Xiao Zhenming, Pan Miaomiao, Li Xinyao, Zhao Chao
Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College & National Clinical Research Center for Aging and Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200032, China.
Shanghai Frontiers Science Center of Pathogenic Microbes and Infection, Shanghai Frontiers Science Center, Shanghai 200032, China.
Microbiome Res Rep. 2023 Dec 6;3(1):7. doi: 10.20517/mrr.2023.48. eCollection 2024.
The composition and function of the gut microbiota constantly influence health. Disruptions in this delicate balance, termed gut microbiota dysbiosis, have been implicated in various adverse health events. As the largest global epidemic since 1918, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had devastating consequences. While the primary impact of Corona Virus Disease 2019 (COVID-19) has been on the respiratory system, a growing body of research has unveiled the significant involvement of the gastrointestinal tract as well. Emerging evidence underscores notable alterations in the gut microbiome of COVID-19 patients. In addition, the gut microbiome is also characterized by an abundance of opportunistic pathogens, which is related to disease manifestations of COVID-19 patients. The intricate bidirectional interaction between the respiratory mucosa and the gut microbiota, known as the gut-lung axis, emerges as a crucial player in the pathological immune response triggered by SARS-CoV-2. Here, we discuss microbiota-based gut characteristics of COVID-19 patients and the long-term consequences of gut microbiota dysregulation. These insights could potentially transform the development of long-term interventions for COVID-19, offering hope for improved outcomes and enhanced patient recovery.
肠道微生物群的组成和功能持续影响健康。这种微妙平衡的破坏,即肠道微生物群失调,与各种不良健康事件有关。严重急性呼吸综合征冠状病毒2(SARS-CoV-2)作为自1918年以来最大的全球流行病,造成了毁灭性后果。虽然2019冠状病毒病(COVID-19)的主要影响在呼吸系统,但越来越多的研究也揭示了胃肠道也有显著参与。新出现的证据强调了COVID-19患者肠道微生物组的显著变化。此外,COVID-19患者的肠道微生物组还以大量机会性病原体为特征,这与疾病表现有关。呼吸道黏膜与肠道微生物群之间复杂的双向相互作用,即肠-肺轴,在由SARS-CoV-2引发的病理免疫反应中成为关键因素。在此,我们讨论COVID-19患者基于微生物群的肠道特征以及肠道微生物群失调的长期后果。这些见解可能会改变COVID-19长期干预措施的发展,为改善治疗结果和促进患者康复带来希望。