Alterations in Gut Microbiota Composition in Patients with COVID-19: A Pilot Study of Whole Hypervariable 16S rRNA Gene Sequencing

It is crucial to consider the importance of the microbiome and the gut–lung axis in the context of SARS-CoV-2 infection. This pilot study examined the fecal microbial composition of patients with COVID-19 following a 3-month recovery. Using for the first time metagenomic analysis based on all hyperv...

Full description

Bibliographic Details
Main Authors: Dorota Mańkowska-Wierzbicka, Joanna Zuraszek, Adrianna Wierzbicka, Marcin Gabryel, Dagmara Mahadea, Alina Baturo, Oliwia Zakerska-Banaszak, Ryszard Slomski, Marzena Skrzypczak-Zielinska, Agnieszka Dobrowolska
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/2/367
_version_ 1827758474016063488
author Dorota Mańkowska-Wierzbicka
Joanna Zuraszek
Adrianna Wierzbicka
Marcin Gabryel
Dagmara Mahadea
Alina Baturo
Oliwia Zakerska-Banaszak
Ryszard Slomski
Marzena Skrzypczak-Zielinska
Agnieszka Dobrowolska
author_facet Dorota Mańkowska-Wierzbicka
Joanna Zuraszek
Adrianna Wierzbicka
Marcin Gabryel
Dagmara Mahadea
Alina Baturo
Oliwia Zakerska-Banaszak
Ryszard Slomski
Marzena Skrzypczak-Zielinska
Agnieszka Dobrowolska
author_sort Dorota Mańkowska-Wierzbicka
collection DOAJ
description It is crucial to consider the importance of the microbiome and the gut–lung axis in the context of SARS-CoV-2 infection. This pilot study examined the fecal microbial composition of patients with COVID-19 following a 3-month recovery. Using for the first time metagenomic analysis based on all hypervariable regions (V1-V9) of the 16S rRNA gene, we have identified 561 microbial species; however, 17 were specific only for the COVID-19 group (<i>n</i> = 8). The patients’ cohorts revealed significantly greater alpha diversity of the gut microbiota compared to healthy controls (<i>n</i> = 14). This finding has been demonstrated by operational taxonomic units (OTUs) richness (<i>p</i> < 0.001) and Chao1 index (<i>p</i> < 0.01). The abundance of the phylum <i>Verrucomicrobia</i> was 30 times higher in COVID-19 patients compared to healthy subjects. Accordingly, this disproportion was also noted at other taxonomic levels: in the class <i>Verrucomicrobiae</i>, the family <i>Verrucomicrobiaceae,</i> and the genus <i>Akkermansia</i>. Elevated pathobionts such as <i>Escherichia coli</i>, <i>Bilophila wadsworthia,</i> and <i>Parabacteroides distasonis</i> were found in COVID-19 patients. Considering the gut microbiota’s ability to disturb the immune response, our findings suggest the importance of the enteric microbiota in the course of SARS-CoV-2 infection. This pilot study shows that the composition of the microbial community may not be fully restored in individuals with SARS-CoV-2 following a 3-month recovery.
first_indexed 2024-03-11T09:06:53Z
format Article
id doaj.art-586cc0d01289455a907ff4920aff4fad
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-11T09:06:53Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-586cc0d01289455a907ff4920aff4fad2023-11-16T19:17:12ZengMDPI AGBiomedicines2227-90592023-01-0111236710.3390/biomedicines11020367Alterations in Gut Microbiota Composition in Patients with COVID-19: A Pilot Study of Whole Hypervariable 16S rRNA Gene SequencingDorota Mańkowska-Wierzbicka0Joanna Zuraszek1Adrianna Wierzbicka2Marcin Gabryel3Dagmara Mahadea4Alina Baturo5Oliwia Zakerska-Banaszak6Ryszard Slomski7Marzena Skrzypczak-Zielinska8Agnieszka Dobrowolska9Department of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandInstitute of Human Genetics, Polish Academy of Sciences, 60-479 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandInstitute of Human Genetics, Polish Academy of Sciences, 60-479 Poznan, PolandInstitute of Human Genetics, Polish Academy of Sciences, 60-479 Poznan, PolandInstitute of Human Genetics, Polish Academy of Sciences, 60-479 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandIt is crucial to consider the importance of the microbiome and the gut–lung axis in the context of SARS-CoV-2 infection. This pilot study examined the fecal microbial composition of patients with COVID-19 following a 3-month recovery. Using for the first time metagenomic analysis based on all hypervariable regions (V1-V9) of the 16S rRNA gene, we have identified 561 microbial species; however, 17 were specific only for the COVID-19 group (<i>n</i> = 8). The patients’ cohorts revealed significantly greater alpha diversity of the gut microbiota compared to healthy controls (<i>n</i> = 14). This finding has been demonstrated by operational taxonomic units (OTUs) richness (<i>p</i> < 0.001) and Chao1 index (<i>p</i> < 0.01). The abundance of the phylum <i>Verrucomicrobia</i> was 30 times higher in COVID-19 patients compared to healthy subjects. Accordingly, this disproportion was also noted at other taxonomic levels: in the class <i>Verrucomicrobiae</i>, the family <i>Verrucomicrobiaceae,</i> and the genus <i>Akkermansia</i>. Elevated pathobionts such as <i>Escherichia coli</i>, <i>Bilophila wadsworthia,</i> and <i>Parabacteroides distasonis</i> were found in COVID-19 patients. Considering the gut microbiota’s ability to disturb the immune response, our findings suggest the importance of the enteric microbiota in the course of SARS-CoV-2 infection. This pilot study shows that the composition of the microbial community may not be fully restored in individuals with SARS-CoV-2 following a 3-month recovery.https://www.mdpi.com/2227-9059/11/2/367COVID-19gut microbiotagut–lung axisdysbiosisrecovered COVID-19 patientmicrobiota
spellingShingle Dorota Mańkowska-Wierzbicka
Joanna Zuraszek
Adrianna Wierzbicka
Marcin Gabryel
Dagmara Mahadea
Alina Baturo
Oliwia Zakerska-Banaszak
Ryszard Slomski
Marzena Skrzypczak-Zielinska
Agnieszka Dobrowolska
Alterations in Gut Microbiota Composition in Patients with COVID-19: A Pilot Study of Whole Hypervariable 16S rRNA Gene Sequencing
Biomedicines
COVID-19
gut microbiota
gut–lung axis
dysbiosis
recovered COVID-19 patient
microbiota
title Alterations in Gut Microbiota Composition in Patients with COVID-19: A Pilot Study of Whole Hypervariable 16S rRNA Gene Sequencing
title_full Alterations in Gut Microbiota Composition in Patients with COVID-19: A Pilot Study of Whole Hypervariable 16S rRNA Gene Sequencing
title_fullStr Alterations in Gut Microbiota Composition in Patients with COVID-19: A Pilot Study of Whole Hypervariable 16S rRNA Gene Sequencing
title_full_unstemmed Alterations in Gut Microbiota Composition in Patients with COVID-19: A Pilot Study of Whole Hypervariable 16S rRNA Gene Sequencing
title_short Alterations in Gut Microbiota Composition in Patients with COVID-19: A Pilot Study of Whole Hypervariable 16S rRNA Gene Sequencing
title_sort alterations in gut microbiota composition in patients with covid 19 a pilot study of whole hypervariable 16s rrna gene sequencing
topic COVID-19
gut microbiota
gut–lung axis
dysbiosis
recovered COVID-19 patient
microbiota
url https://www.mdpi.com/2227-9059/11/2/367
work_keys_str_mv AT dorotamankowskawierzbicka alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT joannazuraszek alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT adriannawierzbicka alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT marcingabryel alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT dagmaramahadea alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT alinabaturo alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT oliwiazakerskabanaszak alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT ryszardslomski alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT marzenaskrzypczakzielinska alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing
AT agnieszkadobrowolska alterationsingutmicrobiotacompositioninpatientswithcovid19apilotstudyofwholehypervariable16srrnagenesequencing