SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environment

Abstract Background SARS-CoV-2 is an RNA virus responsible for the coronavirus disease 2019 (COVID-19) pandemic. Viruses exist in complex microbial environments, and recent studies have revealed both synergistic and antagonistic effects of specific bacterial taxa on viral prevalence and infectivity....

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Main Authors: Clarisse Marotz, Pedro Belda-Ferre, Farhana Ali, Promi Das, Shi Huang, Kalen Cantrell, Lingjing Jiang, Cameron Martino, Rachel E. Diner, Gibraan Rahman, Daniel McDonald, George Armstrong, Sho Kodera, Sonya Donato, Gertrude Ecklu-Mensah, Neil Gottel, Mariana C. Salas Garcia, Leslie Y. Chiang, Rodolfo A. Salido, Justin P. Shaffer, Mac Kenzie Bryant, Karenina Sanders, Greg Humphrey, Gail Ackermann, Niina Haiminen, Kristen L. Beck, Ho-Cheol Kim, Anna Paola Carrieri, Laxmi Parida, Yoshiki Vázquez-Baeza, Francesca J. Torriani, Rob Knight, Jack Gilbert, Daniel A. Sweeney, Sarah M. Allard
Format: Article
Language:English
Published: BMC 2021-06-01
Series:Microbiome
Subjects:
Online Access:https://doi.org/10.1186/s40168-021-01083-0
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author Clarisse Marotz
Pedro Belda-Ferre
Farhana Ali
Promi Das
Shi Huang
Kalen Cantrell
Lingjing Jiang
Cameron Martino
Rachel E. Diner
Gibraan Rahman
Daniel McDonald
George Armstrong
Sho Kodera
Sonya Donato
Gertrude Ecklu-Mensah
Neil Gottel
Mariana C. Salas Garcia
Leslie Y. Chiang
Rodolfo A. Salido
Justin P. Shaffer
Mac Kenzie Bryant
Karenina Sanders
Greg Humphrey
Gail Ackermann
Niina Haiminen
Kristen L. Beck
Ho-Cheol Kim
Anna Paola Carrieri
Laxmi Parida
Yoshiki Vázquez-Baeza
Francesca J. Torriani
Rob Knight
Jack Gilbert
Daniel A. Sweeney
Sarah M. Allard
author_facet Clarisse Marotz
Pedro Belda-Ferre
Farhana Ali
Promi Das
Shi Huang
Kalen Cantrell
Lingjing Jiang
Cameron Martino
Rachel E. Diner
Gibraan Rahman
Daniel McDonald
George Armstrong
Sho Kodera
Sonya Donato
Gertrude Ecklu-Mensah
Neil Gottel
Mariana C. Salas Garcia
Leslie Y. Chiang
Rodolfo A. Salido
Justin P. Shaffer
Mac Kenzie Bryant
Karenina Sanders
Greg Humphrey
Gail Ackermann
Niina Haiminen
Kristen L. Beck
Ho-Cheol Kim
Anna Paola Carrieri
Laxmi Parida
Yoshiki Vázquez-Baeza
Francesca J. Torriani
Rob Knight
Jack Gilbert
Daniel A. Sweeney
Sarah M. Allard
author_sort Clarisse Marotz
collection DOAJ
description Abstract Background SARS-CoV-2 is an RNA virus responsible for the coronavirus disease 2019 (COVID-19) pandemic. Viruses exist in complex microbial environments, and recent studies have revealed both synergistic and antagonistic effects of specific bacterial taxa on viral prevalence and infectivity. We set out to test whether specific bacterial communities predict SARS-CoV-2 occurrence in a hospital setting. Methods We collected 972 samples from hospitalized patients with COVID-19, their health care providers, and hospital surfaces before, during, and after admission. We screened for SARS-CoV-2 using RT-qPCR, characterized microbial communities using 16S rRNA gene amplicon sequencing, and used these bacterial profiles to classify SARS-CoV-2 RNA detection with a random forest model. Results Sixteen percent of surfaces from COVID-19 patient rooms had detectable SARS-CoV-2 RNA, although infectivity was not assessed. The highest prevalence was in floor samples next to patient beds (39%) and directly outside their rooms (29%). Although bed rail samples more closely resembled the patient microbiome compared to floor samples, SARS-CoV-2 RNA was detected less often in bed rail samples (11%). SARS-CoV-2 positive samples had higher bacterial phylogenetic diversity in both human and surface samples and higher biomass in floor samples. 16S microbial community profiles enabled high classifier accuracy for SARS-CoV-2 status in not only nares, but also forehead, stool, and floor samples. Across these distinct microbial profiles, a single amplicon sequence variant from the genus Rothia strongly predicted SARS-CoV-2 presence across sample types, with greater prevalence in positive surface and human samples, even when compared to samples from patients in other intensive care units prior to the COVID-19 pandemic. Conclusions These results contextualize the vast diversity of microbial niches where SARS-CoV-2 RNA is detected and identify specific bacterial taxa that associate with the viral RNA prevalence both in the host and hospital environment. Video Abstract
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spelling doaj.art-9cbfb3750bf44967a2ef40936b47350e2022-12-21T19:20:09ZengBMCMicrobiome2049-26182021-06-019111510.1186/s40168-021-01083-0SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environmentClarisse Marotz0Pedro Belda-Ferre1Farhana Ali2Promi Das3Shi Huang4Kalen Cantrell5Lingjing Jiang6Cameron Martino7Rachel E. Diner8Gibraan Rahman9Daniel McDonald10George Armstrong11Sho Kodera12Sonya Donato13Gertrude Ecklu-Mensah14Neil Gottel15Mariana C. Salas Garcia16Leslie Y. Chiang17Rodolfo A. Salido18Justin P. Shaffer19Mac Kenzie Bryant20Karenina Sanders21Greg Humphrey22Gail Ackermann23Niina Haiminen24Kristen L. Beck25Ho-Cheol Kim26Anna Paola Carrieri27Laxmi Parida28Yoshiki Vázquez-Baeza29Francesca J. Torriani30Rob Knight31Jack Gilbert32Daniel A. Sweeney33Sarah M. Allard34Department of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoCenter for Microbiome Innovation, Jacobs School of Engineering, University of California San DiegoCenter for Microbiome Innovation, Jacobs School of Engineering, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoMicrobiome Core, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoInfection Prevention and Clinical Epidemiology Unit at UC San Diego Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, UC San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoIBM, T.J Watson Research Center, Yorktown HeightsAI and Cognitive Software, IBM Research-AlmadenAI and Cognitive Software, IBM Research-AlmadenIBM Research UK, The Hartree CentreIBM, T.J Watson Research Center, Yorktown HeightsCenter for Microbiome Innovation, Jacobs School of Engineering, University of California San DiegoInfection Prevention and Clinical Epidemiology Unit at UC San Diego Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, UC San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of California San DiegoDepartment of Pediatrics, School of Medicine, University of California San DiegoAbstract Background SARS-CoV-2 is an RNA virus responsible for the coronavirus disease 2019 (COVID-19) pandemic. Viruses exist in complex microbial environments, and recent studies have revealed both synergistic and antagonistic effects of specific bacterial taxa on viral prevalence and infectivity. We set out to test whether specific bacterial communities predict SARS-CoV-2 occurrence in a hospital setting. Methods We collected 972 samples from hospitalized patients with COVID-19, their health care providers, and hospital surfaces before, during, and after admission. We screened for SARS-CoV-2 using RT-qPCR, characterized microbial communities using 16S rRNA gene amplicon sequencing, and used these bacterial profiles to classify SARS-CoV-2 RNA detection with a random forest model. Results Sixteen percent of surfaces from COVID-19 patient rooms had detectable SARS-CoV-2 RNA, although infectivity was not assessed. The highest prevalence was in floor samples next to patient beds (39%) and directly outside their rooms (29%). Although bed rail samples more closely resembled the patient microbiome compared to floor samples, SARS-CoV-2 RNA was detected less often in bed rail samples (11%). SARS-CoV-2 positive samples had higher bacterial phylogenetic diversity in both human and surface samples and higher biomass in floor samples. 16S microbial community profiles enabled high classifier accuracy for SARS-CoV-2 status in not only nares, but also forehead, stool, and floor samples. Across these distinct microbial profiles, a single amplicon sequence variant from the genus Rothia strongly predicted SARS-CoV-2 presence across sample types, with greater prevalence in positive surface and human samples, even when compared to samples from patients in other intensive care units prior to the COVID-19 pandemic. Conclusions These results contextualize the vast diversity of microbial niches where SARS-CoV-2 RNA is detected and identify specific bacterial taxa that associate with the viral RNA prevalence both in the host and hospital environment. Video Abstracthttps://doi.org/10.1186/s40168-021-01083-0Built environmentSARS-CoV-216S rRNAMicrobiomeCOVID-19
spellingShingle Clarisse Marotz
Pedro Belda-Ferre
Farhana Ali
Promi Das
Shi Huang
Kalen Cantrell
Lingjing Jiang
Cameron Martino
Rachel E. Diner
Gibraan Rahman
Daniel McDonald
George Armstrong
Sho Kodera
Sonya Donato
Gertrude Ecklu-Mensah
Neil Gottel
Mariana C. Salas Garcia
Leslie Y. Chiang
Rodolfo A. Salido
Justin P. Shaffer
Mac Kenzie Bryant
Karenina Sanders
Greg Humphrey
Gail Ackermann
Niina Haiminen
Kristen L. Beck
Ho-Cheol Kim
Anna Paola Carrieri
Laxmi Parida
Yoshiki Vázquez-Baeza
Francesca J. Torriani
Rob Knight
Jack Gilbert
Daniel A. Sweeney
Sarah M. Allard
SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environment
Microbiome
Built environment
SARS-CoV-2
16S rRNA
Microbiome
COVID-19
title SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environment
title_full SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environment
title_fullStr SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environment
title_full_unstemmed SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environment
title_short SARS-CoV-2 detection status associates with bacterial community composition in patients and the hospital environment
title_sort sars cov 2 detection status associates with bacterial community composition in patients and the hospital environment
topic Built environment
SARS-CoV-2
16S rRNA
Microbiome
COVID-19
url https://doi.org/10.1186/s40168-021-01083-0
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