Department of Microbiology and Immunology, G.W. Hooper Research Foundation, University of California , San Francisco, California, USA.
Department of Medicine, University of California San Francisco, University of California , San Francisco, California, USA.
mBio. 2023 Aug 31;14(4):e0088923. doi: 10.1128/mbio.00889-23. Epub 2023 Jun 9.
Viruses targeting mammalian cells can indirectly alter the gut microbiota, potentially compounding their phenotypic effects. Multiple studies have observed a disrupted gut microbiota in severe cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection that require hospitalization. Yet, despite demographic shifts in disease severity resulting in a large and continuing burden of non-hospitalized infections, we still know very little about the impact of mild SARS-CoV-2 infection on the gut microbiota in the outpatient setting. To address this knowledge gap, we longitudinally sampled 14 SARS-CoV-2-positive subjects who remained outpatient and 4 household controls. SARS-CoV-2 cases exhibited a significantly less stable gut microbiota relative to controls. These results were confirmed and extended in the K18-humanized angiotensin-converting enzyme 2 mouse model, which is susceptible to SARS-CoV-2 infection. All of the tested SARS-CoV-2 variants significantly disrupted the mouse gut microbiota, including USA-WA1/2020 (the original variant detected in the USA), Delta, and Omicron. Surprisingly, despite the fact that the Omicron variant caused the least severe symptoms in mice, it destabilized the gut microbiota and led to a significant depletion in . Furthermore, exposure of wild-type C57BL/6J mice to SARS-CoV-2 disrupted the gut microbiota in the absence of severe lung pathology. IMPORTANCE Taken together, our results demonstrate that even mild cases of SARS-CoV-2 can disrupt gut microbial ecology. Our findings in non-hospitalized individuals are consistent with studies of hospitalized patients, in that reproducible shifts in gut microbial taxonomic abundance in response to SARS-CoV-2 have been difficult to identify. Instead, we report a long-lasting instability in the gut microbiota. Surprisingly, our mouse experiments revealed an impact of the Omicron variant, despite producing the least severe symptoms in genetically susceptible mice, suggesting that despite the continued evolution of SARS-CoV-2, it has retained its ability to perturb the intestinal mucosa. These results will hopefully renew efforts to study the mechanisms through which Omicron and future SARS-CoV-2 variants alter gastrointestinal physiology, while also considering the potentially broad consequences of SARS-CoV-2-induced microbiota instability for host health and disease.
病毒靶向哺乳动物细胞可间接改变肠道微生物群,从而可能使它们的表型效应更加复杂。多项研究观察到,在需要住院治疗的严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 感染的严重病例中,肠道微生物群被打乱。然而,尽管疾病严重程度的人口统计学变化导致大量且持续存在非住院感染的负担,但我们对门诊轻中度 SARS-CoV-2 感染对肠道微生物群的影响仍知之甚少。为了解决这一知识空白,我们对 14 名仍在门诊的 SARS-CoV-2 阳性患者和 4 名家庭对照者进行了纵向采样。与对照组相比,SARS-CoV-2 病例的肠道微生物群明显更不稳定。这些结果在易感染 SARS-CoV-2 的 K18 人源血管紧张素转换酶 2 小鼠模型中得到了证实和扩展。所有测试的 SARS-CoV-2 变体都显著破坏了小鼠的肠道微生物群,包括 USA-WA1/2020(在美国首次检测到的原始变体)、Delta 和 Omicron。令人惊讶的是,尽管 Omicron 变体在小鼠中引起的症状最不严重,但它破坏了肠道微生物群,并导致显著减少了。此外,暴露于 SARS-CoV-2 的野生型 C57BL/6J 小鼠在没有严重肺部病理的情况下破坏了肠道微生物群。
重要的是,我们的研究结果表明,即使是轻度的 SARS-CoV-2 感染也可能破坏肠道微生物生态。我们在非住院患者中的发现与住院患者的研究一致,因为难以确定对 SARS-CoV-2 有反应的肠道微生物分类群丰度的可重复变化。相反,我们报告了肠道微生物群的持久不稳定。令人惊讶的是,我们的小鼠实验揭示了 Omicron 变体的影响,尽管它在基因易感小鼠中产生的症状最不严重,这表明尽管 SARS-CoV-2 不断进化,但它仍保留了扰乱肠道黏膜的能力。这些结果有望重新努力研究 Omicron 和未来 SARS-CoV-2 变体改变胃肠道生理学的机制,同时也考虑到 SARS-CoV-2 诱导的微生物群不稳定对宿主健康和疾病的潜在广泛影响。
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