Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and Therapy

Inflammation and oxidative stress are critical underlying mechanisms associated with COVID-19 that contribute to the complications and clinical deterioration of patients. Additionally, COVID-19 has the potential to alter the composition of patients’ gut microbiota, characterized by a decreased abund...

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Main Authors: Virna Margarita Martín Giménez, Javier Modrego, Dulcenombre Gómez-Garre, Walter Manucha, Natalia de las Heras
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/15/12249
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author Virna Margarita Martín Giménez
Javier Modrego
Dulcenombre Gómez-Garre
Walter Manucha
Natalia de las Heras
author_facet Virna Margarita Martín Giménez
Javier Modrego
Dulcenombre Gómez-Garre
Walter Manucha
Natalia de las Heras
author_sort Virna Margarita Martín Giménez
collection DOAJ
description Inflammation and oxidative stress are critical underlying mechanisms associated with COVID-19 that contribute to the complications and clinical deterioration of patients. Additionally, COVID-19 has the potential to alter the composition of patients’ gut microbiota, characterized by a decreased abundance of bacteria with probiotic effects. Interestingly, certain strains of these bacteria produce metabolites that can target the S protein of other coronaviruses, thereby preventing their transmission and harmful effects. At the same time, the presence of gut dysbiosis can exacerbate inflammation and oxidative stress, creating a vicious cycle that perpetuates the disease. Furthermore, it is widely recognized that the gut microbiota can metabolize various foods and drugs, producing by-products that may have either beneficial or detrimental effects. In this regard, a decrease in short-chain fatty acid (SCFA), such as acetate, propionate, and butyrate, can influence the overall inflammatory and oxidative state, affecting the prevention, treatment, or worsening of COVID-19. This review aims to explore the current evidence regarding gut dysbiosis in patients with COVID-19, its association with inflammation and oxidative stress, the molecular mechanisms involved, and the potential of gut microbiota modulation in preventing and treating SARS-CoV-2 infection. Given that gut microbiota has demonstrated high adaptability, exploring ways and strategies to maintain good intestinal health, as well as an appropriate diversity and composition of the gut microbiome, becomes crucial in the battle against COVID-19.
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spelling doaj.art-69994d18b127430b916943c0191dc5d92023-11-18T23:02:29ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-07-0124151224910.3390/ijms241512249Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and TherapyVirna Margarita Martín Giménez0Javier Modrego1Dulcenombre Gómez-Garre2Walter Manucha3Natalia de las Heras4Instituto de Investigaciones en Ciencias Químicas, Facultad de Ciencias Químicas y Tecnológicas, Universidad Católica de Cuyo, San Juan 5400, ArgentinaLaboratorio de Riesgo Cardiovascular y Microbiota, Hospital Clínico San Carlos-Instituto de Investigación Sanitaria San Carlos (IdISSC), 28040 Madrid, SpainLaboratorio de Riesgo Cardiovascular y Microbiota, Hospital Clínico San Carlos-Instituto de Investigación Sanitaria San Carlos (IdISSC), 28040 Madrid, SpainÁrea de Farmacología, Departamento de Patología, Facultad de Ciencias Médicas, Universidad Nacional de Cuyo, Mendoza 5500, ArgentinaDepartamento de Fisiología, Facultad de Medicina, Plaza Ramón y Cajal, s/n. Universidad Complutense, 28040 Madrid, SpainInflammation and oxidative stress are critical underlying mechanisms associated with COVID-19 that contribute to the complications and clinical deterioration of patients. Additionally, COVID-19 has the potential to alter the composition of patients’ gut microbiota, characterized by a decreased abundance of bacteria with probiotic effects. Interestingly, certain strains of these bacteria produce metabolites that can target the S protein of other coronaviruses, thereby preventing their transmission and harmful effects. At the same time, the presence of gut dysbiosis can exacerbate inflammation and oxidative stress, creating a vicious cycle that perpetuates the disease. Furthermore, it is widely recognized that the gut microbiota can metabolize various foods and drugs, producing by-products that may have either beneficial or detrimental effects. In this regard, a decrease in short-chain fatty acid (SCFA), such as acetate, propionate, and butyrate, can influence the overall inflammatory and oxidative state, affecting the prevention, treatment, or worsening of COVID-19. This review aims to explore the current evidence regarding gut dysbiosis in patients with COVID-19, its association with inflammation and oxidative stress, the molecular mechanisms involved, and the potential of gut microbiota modulation in preventing and treating SARS-CoV-2 infection. Given that gut microbiota has demonstrated high adaptability, exploring ways and strategies to maintain good intestinal health, as well as an appropriate diversity and composition of the gut microbiome, becomes crucial in the battle against COVID-19.https://www.mdpi.com/1422-0067/24/15/12249gut microbiotainflammationimmune systemCOVID-19SARS-CoV-2probiotics
spellingShingle Virna Margarita Martín Giménez
Javier Modrego
Dulcenombre Gómez-Garre
Walter Manucha
Natalia de las Heras
Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and Therapy
International Journal of Molecular Sciences
gut microbiota
inflammation
immune system
COVID-19
SARS-CoV-2
probiotics
title Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and Therapy
title_full Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and Therapy
title_fullStr Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and Therapy
title_full_unstemmed Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and Therapy
title_short Gut Microbiota Dysbiosis in COVID-19: Modulation and Approaches for Prevention and Therapy
title_sort gut microbiota dysbiosis in covid 19 modulation and approaches for prevention and therapy
topic gut microbiota
inflammation
immune system
COVID-19
SARS-CoV-2
probiotics
url https://www.mdpi.com/1422-0067/24/15/12249
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