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COVID-19中的微生物动态:揭示人类微生物组对疾病易感性和治疗策略的影响

Microbial Dynamics in COVID-19: Unraveling the Impact of Human Microbiome on Disease Susceptibility and Therapeutic Strategies.

作者信息

Guha Soumya Kanti, Niyogi Sougata

机构信息

Department of Computer Application, Dinabandhu Andrews Institute of Technology and Management, BaishnabghataPatuli Township, Block-S, 1/406A, Near Satyajit Ray Park, Patuli, Kolkata, West Bengal, 700094, India.

Department of Medical Laboratory Technology, Dinabandhu Andrews Institute of Technology and Management, BaishnabghataPatuli Township, Block-S, 1/406A, Near Satyajit Ray Park, Patuli, Kolkata, West Bengal, 700094, India.

出版信息

Curr Microbiol. 2024 Dec 25;82(1):59. doi: 10.1007/s00284-024-04041-9.

DOI:10.1007/s00284-024-04041-9
PMID:39720963
Abstract

This review explores the bidirectional relationship between the human microbiome and SARS-CoV-2 infection, elucidating its implications for COVID-19 susceptibility, severity, and therapeutic strategies. Metagenomic analyses reveal notable alterations in microbiome composition associated with SARS-CoV-2 infection, impacting disease severity and clinical outcomes. Dysbiosis within the respiratory, gastrointestinal, oral, and skin microbiomes exacerbates COVID-19 pathology through immune dysregulation and inflammatory pathways. Understanding these microbial shifts is pivotal for devising targeted therapeutic interventions. Notably, co-infection of oral pathogens with SARS-CoV-2 worsens lung pathology, while gut microbiome dysbiosis influences viral susceptibility and severity. Potential therapeutic approaches targeting the microbiome include probiotics, antimicrobial agents, and immunomodulatory strategies. This review underscores the importance of elucidating host-microbiota interactions to advance precision medicine and public health initiatives in combating COVID-19 and other infectious diseases.

摘要

本综述探讨了人类微生物组与SARS-CoV-2感染之间的双向关系,阐明了其对COVID-19易感性、严重程度和治疗策略的影响。宏基因组分析揭示了与SARS-CoV-2感染相关的微生物组组成的显著变化,影响疾病严重程度和临床结果。呼吸道、胃肠道、口腔和皮肤微生物组的生态失调通过免疫失调和炎症途径加剧了COVID-19的病理过程。了解这些微生物变化对于制定有针对性的治疗干预措施至关重要。值得注意的是,口腔病原体与SARS-CoV-2的共同感染会加重肺部病理,而肠道微生物组失调会影响病毒易感性和严重程度。针对微生物组的潜在治疗方法包括益生菌、抗菌剂和免疫调节策略。本综述强调了阐明宿主-微生物群相互作用对于推进精准医学和公共卫生举措以对抗COVID-19和其他传染病的重要性。

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本文引用的文献

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A complete guide to human microbiomes: Body niches, transmission, development, dysbiosis, and restoration.人类微生物组完整指南:身体生态位、传播、发育、失调与恢复
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Microbiome: Role in Inflammatory Skin Diseases.微生物群:在炎症性皮肤病中的作用
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Gut microbiota composition is associated with disease severity and host immune responses in COVID-19.肠道微生物群落组成与 COVID-19 疾病严重程度和宿主免疫反应有关。
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The Role of Gut Dysbiosis in the Loss of Intestinal Immune Cell Functions and Viral Pathogenesis.肠道菌群失调在肠道免疫细胞功能丧失及病毒致病机制中的作用
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An Overview of the Microbiota of the Human Urinary Tract in Health and Disease: Current Issues and Perspectives.健康与疾病状态下人类泌尿道微生物群概述:当前问题与展望
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Conditioning of the immune system by the microbiome.微生物组对免疫系统的调节。
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Gut Microbiota Dysbiosis Correlates With Long COVID-19 at One-Year After Discharge.肠道微生物失调与 COVID-19 长期症状在出院一年后相关。
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Current concepts in the pathogenesis of periodontitis: from symbiosis to dysbiosis.牙周炎发病机制的当前概念:从共生到生态失调。
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