Limited Impact of SARS-CoV-2 on the Human Naso-Oropharyngeal Microbiota in Hospitalized Patients

From BugSigDB
Needs review
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
Authors
Lai CKC, Cheung MK, Lui GCY, Ling L, Chan JYK, Ng RWY, Chan HC, Yeung ACM, Ho WCS, Boon SS, Chan PKS, Chen Z
Journal
Microbiology spectrum
Year
2022
Keywords:
16S rRNA, COVID-19, SARS-CoV-2, hospitalized, naso-oropharyngeal microbiome
Numerous studies have reported dysbiosis in the naso- and/or oro-pharyngeal microbiota of COVID-19 patients compared with healthy individuals; however, only a few small-scale studies have also included a disease control group. In this study, we characterized and compared the bacterial communities of pooled nasopharyngeal and throat swabs from hospitalized COVID-19 patients (n = 76), hospitalized non-COVID-19 patients with respiratory symptoms or related illnesses (n = 69), and local community controls (n = 76) using 16S rRNA gene V3-V4 amplicon sequencing. None of the subjects received antimicrobial therapy within 2 weeks prior to sample collection. Both COVID-19 and non-COVID-19 hospitalized patients differed in the composition, alpha and beta diversity, and metabolic potential of the naso-oropharyngeal microbiota compared with local controls. However, the microbial communities in the two hospitalized patient groups did not differ significantly from each other. Differential abundance analysis revealed the enrichment of nine bacterial genera in the COVID-19 patients compared with local controls; however, six of them were also enriched in the non-COVID-19 patients. Bacterial genera uniquely enriched in the COVID-19 patients included Alloprevotella and Solobacterium. In contrast, Mogibacterium and Lactococcus were dramatically decreased in COVID-19 patients only. Association analysis revealed that Alloprevotella in COVID-19 patients was positively correlated with the level of the inflammation biomarker C-reactive protein. Our findings reveal a limited impact of SARS-CoV-2 on the naso-oropharyngeal microbiota in hospitalized patients and suggest that Alloprevotella and Solobacterium are more specific biomarkers for COVID-19 detection. IMPORTANCE Our results showed that while both COVID-19 and non-COVID-19 hospitalized patients differed in the composition, alpha and beta diversity, and metabolic potential of the naso-oropharyngeal microbiota compared with local controls, the microbial communities in the two hospitalized patient groups did not differ significantly from each other, indicating a limited impact of SARS-CoV-2 on the naso-oropharyngeal microbiota in hospitalized patients. Besides, we identified Alloprevotella and Solobacterium as bacterial genera uniquely enriched in COVID-19 patients, which may serve as more specific biomarkers for COVID-19 detection.

Experiment 1


Needs review

Curated date: 2024/03/14

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Subjects

Location of subjects
China
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
Nasopharynx , Throat Nasenrachenraum,Epipharynx,Nasal part of pharynx,Pars nasalis pharyngis,Rhinopharynx,Nasopharynx,nasopharynx,Gula,Throat,throat
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
COVID-19 2019 novel coronavirus,2019 novel coronavirus infection,2019-nCoV,2019-nCoV infection,beta-CoV,beta-CoVs,betacoronavirus,coronavirus disease 2019,SARS-coronavirus 2,SARS-CoV-2,severe acute respiratory syndrome coronavirus 2,severe acute respiratory syndrome coronavirus 2 infectious disease,β-coronavirus,β-CoV,β-CoVs,COVID-19,cOVID-19
Group 0 name Corresponds to the control (unexposed) group for case-control studies
local controls
Group 1 name Corresponds to the case (exposed) group for case-control studies
COVID-19 patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Hospitalized COVID-19 patients
Group 0 sample size Number of subjects in the control (unexposed) group
76
Group 1 sample size Number of subjects in the case (exposed) group
76
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
2 weeks

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
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
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2

Alpha Diversity

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

Signature 1

Needs review

Curated date: 2024/03/14

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Fig 2A

Description: Linear discriminant analysis (LDA) effect size (LEfSe) identifying discriminative bacterial genera (A) between hospitalized COVID patients and local controls.

Abundance in Group 1: increased abundance in COVID-19 patients

NCBI Quality ControlLinks
Actinomyces
Alloprevotella
Atopobium
Megasphaera
Prevotella
Solobacterium
Sphingomonas
Veillonella
Prevotella sp. 1-8

Revision editor(s): Abiola-Salako

Signature 2

Needs review

Curated date: 2024/03/18

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Fig 2A

Description: Linear discriminant analysis (LDA) effect size (LEfSe) identifying discriminative bacterial genera (A) between hospitalized COVID patients and local controls.

Abundance in Group 1: decreased abundance in COVID-19 patients

NCBI Quality ControlLinks
Actinobacillus
Alysiella
Bacteroides
Bifidobacterium
Blautia
Capnocytophaga
Catonella
Escherichia/Shigella sp.
Faecalibacterium
Filifactor
Finegoldia
Gemella
Haemophilus
Lactococcus
Lautropia
Lawsonella
Lentimicrobium
Mogibacterium
Neisseria
Oribacterium
Ruminococcus
Tannerella
Treponema
F0058F0058

Revision editor(s): Abiola-Salako

Experiment 2


Needs review

Curated date: 2024/03/18

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Abnormality of the respiratory system Respiratory abnormality,Abnormality of the respiratory system,abnormality of the respiratory system
Group 1 name Corresponds to the case (exposed) group for case-control studies
Non-Covid-19 Patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Hospitalized non-COVID-19 patients with respiratory symptoms or related illnesses.
Group 1 sample size Number of subjects in the case (exposed) group
69

Lab analysis

Statistical Analysis

Alpha Diversity

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

Signature 1

Needs review

Curated date: 2024/03/18

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Fig 2B

Description: Linear discriminant analysis (LDA) effect size (LEfSe) identifying discriminative bacterial genera (B) between hospitalized non-COVID patients and local controls.

Abundance in Group 1: increased abundance in Non-Covid-19 Patients

NCBI Quality ControlLinks
Actinomyces
Atopobium
Dolosigranulum
Lacticaseibacillus
Lactobacillus
Ligilactobacillus
Limosilactobacillus
Megasphaera
Prevotella
Rothia
Veillonella
Prevotella sp. 1-8

Revision editor(s): Abiola-Salako

Signature 2

Needs review

Curated date: 2024/03/18

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Fig 2B

Description: Linear discriminant analysis (LDA) effect size (LEfSe) identifying discriminative bacterial genera(B) between hospitalized non-COVID patients and local controls.

Abundance in Group 1: decreased abundance in Non-Covid-19 Patients

NCBI Quality ControlLinks
Actinobacillus
Alysiella
Bacillus
Bergeyella
Bifidobacterium
Blautia
Catonella
Enterococcus
Escherichia/Shigella sp.
Faecalibacterium
Gemella
Haemophilus
Lautropia
Lawsonella
Lentimicrobium
Neisseria
Oribacterium
Peptostreptococcus
Ruminococcus
Staphylococcus
Stomatobaculum
Treponema
F0058F0058
Candidatus Saccharimonas
Aminipila

Revision editor(s): Abiola-Salako

Experiment 3


Needs review

Curated date: 2024/03/18

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Differences from previous experiment shown

Subjects

Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
COVID-19 2019 novel coronavirus,2019 novel coronavirus infection,2019-nCoV,2019-nCoV infection,beta-CoV,beta-CoVs,betacoronavirus,coronavirus disease 2019,SARS-coronavirus 2,SARS-CoV-2,severe acute respiratory syndrome coronavirus 2,severe acute respiratory syndrome coronavirus 2 infectious disease,β-coronavirus,β-CoV,β-CoVs,COVID-19,cOVID-19
Group 0 name Corresponds to the control (unexposed) group for case-control studies
non-Covid-19 patients
Group 1 name Corresponds to the case (exposed) group for case-control studies
Covid-19 patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Hospitalised Covid-19 patients.
Group 0 sample size Number of subjects in the control (unexposed) group
69
Group 1 sample size Number of subjects in the case (exposed) group
76

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: 2024/03/18

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Fig 2C

Description: Linear discriminant analysis (LDA) effect size (LEfSe) identifying discriminative bacterial genera (C) between hospitalized COVID and non-COVID patients.

Abundance in Group 1: increased abundance in Covid-19 patients

NCBI Quality ControlLinks
Alloprevotella
Bergeyella
Campylobacter
Candidatus Saccharimonas
Catonella
Enterococcus
Granulicatella
Haemophilus
Lawsonella
Moraxella
Peptostreptococcus
Solobacterium
Candidatus Nanosynbacter

Revision editor(s): Abiola-Salako

Signature 2

Needs review

Curated date: 2024/03/18

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Fig 2C

Description: Linear discriminant analysis (LDA) effect size (LEfSe) identifying discriminative bacterial genera (C) between hospitalized COVID and non-COVID patients.

Abundance in Group 1: decreased abundance in Covid-19 patients

NCBI Quality ControlLinks
Mogibacterium
Lactobacillus
Lacticaseibacillus
Anaeroglobus
Ligilactobacillus
Limosilactobacillus
Rothia

Revision editor(s): Abiola-Salako

Experiment 4


Needs review

Curated date: 2024/03/21

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Covid-19 with no Pneumonia
Group 1 name Corresponds to the case (exposed) group for case-control studies
Covid-19 with Pneumonia
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Hospitalized COVID-19 patients with Pneumonia
Group 0 sample size Number of subjects in the control (unexposed) group
38
Group 1 sample size Number of subjects in the case (exposed) group
38

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: 2024/03/21

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Figure 6A

Description: Associations between clinical parameters and the relative abundance of the naso-oropharyngeal microbiota in COVID patients. Discriminative bacterial genera between COVID patients with different (A) pneumonia status identified by LEfSe.

Abundance in Group 1: increased abundance in Covid-19 with Pneumonia

NCBI Quality ControlLinks
Escherichia/Shigella sp.

Revision editor(s): Abiola-Salako

Signature 2

Needs review

Curated date: 2024/03/21

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Figure 6A

Description: Associations between clinical parameters and the relative abundance of the naso-oropharyngeal microbiota in COVID patients. Discriminative bacterial genera between COVID patients with different (A) pneumonia status Identified by LEfSe.

Abundance in Group 1: decreased abundance in Covid-19 with Pneumonia

NCBI Quality ControlLinks
Moraxella
Peptoniphilus

Revision editor(s): Abiola-Salako

Experiment 5


Needs review

Curated date: 2024/03/21

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
viral load(≤7.5 )
Group 1 name Corresponds to the case (exposed) group for case-control studies
viral load(>7.5)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
COVID-19 patients with viral load greater than 7.5
Group 0 sample size Number of subjects in the control (unexposed) group
33
Group 1 sample size Number of subjects in the case (exposed) group
35

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: 2024/03/22

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Figure 6B

Description: Associations between clinical parameters and the relative abundance of the naso-oropharyngeal microbiota in COVID patients. The Discriminative bacterial genera between COVID patients with different (B) viral load Identified by Lefse.

Abundance in Group 1: increased abundance in viral load(>7.5)

NCBI Quality ControlLinks
Acholeplasma
Bacteroides
Porphyromonas
[Eubacterium] nodatum
Family XIII UCG-001Family XIII UCG-001

Revision editor(s): Abiola-Salako

Signature 2

Needs review

Curated date: 2024/03/22

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Figure 6B

Description: Associations between clinical parameters and the relative abundance of the naso-oropharyngeal microbiota in COVID patients. Discriminative bacterial genera between COVID patients with different (B) viral load identified by LEfSe.

Abundance in Group 1: decreased abundance in viral load(>7.5)

NCBI Quality ControlLinks
Enterococcus
Gemella
Paraburkholderia caballeronis
Pseudomonas

Revision editor(s): Abiola-Salako

Experiment 6


Needs review

Curated date: 2024/03/22

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
local controls
Group 1 name Corresponds to the case (exposed) group for case-control studies
Hospitalized patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Hospitalized COVID and non-COVID patients,
Group 0 sample size Number of subjects in the control (unexposed) group
76
Group 1 sample size Number of subjects in the case (exposed) group
145

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: 2024/03/22

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Figure 4A

Description: Dysbiosis of the oropharyngeal microbiota in hospitalized patients (COVID and non-COVID) compared to local controls. (A) Discriminative bacterial genera distinguishing hospitalized patients from local controls by LEfSe.

Abundance in Group 1: increased abundance in Hospitalized patients

NCBI Quality ControlLinks
Actinomyces
Alloprevotella
Atopobium
Centipeda
Ligilactobacillus
Limosilactobacillus
Megasphaera
Prevotella
Prevotella sp. 1-8
Solobacterium
Veillonella

Revision editor(s): Abiola-Salako

Signature 2

Needs review

Curated date: 2024/03/22

Curator: Abiola-Salako

Revision editor(s): Abiola-Salako

Source: Figure 4A

Description: Dysbiosis of the oropharyngeal microbiota in hospitalized patients (COVID and non-COVID) compared to local controls. (A) Discriminative bacterial genera distinguishing hospitalized patients from local controls by LEfSe.

Abundance in Group 1: decreased abundance in Hospitalized patients

NCBI Quality ControlLinks
Actinobacillus
Alysiella
Aminipila
Bacillus
Bacteroides
Bifidobacterium
Blautia
Catonella
Escherichia/Shigella sp.
Faecalibacterium
Finegoldia
Gemella
Haemophilus
Lautropia
Lawsonella
Lentimicrobium
Neisseria
Oribacterium
Ruminococcus
Staphylococcus
Stomatobaculum
Tannerella
Treponema
F0058F0058

Revision editor(s): Abiola-Salako