New Insights into Gut Microbiome Alteration in COVID-19

A special issue of Gastrointestinal Disorders (ISSN 2624-5647).

Deadline for manuscript submissions: closed (31 May 2023) | Viewed by 4689

Special Issue Editor


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Guest Editor
Section of Clinical Nutrition and Nutrigenomic, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy
Interests: microbiota; microbiome; leaky gut; diet; inflammation; obesity; microbes; bacteria
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The SARS-CoV-2 pandemic has led to an unprecedented global crisis. SARS-CoV-2 primarily causes lung infection, where the virus binds to the cellular receptor ACE-2 on the surface of alveolar epithelial cells. Notably, ACE-2 cellular receptors are also expressed in intestinal (GI) epithelial cells. Recent data have suggested that GI microbial communities may act as local and systemic inflammatory modulators. Gastrointestinal symptoms, including diarrhea, are often observed in infected individuals, and recently published data indicate that SARS-CoV-2 can also be transmitted through fecal and oral routes. In addition, the gut microbiota ecosystem can be regulated and regulated by invading pathogens, including viruses, facilitating an effective immune response, which, in turn, leads to less disease. In this regard, it appears that increased mortality and morbidity from SARS-CoV-2 is often observed in elderly immunocompromised patients and people with underlying diseases such as diabetes, who do tend to have a less diverse gut microbiota (dysbiosis). Therefore, it is important to understand how the interaction between  gut microbiota and SARS-CoV-2 can change the intensity of infection and different clinical outcomes. In this Special Issue, we want to review the current knowledge on dysbiosis during SARS-CoV-2 infection and the methods that can be used to restore the correct microbiota composition.

Prof. Dr. Giuseppe Merra
Guest Editor

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Keywords

  • SARS-CoV-2
  • COVID-19
  • microbiome
  • gastrointestinal symptom
  • nutrition

Published Papers (3 papers)

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Editorial

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3 pages, 210 KiB  
Editorial
How the Gut Microbiome Is Altered in COVID-19
by Giuseppe Merra
Gastrointest. Disord. 2023, 5(1), 112-114; https://doi.org/10.3390/gidisord5010011 - 20 Mar 2023
Viewed by 1364
Abstract
Microbioma and Viral Infections Respiratory infections are some of the main causes of hospitalization and mortality in older patients, especially [...] Full article
(This article belongs to the Special Issue New Insights into Gut Microbiome Alteration in COVID-19)

Research

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10 pages, 305 KiB  
Article
Effects of the Selective Decontamination of the Digestive Tract (SDD) on Pulmonary Secondary Infections in Patients with COVID-19 Acute Respiratory Distress Syndrome: A Retrospective Single Centre Experience
by Giorgio Berlot, Edoardo Moro, Stefano Zio, Silvia Zanchi, Anna Randino and Ariella Tomasini
Gastrointest. Disord. 2023, 5(2), 233-242; https://doi.org/10.3390/gidisord5020019 - 18 May 2023
Viewed by 1326
Abstract
Definitive data on the incidence rate of ventilator-associated pneumonia (VAP) in COVID-19 are still lacking, ranging from 29 to 58%. To date, most of the existing literature refers to patients who are not subjected to VAP prevention with selective decontamination of the digestive [...] Read more.
Definitive data on the incidence rate of ventilator-associated pneumonia (VAP) in COVID-19 are still lacking, ranging from 29 to 58%. To date, most of the existing literature refers to patients who are not subjected to VAP prevention with selective decontamination of the digestive tract (SDD). We retrospectively collected data on all COVID-19 patients admitted to our ICU during the second phase of the pandemic with the aim of assessing the occurrence of VAP and the related mortality at 30 days and comparing our findings with the available literature. Of 213 patients, only 74 were eligible for the analysis. An incidence of 6.90 VAP per 1000 days of mechanical ventilation was detected. Apart from a smoking habit (0% vs. 10%, p < 0.005) and diabetes (14% vs. 54%, p = 0.026), patients who developed VAP did not differ significantly from those who did not regarding comorbidities, steroid use, and the severity of COVID-19. VAP were predominantly caused by mono-microbial Gram-negative or fungal infections. Mortality was significantly higher in those who developed VAP (86 vs. 33%, p = 0.002). Our evidence aligned with the available literature in assuming a possible role of SDD in reducing the incidence of VAP in COVID-19 patients, with a possible impact on related mortality and costs. Full article
(This article belongs to the Special Issue New Insights into Gut Microbiome Alteration in COVID-19)

Review

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16 pages, 1017 KiB  
Review
The Effect of COVID-19 on Gut Microbiota: Exploring the Complex Interplay and Implications for Human Health
by Shamima Akter, Sa’dia Tasnim, Rashu Barua, Mayank Choubey, Shahida Arbee, Mohammad Mohabbulla Mohib, Naofel Minhaz, Ajanta Choudhury, Pallab Sarker and Mohammad Sarif Mohiuddin
Gastrointest. Disord. 2023, 5(3), 340-355; https://doi.org/10.3390/gidisord5030028 - 18 Aug 2023
Cited by 1 | Viewed by 1571
Abstract
The COVID-19 pandemic caused by the SARS-CoV-2 virus has led to significant global health implications. Although the respiratory manifestations of COVID-19 are widely recognized, emerging evidence suggests that the disease may also significantly affect the gut microbiota, the intricate community of bacteria that [...] Read more.
The COVID-19 pandemic caused by the SARS-CoV-2 virus has led to significant global health implications. Although the respiratory manifestations of COVID-19 are widely recognized, emerging evidence suggests that the disease may also significantly affect the gut microbiota, the intricate community of bacteria that lives within the gastrointestinal system. This extensive article intends to investigate the impact of COVID-19 on the gut microbiota, examining the underlying mechanisms, clinical implications, and potential therapeutic interventions. Understanding the complex interactions between COVID-19 and the gut microbiota will help us to gain valuable insights into the broader consequences of this viral infection on human health. Full article
(This article belongs to the Special Issue New Insights into Gut Microbiome Alteration in COVID-19)
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