with COVID-19. After the recovery of severe patients, alteration of the microbiota remained, but the mycobiota recovered its diversity comparable to that of mild and healthy groups. In mild cases, the microbiota is stable during SARS-CoV-2 infection, but in severe cases, alterations persist for 6 months after recovery.

Sections du résumé

BACKGROUND BACKGROUND
The impact of SARS-CoV-2 infection on the gut fungal (mycobiota) and bacterial (microbiota) communities has been elucidated individually. This study analyzed both gut mycobiota and microbiota and their correlation in the COVID-19 patients with severe and mild conditions and follow-up to monitor their alterations after recovery.
METHODS METHODS
We analyzed the gut mycobiota and microbiota by bacterial 16S and fungal ITS1 metagenomic sequencing of 40 severe patients, 38 mild patients, and 30 healthy individuals and reanalyzed those of 10 patients with severe COVID-19 approximately 6 months after discharge.
RESULTS RESULTS
The mycobiota of the severe and mild groups showed lower diversity than the healthy group, and in some, characteristic patterns dominated by a single fungal species, Candida albicans, were detected. Lower microbial diversity in the severe group was observed, but no differences in its diversity or community structure were detected between the mild and healthy groups. The microbiota of the severe group was characterized by an increase in Enterococcus and Lactobacillus, and a decrease in Faecalibacterium and Bacteroides. The abundance of Candida was positively correlated with that of Enterococcus in patients with COVID-19. After the recovery of severe patients, alteration of the microbiota remained, but the mycobiota recovered its diversity comparable to that of mild and healthy groups.
CONCLUSION CONCLUSIONS
In mild cases, the microbiota is stable during SARS-CoV-2 infection, but in severe cases, alterations persist for 6 months after recovery.

Identifiants

pubmed: 35751044
doi: 10.1186/s12879-022-07358-7
pii: 10.1186/s12879-022-07358-7
pmc: PMC9233337
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

572

Subventions

Organisme : Japan Agency for Medical Research and Development
ID : 20fk0108265
Organisme : AMED-CREST grants
ID : 18gm1010005

Informations de copyright

© 2022. The Author(s).

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Auteurs

Yuichi Maeda (Y)

Laboratory of Immune Regulation, Department of Microbiology and Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.
Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.
Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives, Osaka University, Suita, Japan.

Daisuke Motooka (D)

WPI Immunology Frontier Research Center, Osaka University, Suita, Japan.
Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives, Osaka University, Suita, Japan.
Department of Infection Metagenomics, Genome Information Research Center, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.

Takahiro Kawasaki (T)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.
National Hospital Organization Osaka Toneyama Medical Center, Osaka, Japan.

Hiroya Oki (H)

Department of Infection Metagenomics, Genome Information Research Center, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.

Yoshimi Noda (Y)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Yuichi Adachi (Y)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Takayuki Niitsu (T)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Shota Okamoto (S)

Laboratory of Immune Regulation, Department of Microbiology and Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Kentaro Tanaka (K)

WPI Immunology Frontier Research Center, Osaka University, Suita, Japan.

Kiyoharu Fukushima (K)

WPI Immunology Frontier Research Center, Osaka University, Suita, Japan.
Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.
Department of Host Defense, Research Institute for Microbial Diseases (RIMD), Osaka University, Suita, Japan.

Saori Amiya (S)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Reina Hara (R)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Eri Oguro-Igashira (E)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Takanori Matsuki (T)

National Hospital Organization Osaka Toneyama Medical Center, Osaka, Japan.

Haruhiko Hirata (H)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Yoshito Takeda (Y)

Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.

Hiroshi Kida (H)

National Hospital Organization Osaka Toneyama Medical Center, Osaka, Japan.

Atsushi Kumanogoh (A)

WPI Immunology Frontier Research Center, Osaka University, Suita, Japan.
Department of Respiratory Medicine, Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Japan.
Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives, Osaka University, Suita, Japan.
Center for Infectious Disease Education and Research, Osaka University, Suita, Japan.

Shota Nakamura (S)

WPI Immunology Frontier Research Center, Osaka University, Suita, Japan. nshota@gen-info.osaka-u.ac.jp.
Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives, Osaka University, Suita, Japan. nshota@gen-info.osaka-u.ac.jp.
Department of Infection Metagenomics, Genome Information Research Center, Research Institute for Microbial Diseases, Osaka University, Suita, Japan. nshota@gen-info.osaka-u.ac.jp.
Center for Infectious Disease Education and Research, Osaka University, Suita, Japan. nshota@gen-info.osaka-u.ac.jp.

Kiyoshi Takeda (K)

Laboratory of Immune Regulation, Department of Microbiology and Immunology, Graduate School of Medicine, Osaka University, Suita, Japan. ktakeda@ongene.med.osaka-u.ac.jp.
WPI Immunology Frontier Research Center, Osaka University, Suita, Japan. ktakeda@ongene.med.osaka-u.ac.jp.
Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives, Osaka University, Suita, Japan. ktakeda@ongene.med.osaka-u.ac.jp.
Center for Infectious Disease Education and Research, Osaka University, Suita, Japan. ktakeda@ongene.med.osaka-u.ac.jp.

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