1.Department of Infectious Diseases, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
2.Gene Hospital of Henan Province/Precision Medicine Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
3.Department of Infectious Diseases, Guangshan County People's Hospital, Guangshan County, Xinyang 465450, Henan, China
4.Department of Breast Surgery, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450052, China
5.Shanghai Mobio Biomedical Technology Co., Ltd, Shanghai 201111, China
6.Health Management Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
* fccrenzg@zzu.edu.cn;
johnyuem@zzu.edu.cn
纸质出版:2023-04
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Characterization of oral and gut microbiome and plasma metabolomics in COVID-19 patients after 1-year follow-up[J]. Military Medical Research, 2023,10(2):162-174.
Cite this article as: Cui GY, Rao BC, Zeng ZH, Wang XM, Ren T, Wang HY, et al. Characterization of oral and gut microbiome and plasma metabolomics in COVID-19 patients after 1-year follow-up. Mil Med Res. 2022;9(1):32.
Characterization of oral and gut microbiome and plasma metabolomics in COVID-19 patients after 1-year follow-up[J]. Military Medical Research, 2023,10(2):162-174. DOI: 10.1186/s40779-022-00387-y.
Cite this article as: Cui GY, Rao BC, Zeng ZH, Wang XM, Ren T, Wang HY, et al. Characterization of oral and gut microbiome and plasma metabolomics in COVID-19 patients after 1-year follow-up. Mil Med Res. 2022;9(1):32. DOI: 10.1186/s40779-022-00387-y.
Background:
2
Due to the outbreak and rapid spread of coronavirus disease 2019 (COVID-19)
more than 160 million patients have become convalescents worldwide to date. Significant alterations have occurred in the gut and oral microbiome and metabonomics of patients with COVID-19. However
it is unknown whether their characteristics return to normal after the 1-year recovery.
Methods:
2
We recruited 35 confirmed patients to provide specimens at discharge and 1 year later
as well as 160 healthy controls. A total of 497 samples were prospectively collected
including 219 tongue-coating
129 stool and 149 plasma samples. Tongue-coating and stool samples were subjected to 16S rRNA sequencing
and plasma samples were subjected to untargeted metabolomics testing.
Results:
2
The oral and gut microbiome and metabolomics characteristics of the 1-year convalescents were restored to a large extent but did not completely return to normal. In the recovery process
the microbial diversity gradually increased. Butyric acid-producing microbes and Bifidobacterium gradually increased
whereas lipopolysaccharide-producing microbes gradually decreased. In addition
sphingosine-1-phosphate
which is closely related to the inflammatory factor storm of COVID-19
increased significantly during the recovery process. Moreover
the predictive models established based on the microbiome and metabolites of patients at the time of discharge reached high efficacy in predicting their neutralizing antibody levels one year later.
Conclusions:
2
This study is the first to characterize the oral and gut microbiome and metabonomics in 1-year convalescents of COVID-19. The key microbiome and metabolites in the process of recovery were identified
and provided new treatment ideas for accelerating recovery. And the predictive models based on the microbiome and metabolomics afford new insights for predicting the recovery situation which benefited affected individuals and healthcare.
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