Gut mycobiota alterations in patients with COVID-19 and H1N1 infections and their associations with clinical features.

Gut mycobiota alterations in patients with COVID-19 and H1N1 infections and their associations with clinical features.
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COVID-19 和 H1N1 感染患者肠道菌群的变化及其与临床特征的关联

DOI:
10.1038/s42003-021-02036-x
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发表时间:
2021-04-13
影响因子:
5.9
通讯作者:
Li L
Li L
中科院分区:
生物学2区
文献类型:
--
作者:
Lv L;Gu S;Jiang H;Yan R;Chen Y;Chen Y;Luo R;Huang C;Lu H;Zheng B;Zhang H;Xia J;Tang L;Sheng G;Li L

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肠道微生物与COVID-19或H1N1感染之间的关系尚未完全了解。在这里,我们使用内部转录间隔区(ITS)3-ITS 4测序比较了67名COVID-19患者,35名H1N1感染患者和48名健康对照(HC)的肠道菌群,并分析了它们与临床特征和细菌微生物群的相关性。与HC相比,真菌负荷更高。在COVID-19和H1N1感染的患者中,真菌菌群生态失调的主要特征是真菌(如假丝酵母菌和青霉菌)的消耗,但包括光滑念珠菌在内的几种真菌在H1N1感染的患者中富集。具有轻度和重度症状的COVID-19患者的肠道菌群特征相似。住院治疗没有明显的额外影响。在COVID-19患者中,毛霉菌门与梭菌正相关,黑曲霉与腹泻正相关,桔青霉与C反应蛋白(CRP)负相关。甲型H1N1流感病毒感染者中,类青霉曲霉菌与毛螺菌科成员呈正相关,毛霉菌与CRP呈正相关,毛霉菌与降钙素原呈负相关。因此,肠道菌群失调在COVID-19患者和H1N1感染患者中均会发生,并且直到患者出院且不再需要医疗护理时才会改善。
The relationship between gut microbes and COVID-19 or H1N1 infections is not fully understood. Here, we compared the gut mycobiota of 67 COVID-19 patients, 35 H1N1-infected patients and 48 healthy controls (HCs) using internal transcribed spacer (ITS) 3-ITS4 sequencing and analysed their associations with clinical features and the bacterial microbiota. Compared to HCs, the fungal burden was higher. Fungal mycobiota dysbiosis in both COVID-19 and H1N1-infected patients was mainly characterized by the depletion of fungi such asAspergillusandPenicillium, but several fungi, includingCandida glabrata, were enriched in H1N1-infected patients. The gut mycobiota profiles in COVID-19 patients with mild and severe symptoms were similar. Hospitalization had no apparent additional effects. In COVID-19 patients, Mucoromycota was positively correlated withFusicatenibacter,Aspergillus nigerwas positively correlated with diarrhoea, andPenicillium citrinumwas negatively correlated with C-reactive protein (CRP). In H1N1-infected patients,Aspergillus penicilloideswas positively correlated with Lachnospiraceae members,Aspergilluswas positively correlated with CRP, and Mucoromycota was negatively correlated with procalcitonin. Therefore, gut mycobiota dysbiosis occurs in both COVID-19 patients and H1N1-infected patients and does not improve until the patients are discharged and no longer require medical attention.
ACE2将氨基酸营养不良与微生物生态学和肠炎联系起来。
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发表时间: 2012-07-25
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