Oral Microbiome Alterations and SARS-CoV-2 Saliva Viral Load in Patients with COVID-19

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Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Miller EH, Annavajhala MK, Chong AM, Park H, Nobel YR, Soroush A, Blackett JW, Krigel A, Phipps MM, Freedberg DE, Zucker J, Sano ED, Uhlemann AC, Abrams JA
Journal
Microbiology spectrum
Year
2021
Keywords:
COVID-19, SARS-CoV-2, saliva microbiome, viral load
Bacterial-viral interactions in saliva have been associated with morbidity and mortality for respiratory viruses such as influenza and SARS-CoV. However, such transkingdom relationships during SARS-CoV-2 infection are currently unknown. Here, we aimed to elucidate the relationship between saliva microbiota and SARS-CoV-2 in a cohort of newly hospitalized COVID-19 patients and controls. We used 16S rRNA sequencing to compare microbiome diversity and taxonomic composition between COVID-19 patients (n = 53) and controls (n = 59) and based on saliva SARS-CoV-2 viral load as measured using reverse transcription PCR (RT-PCR). The saliva microbiome did not differ markedly between COVID-19 patients and controls. However, we identified significant differential abundance of numerous taxa based on saliva SARS-CoV-2 viral load, including multiple species within Streptococcus and Prevotella. IMPORTANCE Alterations to the saliva microbiome based on SARS-CoV-2 viral load indicate potential biologically relevant bacterial-viral relationships which may affect clinical outcomes in COVID-19 disease.

Experiment 1


Needs review

Curated date: 2024/04/22

Curator: MyleeeA

Revision editor(s): MyleeeA

Subjects

Location of subjects
United States of America
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
Saliva Sailva normalis,Saliva atomaris,Saliva molecularis,Salivary gland secretion,Saliva,saliva
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
SARS coronavirus 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
Controls
Group 1 name Corresponds to the case (exposed) group for case-control studies
Covid-19
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients who tested positive for SARS-CoV-2 based on nasopharyngeal swabs and who did not require intensive care at admission.
Group 0 sample size Number of subjects in the control (unexposed) group
54
Group 1 sample size Number of subjects in the case (exposed) group
46
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
48h of admission

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V1-V2
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
DESeq2
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)?
Yes
Confounders controlled for Confounding factors that have been accounted for by stratification or model adjustment
Confounders controlled for: "supplemental oxygen" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.supplemental oxygen

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: 2024/05/04

Curator: MyleeeA

Revision editor(s): MyleeeA

Source: Results text (Page 3)

Description: Differentially abundant taxa between COVID-19 positive patients and Controls

Abundance in Group 1: increased abundance in Covid-19

NCBI Quality ControlLinks
Prevotella pallens

Revision editor(s): MyleeeA

Signature 2

Needs review

Curated date: 2024/05/04

Curator: MyleeeA

Revision editor(s): MyleeeA

Source: Results text (Page 3)

Description: Differentially abundant taxa between COVID-19 positive patients and Controls

Abundance in Group 1: decreased abundance in Covid-19

NCBI Quality ControlLinks
Rothia mucilaginosa
Streptococcus sppStreptococcus spp

Revision editor(s): MyleeeA

Experiment 2


Needs review

Curated date: 2024/04/22

Curator: MyleeeA

Revision editor(s): MyleeeA

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
SARS Cov-2 Saliva Negative
Group 1 name Corresponds to the case (exposed) group for case-control studies
SARS Cov-2 Saliva Positive
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients who tested positive to SARS Cov-2
Group 0 sample size Number of subjects in the control (unexposed) group
15
Group 1 sample size Number of subjects in the case (exposed) group
28

Lab analysis

Statistical Analysis

Alpha Diversity

Richness Number of species
unchanged

Signature 1

Needs review

Curated date: 2024/04/22

Curator: MyleeeA

Revision editor(s): MyleeeA

Source: Figure 3 and Supplementary Table S4

Description: Differentially abundant taxa based on SARS-CoV-2 viral load in saliva from SARS-CoV-2-positive patients

Abundance in Group 1: increased abundance in SARS Cov-2 Saliva Positive

NCBI Quality ControlLinks
Actinomyces sp.
Alloprevotella sp.
Prevotella pallens
Streptococcus anginosus
Streptococcus infantis
Streptococcus sanguinis
Treponema sp.
Streptococcus parasanguinis cladeStreptococcus parasanguinis clade

Revision editor(s): MyleeeA

Signature 2

Needs review

Curated date: 2024/04/22

Curator: MyleeeA

Revision editor(s): MyleeeA

Source: Figure 3 and Supplementary Table S4

Description: Differentially abundant taxa based on SARS-CoV-2 viral load in saliva from SARS-CoV-2-positive patients

Abundance in Group 1: decreased abundance in SARS Cov-2 Saliva Positive

NCBI Quality ControlLinks
Candidatus Saccharibacteria bacterium
Prevotella denticola
Segatella oris
Streptococcus peroris

Revision editor(s): MyleeeA

Experiment 3


Needs review

Curated date: 2024/04/22

Curator: MyleeeA

Revision editor(s): MyleeeA

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
SARS Cov-2 Negative
Group 1 name Corresponds to the case (exposed) group for case-control studies
SARS Cov-2 Low Viral Load
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients who tested positive to SARS Cov-2 with low viral load (CT>30).
Group 1 sample size Number of subjects in the case (exposed) group
14

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: 2024/04/28

Curator: MyleeeA

Revision editor(s): MyleeeA

Source: Figure 3 and Supplementary Table S4

Description: Differentially abundant taxa based on SARS-CoV-2 viral load in saliva from SARS-CoV-2-positive with low viral load and SARS-CoV-2- Negative

Abundance in Group 1: increased abundance in SARS Cov-2 Low Viral Load

NCBI Quality ControlLinks
Actinomyces sp.
Fusobacterium periodonticum
Prevotella pallens
Streptococcus infantis
Streptococcus sanguinis
Streptococcus sp.
Streptococcus parasanguinis cladeStreptococcus parasanguinis clade
Alloprevotella sp.
Streptococcus anginosus

Revision editor(s): MyleeeA

Signature 2

Needs review

Curated date: 2024/04/28

Curator: MyleeeA

Revision editor(s): MyleeeA

Source: Figure 3

Description: Differentially abundant taxa based on SARS-CoV-2 viral load in saliva from SARS-CoV-2-positive with low viral load and SARS-CoV-2- Negative

Abundance in Group 1: decreased abundance in SARS Cov-2 Low Viral Load

NCBI Quality ControlLinks
Actinomyces lingnae
Bacteroidales bacterium
Candidatus Saccharibacteria bacterium
Fusobacterium vincentii
Prevotella melaninogenica
Prevotella pallens
Prevotella sp.
Segatella oris
Segatella salivae
Streptococcus spp.Streptococcus spp.
Prevotella histicola

Revision editor(s): MyleeeA

Experiment 4


Needs review

Curated date: 2024/04/22

Curator: MyleeeA

Revision editor(s): MyleeeA

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
SARS-CoV-2 Negative
Group 1 name Corresponds to the case (exposed) group for case-control studies
SARS-CoV-2 High Viral load
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients who tested positive to SARS-CoV-2 with high (CT<30) viral load.

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: 2024/04/28

Curator: MyleeeA

Revision editor(s): MyleeeA

Source: Figure 3 and Supplementary Table S4

Description: Differentially abundant taxa based on SARS-CoV-2 viral load in saliva from SARS-CoV-2-positive with High viral load and SARS-CoV-2- Negative

Abundance in Group 1: increased abundance in SARS-CoV-2 High Viral load

NCBI Quality ControlLinks
Alloprevotella sp.
Prevotella pallens
Streptococcus infantis
Streptococcus sanguinis
Streptococcus parasanguinis cladeStreptococcus parasanguinis clade
Streptococcus anginosus
Actinomyces sp.
Streptococcus sp.

Revision editor(s): MyleeeA

Signature 2

Needs review

Curated date: 2024/04/28

Curator: MyleeeA

Revision editor(s): MyleeeA

Source: Figure 3

Description: Differentially abundant taxa based on SARS-CoV-2 viral load in saliva from SARS-CoV-2-positive with High viral load and SARS-CoV-2- Negative

Abundance in Group 1: decreased abundance in SARS-CoV-2 High Viral load

NCBI Quality ControlLinks
Candidatus Saccharibacteria bacterium
Fusobacterium vincentii
Prevotella denticola
Prevotella sp.
Segatella oris
Segatella salivae
Streptococcus gordonii
Streptococcus sp.
Prevotella histicola
Streptococcus peroris

Revision editor(s): MyleeeA