Gut microbiome dysbiosis in antibiotic-treated COVID-19 patients is associated with microbial translocation and bacteremia
Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we provide evidence that gut microbiome dysbiosis is associated with translocation of bacteria into the blood during COVID-19, causing life-thr...
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Published in | Nature communications Vol. 13; no. 1; pp. 5926 - 13 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Nature Publishing Group UK
01.11.2022
Nature Publishing Group Nature Portfolio |
Subjects | |
Online Access | Get full text |
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Abstract | Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we provide evidence that gut microbiome dysbiosis is associated with translocation of bacteria into the blood during COVID-19, causing life-threatening secondary infections. We first demonstrate SARS-CoV-2 infection induces gut microbiome dysbiosis in mice, which correlated with alterations to Paneth cells and goblet cells, and markers of barrier permeability. Samples collected from 96 COVID-19 patients at two different clinical sites also revealed substantial gut microbiome dysbiosis, including blooms of opportunistic pathogenic bacterial genera known to include antimicrobial-resistant species. Analysis of blood culture results testing for secondary microbial bloodstream infections with paired microbiome data indicates that bacteria may translocate from the gut into the systemic circulation of COVID-19 patients. These results are consistent with a direct role for gut microbiome dysbiosis in enabling dangerous secondary infections during COVID-19.
Here, the authors show that SARS-CoV-2 infection causes gut microbiome dysbiosis and gut epithelial cell alterations in a mouse model, and correlate dysbiosis observed in COVID-19 patients with blood stream infections, matching reads of bacterial sequences from stool samples to organisms found in the blood. |
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AbstractList | Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we provide evidence that gut microbiome dysbiosis is associated with translocation of bacteria into the blood during COVID-19, causing life-threatening secondary infections. We first demonstrate SARS-CoV-2 infection induces gut microbiome dysbiosis in mice, which correlated with alterations to Paneth cells and goblet cells, and markers of barrier permeability. Samples collected from 96 COVID-19 patients at two different clinical sites also revealed substantial gut microbiome dysbiosis, including blooms of opportunistic pathogenic bacterial genera known to include antimicrobial-resistant species. Analysis of blood culture results testing for secondary microbial bloodstream infections with paired microbiome data indicates that bacteria may translocate from the gut into the systemic circulation of COVID-19 patients. These results are consistent with a direct role for gut microbiome dysbiosis in enabling dangerous secondary infections during COVID-19.Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we provide evidence that gut microbiome dysbiosis is associated with translocation of bacteria into the blood during COVID-19, causing life-threatening secondary infections. We first demonstrate SARS-CoV-2 infection induces gut microbiome dysbiosis in mice, which correlated with alterations to Paneth cells and goblet cells, and markers of barrier permeability. Samples collected from 96 COVID-19 patients at two different clinical sites also revealed substantial gut microbiome dysbiosis, including blooms of opportunistic pathogenic bacterial genera known to include antimicrobial-resistant species. Analysis of blood culture results testing for secondary microbial bloodstream infections with paired microbiome data indicates that bacteria may translocate from the gut into the systemic circulation of COVID-19 patients. These results are consistent with a direct role for gut microbiome dysbiosis in enabling dangerous secondary infections during COVID-19. Here, the authors show that SARS-CoV-2 infection causes gut microbiome dysbiosis and gut epithelial cell alterations in a mouse model, and correlate dysbiosis observed in COVID-19 patients with blood stream infections, matching reads of bacterial sequences from stool samples to organisms found in the blood. Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we provide evidence that gut microbiome dysbiosis is associated with translocation of bacteria into the blood during COVID-19, causing life-threatening secondary infections. We first demonstrate SARS-CoV-2 infection induces gut microbiome dysbiosis in mice, which correlated with alterations to Paneth cells and goblet cells, and markers of barrier permeability. Samples collected from 96 COVID-19 patients at two different clinical sites also revealed substantial gut microbiome dysbiosis, including blooms of opportunistic pathogenic bacterial genera known to include antimicrobial-resistant species. Analysis of blood culture results testing for secondary microbial bloodstream infections with paired microbiome data indicates that bacteria may translocate from the gut into the systemic circulation of COVID-19 patients. These results are consistent with a direct role for gut microbiome dysbiosis in enabling dangerous secondary infections during COVID-19. Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we provide evidence that gut microbiome dysbiosis is associated with translocation of bacteria into the blood during COVID-19, causing life-threatening secondary infections. We first demonstrate SARS-CoV-2 infection induces gut microbiome dysbiosis in mice, which correlated with alterations to Paneth cells and goblet cells, and markers of barrier permeability. Samples collected from 96 COVID-19 patients at two different clinical sites also revealed substantial gut microbiome dysbiosis, including blooms of opportunistic pathogenic bacterial genera known to include antimicrobial-resistant species. Analysis of blood culture results testing for secondary microbial bloodstream infections with paired microbiome data indicates that bacteria may translocate from the gut into the systemic circulation of COVID-19 patients. These results are consistent with a direct role for gut microbiome dysbiosis in enabling dangerous secondary infections during COVID-19.Here, the authors show that SARS-CoV-2 infection causes gut microbiome dysbiosis and gut epithelial cell alterations in a mouse model, and correlate dysbiosis observed in COVID-19 patients with blood stream infections, matching reads of bacterial sequences from stool samples to organisms found in the blood. Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we provide evidence that gut microbiome dysbiosis is associated with translocation of bacteria into the blood during COVID-19, causing life-threatening secondary infections. We first demonstrate SARS-CoV-2 infection induces gut microbiome dysbiosis in mice, which correlated with alterations to Paneth cells and goblet cells, and markers of barrier permeability. Samples collected from 96 COVID-19 patients at two different clinical sites also revealed substantial gut microbiome dysbiosis, including blooms of opportunistic pathogenic bacterial genera known to include antimicrobial-resistant species. Analysis of blood culture results testing for secondary microbial bloodstream infections with paired microbiome data indicates that bacteria may translocate from the gut into the systemic circulation of COVID-19 patients. These results are consistent with a direct role for gut microbiome dysbiosis in enabling dangerous secondary infections during COVID-19. Here, the authors show that SARS-CoV-2 infection causes gut microbiome dysbiosis and gut epithelial cell alterations in a mouse model, and correlate dysbiosis observed in COVID-19 patients with blood stream infections, matching reads of bacterial sequences from stool samples to organisms found in the blood. |
ArticleNumber | 5926 |
Author | Ko, Albert I. Sullivan, Alexis P. Valero-Jimenez, Ana M. Pironti, Alejandro Shopsin, Bo Zhang, Chenzhen Cadwell, Ken Dittmann, Meike Axelrad, Jordan E. Hussey, Grant A. Casanovas-Massana, Arnau Stapleford, Kenneth A. Noval, Maria G. Wilder, Evan Klein, Jon Putzel, Gregory Thorpe, Lorna E. Torres, Victor J. Venzon, Mericien Gago, Juan Bernard-Raichon, Lucie Schluter, Jonas Littman, Dan R. Iwasaki, Akiko |
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organization: Institute for Systems Genetics, New York University Grossman School of Medicine – sequence: 6 givenname: Alexis P. orcidid: 0000-0001-9296-8112 surname: Sullivan fullname: Sullivan, Alexis P. organization: Institute for Systems Genetics, New York University Grossman School of Medicine – sequence: 7 givenname: Grant A. surname: Hussey fullname: Hussey, Grant A. organization: Institute for Systems Genetics, New York University Grossman School of Medicine – sequence: 8 givenname: Arnau orcidid: 0000-0002-3301-6143 surname: Casanovas-Massana fullname: Casanovas-Massana, Arnau organization: Department of Epidemiology of Microbial Diseases, Yale School of Public Health – sequence: 9 givenname: Maria G. surname: Noval fullname: Noval, Maria G. organization: Department of Microbiology, New York University Grossman School of Medicine – sequence: 10 givenname: Ana M. surname: Valero-Jimenez fullname: Valero-Jimenez, Ana M. organization: Department of Microbiology, New York University Grossman School of Medicine – sequence: 11 givenname: Juan surname: Gago fullname: Gago, Juan organization: Vilcek Institute of Graduate Biomedical Sciences, New York University Grossman School of Medicine, Department of Population Health, New York University Grossman School of Medicine – sequence: 12 givenname: Gregory surname: Putzel fullname: Putzel, Gregory organization: Department of Microbiology, New York University Grossman School of Medicine, Antimicrobial-Resistant Pathogens Program, New York University School of Medicine – sequence: 13 givenname: Alejandro orcidid: 0000-0002-7759-6776 surname: Pironti fullname: Pironti, Alejandro organization: Department of Microbiology, New York University Grossman School of Medicine, Antimicrobial-Resistant Pathogens Program, New York University School of Medicine – sequence: 14 givenname: Evan surname: Wilder fullname: Wilder, Evan organization: Division of Gastroenterology, Department of Medicine, New York University Grossman School of Medicine – sequence: 16 givenname: Lorna E. surname: Thorpe fullname: Thorpe, Lorna E. organization: Department of Population Health, New York University Grossman School of Medicine, Antimicrobial-Resistant Pathogens Program, New York University School of Medicine – sequence: 17 givenname: Dan R. surname: Littman fullname: Littman, Dan R. organization: Kimmel Center for Biology and Medicine at the Skirball Institute, New York University Grossman School of Medicine, Howard Hughes Medical Institute – sequence: 18 givenname: Meike surname: Dittmann fullname: Dittmann, Meike organization: Department of Microbiology, New York University Grossman School of Medicine – sequence: 19 givenname: Kenneth A. surname: Stapleford fullname: Stapleford, Kenneth A. organization: Department of Microbiology, New York University Grossman School of Medicine – sequence: 20 givenname: Bo surname: Shopsin fullname: Shopsin, Bo organization: Department of Microbiology, New York University Grossman School of Medicine, Antimicrobial-Resistant Pathogens Program, New York University School of Medicine, Department of Medicine, Division of Infectious Diseases, New York University Grossman School of Medicine – sequence: 21 givenname: Victor J. orcidid: 0000-0002-7126-0489 surname: Torres fullname: Torres, Victor J. organization: Department of Microbiology, New York University Grossman School of Medicine, Antimicrobial-Resistant Pathogens Program, New York University School of Medicine – sequence: 22 givenname: Albert I. orcidid: 0000-0001-9023-2339 surname: Ko fullname: Ko, Albert I. organization: Department of Epidemiology of Microbial Diseases, Yale School of Public Health – sequence: 23 givenname: Akiko orcidid: 0000-0002-7824-9856 surname: Iwasaki fullname: Iwasaki, Akiko organization: Department of Immunobiology, Yale School of Medicine, Howard Hughes Medical Institute – sequence: 24 givenname: Ken surname: Cadwell fullname: Cadwell, Ken email: ken.cadwell@nyulangone.org organization: Kimmel Center for Biology and Medicine at the Skirball Institute, New York University Grossman School of Medicine, Division of Gastroenterology, Department of Medicine, New York University Grossman School of Medicine, Department of Microbiology, New York University Grossman School of Medicine, Antimicrobial-Resistant Pathogens Program, New York University School of Medicine – sequence: 25 givenname: Jonas orcidid: 0000-0002-6214-9367 surname: Schluter fullname: Schluter, Jonas email: jonas.schluter@nyulangone.org organization: Institute for Systems Genetics, New York University Grossman School of Medicine, Department of Microbiology, New York University Grossman School of Medicine, Antimicrobial-Resistant Pathogens Program, New York University School of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36319618$$D View this record in MEDLINE/PubMed |
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Snippet | Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we... Here, the authors show that SARS-CoV-2 infection causes gut microbiome dysbiosis and gut epithelial cell alterations in a mouse model, and correlate dysbiosis... |
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SubjectTerms | 13/51 38/23 38/43 38/77 631/326/2522 631/326/2565/2134 64/110 Animals Anti-Bacterial Agents Antibiotics Antiinfectives and antibacterials Bacteremia Bacteria Blood Blood culture Cell culture Coinfection Coronaviruses COVID-19 Digestive system Dysbacteriosis Dysbiosis - microbiology Epithelial cells Epithelium Gastrointestinal Microbiome Goblet cells Gut microbiota Humanities and Social Sciences Infections Intestinal microflora Mice Microbiomes Microbiota Microorganisms multidisciplinary Paneth cells Patients Permeability SARS-CoV-2 Science Science (multidisciplinary) Severe acute respiratory syndrome coronavirus 2 Translocation |
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Title | Gut microbiome dysbiosis in antibiotic-treated COVID-19 patients is associated with microbial translocation and bacteremia |
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