Association of gut microbiota with the pathogenesis of SARS-CoV-2 Infection in people living with HIV

From BugSigDB
Needs review
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
Authors
Aya Ishizaka, Eisuke Adachi, Hiroshi Yotsuyanagi, Kiyoko Iwatsuki-Horimoto, Michiko Koga, Seiya Yamayoshi, Taketoshi Mizutani, Yoshihiro Kawaoka, Yutaka Suzuki
Journal
BMC microbiology
Year
2024
Pages:
First page:
Keywords:
SARS-CoV-2, COVID-19, HIV, Microbiota, Post-acute COVID-19 syndrome
Background

People living with HIV (PLWH) with chronic inflammation may have an increasing risk for coronavirus disease 2019 (COVID-19) severity; however, the impact of their gut microbiota on COVID-19 is not fully elucidated. Here, we analyzed the temporal changes in the gut microbiota composition of hospitalized severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected PLWH (PLWH-CoV) and their correlation with COVID-19 severity.

Result The 16S rRNA analysis results using stool samples (along the timeline from disease onset) from 12 hospitalized PLWH-CoV, whose median CD4 + T cell count was 671 cells/µl, were compared to those of 19 healthy people and 25 PLWH. Bacterial diversity in PLWH-CoV is not significantly different from that of healthy people and SARS-CoV-2 non-infected PLWH, but a significant difference in the microbiota diversity was observed in the classification according to the disease severity. Immediately after the disease onset, remarkable changes were observed in the gut microbiota of PLWH-CoV, and the changing with a decrease in some short-chain fatty acid-producing bacteria and an increase in colitis-related pathobiont. In the second week after disease onset, relative amounts of specific bacteria distinguished between disease severity. One month after the disease onset, dysbiosis of the gut microbiota persisted, and the number of Enterobacteriaceae, mainly Escherichia-Shigella, which is potentially pathogenic, increased and were enriched in patients who developed post-acute sequelae of COVID-19 (PASC).

Conclusion The changes in the gut microbiota associated with SARS-CoV-2 infection observed in PLWH in this study indicated a persistent decrease in SCFA-producing bacteria and an intestinal environment with an increase in opportunistic pathogens associated with enteritis. This report demonstrates that the intestinal environment in PLWH tends to show delayed improvement even after COVID-19 recovery, and highlights the importance of the dysbiosis associated with SARS-CoV-2 infection as a potential factor in the COVID-19 severity and the PASC in PLWH.

Experiment 1


Needs review

Curated date: 2024/03/20

Curator: Ardeybisi

Revision editor(s): Ardeybisi, Svetlana up, Adenike Oladimeji-Kasumu

Subjects

Location of subjects
Japan
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
HIV infection , SARS coronavirus [X]Human immunodeficiency virus disease,[X]Human immunodeficiency virus disease (disorder),[X]Unspecified human immunodeficiency virus [HIV] disease,[X]Unspecified human immunodeficiency virus [HIV] disease (disorder),HIV - Human immunodeficiency virus infection,HIV INFECT,HIV Infection,HIV infection,HIV Infections,HIV infectious disease,HTLV III INFECT,HTLV III Infections,HTLV III LAV INFECT,HTLV III LAV Infections,HTLV WIII INFECTIONS,HTLV WIII LAV INFECTIONS,HTLV-III Infection,HTLV-III Infections,HTLV-III-LAV Infection,HTLV-III-LAV Infections,HUMAN IMMUNO VIRUS DIS,human immunodeficiency virus,Human immunodeficiency virus [HIV] disease,HUMAN IMMUNOdeficiency VIRUS [HIV] INFECTION,Human immunodeficiency virus caused disease or disorder,Human immunodeficiency virus disease,Human immunodeficiency virus disease (disorder),Human immunodeficiency virus disease or disorder,Human immunodeficiency virus infection,Human immunodeficiency virus infection (disorder),Human immunodeficiency virus infection, NOS,Human immunodeficiency virus infectious disease,human immunodeficiency virus infectious disease,Infection, HIV,Infection, HTLV-III,Infection, HTLV-III-LAV,Infections, HIV,Infections, HTLV-III,Infections, HTLV-III-LAV,LYMPHOTROPIC VIRUS TYPE III INFECTIONS HUMAN T,T LYMPHOTROPIC VIRUS TYPE III INFECT HUMAN,T Lymphotropic Virus Type III Infections, Human,T-Lymphotropic Virus Type III Infections, Human,Unspecified human immunodeficiency virus [HIV] disease (disorder),hIV infection,HCoV-SARS,Human coronavirus (strain SARS),SARS virus,Severe acute respiratory syndrome coronavirus,SARS coronavirus,sARS coronavirus
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Uninfected People living with HIV (PLWH)
Group 1 name Corresponds to the case (exposed) group for case-control studies
SARS-CoV-2 infected PLWH
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
People living with HIV (PLWH) with SARS-CoV-2 infection who were hospitalized at the University of Tokyo Institute of Medical Science Hospital. between March 2020 and June 2022.
Group 0 sample size Number of subjects in the control (unexposed) group
25
Group 1 sample size Number of subjects in the case (exposed) group
12

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V3-V4
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
LEfSe
MaAsLin2
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
No
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
3
Matched on Factors on which subjects have been matched on in a case-control study
age

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged
Richness Number of species
increased

Signature 1

Needs review

Curated date: 2024/03/21

Curator: Ardeybisi

Revision editor(s): Ardeybisi, Adenike Oladimeji-Kasumu

Source: Figure 2C

Description: Changes in gut microbiota in SARS-CoV-2 infected PLWH were analyzed using linear discriminant analysis (LDA) effect size in comparison with the SARS-CoV-2 uninfected PLWH within 7 days of COVID-19 onset.

Abundance in Group 1: increased abundance in SARS-CoV-2 infected PLWH

NCBI Quality ControlLinks
Eggerthella
Ruminococcus sp.
Alistipes
Bacteroides
Bacteroidaceae

Revision editor(s): Ardeybisi, Adenike Oladimeji-Kasumu

Signature 2

Needs review

Curated date: 2024/03/21

Curator: Ardeybisi

Revision editor(s): Ardeybisi, Adenike Oladimeji-Kasumu

Source: Figure 2C

Description: Changes in gut microbiota in SARS-CoV-2 infected PLWH were analyzed using linear discriminant analysis (LDA) effect size in comparison with the SARS-CoV-2 uninfected PLWH within 7 days of COVID-19 onset.

Abundance in Group 1: decreased abundance in SARS-CoV-2 infected PLWH

NCBI Quality ControlLinks
Agathobacter
Butyricicoccus
Dorea
Eubacterium ruminantium
Fusicatenibacter
Megasphaera
Mitsuokella
Peptostreptococcaceae bacterium
Veillonellaceae

Revision editor(s): Ardeybisi, Adenike Oladimeji-Kasumu

Experiment 2


Needs review

Curated date: 2024/03/20

Curator: Ardeybisi

Revision editor(s): Ardeybisi, Adenike Oladimeji-Kasumu

Differences from previous experiment shown

Subjects

Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
People living with HIV (PLWH) with SARS-CoV-2 infection who were hospitalized at the university of Tokyo Institute of Medical Science Hospital, between March 2020 and June 2022.

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged
Richness Number of species
increased

Signature 1

Needs review

Curated date: 2024/04/08

Curator: Adenike Oladimeji-Kasumu

Revision editor(s): Adenike Oladimeji-Kasumu

Source: Figure 2D

Description: Changes in gut microbiota in SARS-CoV-2 infected PLWH were analyzed using linear discriminant analysis (LDA) effect size in comparison with the SARS-CoV-2 uninfected PLWH 8−14 days after COVID-19 onset.

Abundance in Group 1: increased abundance in SARS-CoV-2 infected PLWH

NCBI Quality ControlLinks
Lachnoanaerobaculum
Peptoniphilus
Mogibacterium
Dielma
Eggerthellaceae
Corynebacterium
Bacteroides
Bacteroidaceae

Revision editor(s): Adenike Oladimeji-Kasumu

Signature 2

Needs review

Curated date: 2024/04/08

Curator: Adenike Oladimeji-Kasumu

Revision editor(s): Adenike Oladimeji-Kasumu

Source: Figure 2D

Description: Changes in gut microbiota in SARS-CoV-2 infected PLWH were analyzed using linear discriminant analysis (LDA) effect size in comparison with the SARS-CoV-2 uninfected PLWH 8−14 days after COVID-19 onset.

Abundance in Group 1: decreased abundance in SARS-CoV-2 infected PLWH

NCBI Quality ControlLinks
Megasphaera
Acidaminococcus
Veillonellaceae
Selenomonadales
Lachnoclostridium
Agathobacter
Anaerostipes

Revision editor(s): Adenike Oladimeji-Kasumu

Experiment 3


Needs review

Curated date: 2024/03/21

Curator: Ardeybisi

Revision editor(s): Ardeybisi, Adenike Oladimeji-Kasumu

Differences from previous experiment shown

Subjects

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged
Richness Number of species
unchanged

Signature 1

Needs review

Curated date: 2024/04/08

Curator: Adenike Oladimeji-Kasumu

Revision editor(s): Adenike Oladimeji-Kasumu

Source: Figure 2E

Description: Changes in gut microbiota in SARS-CoV-2 infected PLWH were analyzed using linear discriminant analysis (LDA) effect size in comparison with the SARS-CoV-2 uninfected PLWH over 1 month after COVID-19 onset.

Abundance in Group 1: increased abundance in SARS-CoV-2 infected PLWH

NCBI Quality ControlLinks
Candidatus Saccharimonas
Dickeya
Enterobacteriaceae
Enterobacteriaceae bacterium
Gammaproteobacteria
Rhizobiaceae
Enterobacterales
Escherichia/Shigella sp.

Revision editor(s): Adenike Oladimeji-Kasumu

Signature 2

Needs review

Curated date: 2024/04/08

Curator: Adenike Oladimeji-Kasumu

Revision editor(s): Adenike Oladimeji-Kasumu

Source: Figure 2E

Description: Changes in gut microbiota in SARS-CoV-2 infected PLWH were analyzed using linear discriminant analysis (LDA) effect size in comparison with the SARS-CoV-2 uninfected PLWH over 1 month after COVID-19 onset.

Abundance in Group 1: decreased abundance in SARS-CoV-2 infected PLWH

NCBI Quality ControlLinks
Ruminococcaceae UCG_002Ruminococcaceae UCG_002
Roseburia
Agathobacter
Fusicatenibacter
Clostridiales bacterium
Clostridia

Revision editor(s): Adenike Oladimeji-Kasumu