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Microbial Dynamics in COVID-19: Unraveling the Impact of Human Microbiome on Disease Susceptibility and Therapeutic Strategies

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Abstract

This review explores the bidirectional relationship between the human microbiome and SARS-CoV-2 infection, elucidating its implications for COVID-19 susceptibility, severity, and therapeutic strategies. Metagenomic analyses reveal notable alterations in microbiome composition associated with SARS-CoV-2 infection, impacting disease severity and clinical outcomes. Dysbiosis within the respiratory, gastrointestinal, oral, and skin microbiomes exacerbates COVID-19 pathology through immune dysregulation and inflammatory pathways. Understanding these microbial shifts is pivotal for devising targeted therapeutic interventions. Notably, co-infection of oral pathogens with SARS-CoV-2 worsens lung pathology, while gut microbiome dysbiosis influences viral susceptibility and severity. Potential therapeutic approaches targeting the microbiome include probiotics, antimicrobial agents, and immunomodulatory strategies. This review underscores the importance of elucidating host-microbiota interactions to advance precision medicine and public health initiatives in combating COVID-19 and other infectious diseases.

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References

  1. Blum HE (2017) The human microbiome. Adv Med Sci 62(2):414–420

    Article  PubMed  Google Scholar 

  2. Lamers MM, Haagmans BL (2022) SARS-CoV-2 pathogenesis. Nat Rev Microbiol 20(5):270–284

    Article  CAS  PubMed  Google Scholar 

  3. Cyprian F, Sohail MU, Abdelhafez I, Salman S, Attique Z, Kamareddine L, Al-Asmakh M (2021) SARS-CoV-2 and immune-microbiome interactions: lessons from respiratory viral infections. Int J Infect Dis 105:540–550

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Thursby E, Juge N (2017) Introduction to the human gut microbiota. Biochemical journal 474(11):1823–1836

    Article  CAS  PubMed  Google Scholar 

  5. Man WH, de SteenhuijsenPiters WA, Bogaert D (2017) The microbiota of the respiratory tract: gatekeeper to respiratory health. Nat Rev Microbiol 15(5):259–270

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Sakamoto M, Umeda M, Benno Y (2005) Molecular analysis of human oral microbiota. J Periodontal Res 40(3):277–285

    Article  CAS  PubMed  Google Scholar 

  7. Cogen AL, Nizet V, Gallo RL (2008) Skin microbiota: a source of disease or defence? Br J Dermatol 158(3):442–455

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Colella M, Topi S, Palmirotta R, D’Agostino D, Charitos IA, Lovero R, Santacroce L (2023) An overview of the microbiota of the human urinary tract in health and disease: current issues and perspectives. Life 13(7):1486

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Malla MA, Dubey A, Kumar A, Yadav S, Hashem A, Abd Aallah EF (2019) Exploring the human microbiome: the potential future role of next-generation sequencing in disease diagnosis and treatment. Front Immunol 9:2868

    Article  PubMed  PubMed Central  Google Scholar 

  10. Florindo HF, Kleiner R, Vaskovich-Koubi D, Acúrcio RC, Carreira B, Yeini E, Tiram G, Liubomirski Y, Satchi-Fainaro R (2020) Immune-mediated approaches against COVID-19. Nat Nanotechnol 15(8):630–645

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Liu Y, Zhang H, Tang X, Jiang X, Yan X, Liu X, Gong J, Mew K, Sun H, Chen X, Zou Z (2021) Distinct metagenomic signatures in the SARS-CoV-2 infection. Front Cell Infect Microbiol 11:1019

    Article  CAS  Google Scholar 

  12. Levy M, Kolodziejczyk AA, Thaiss CA, Elinav E (2017) Dysbiosis and the immune system. Nat Rev Immunol 17(4):219–232

    Article  CAS  PubMed  Google Scholar 

  13. Kaufmann SH, Dorhoi A, Hotchkiss RS, Bartenschlager R (2018) Host-directed therapies for bacterial and viral infections. Nat Rev Drug Discovery 17(1):35–56

    Article  CAS  PubMed  Google Scholar 

  14. Fakharian F, Thirugnanam S, Welsh DA, Kim WK, Rappaport J, Bittinger K, Rout N (2023) The role of gut dysbiosis in the loss of intestinal immune cell functions and viral pathogenesis. Microorganisms 11(7):1849

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Fakhruddin KS, Samaranayake LP, Buranawat B, Ngo H (2022) Oro-facial mucocutaneous manifestations of Coronavirus Disease-2019 (COVID-19): a systematic review. PLoS ONE 17(6):e0265531

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Reynoso-García J, Miranda-Santiago AE, Meléndez-Vázquez NM, Acosta-Pagán K, Sánchez-Rosado M, Díaz-Rivera J, Rosado-Quiñones AM, Acevedo-Márquez L, Cruz-Roldán L, Tosado-Rodríguez EL, Figueroa-Gispert MD (2022) A complete guide to human microbiomes: body niches, transmission, development, dysbiosis, and restoration. Front Syst Biol 2:951403

    Article  PubMed  PubMed Central  Google Scholar 

  17. VanEvery H, Franzosa EA, Nguyen LH, Huttenhower C (2023) Microbiome epidemiology and association studies in human health. Nat Rev Genet 24(2):109–124

    Article  CAS  PubMed  Google Scholar 

  18. Chen L, Zhernakova DV, Kurilshikov A, Andreu-Sánchez S, Wang D, Augustijn HE, Vich Vila A, Lifelines Cohort Study, Weersma RK, Medema MH, Netea MG (2022) Influence of the microbiome, diet and genetics on inter-individual variation in the human plasma metabolome. Nat Med 28(11):2333–2343

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Sommer F, Anderson JM, Bharti R, Raes J, Rosenstiel P (2017) The resilience of the intestinal microbiota influences health and disease. Nat Rev Microbiol 15(10):630–638

    Article  CAS  PubMed  Google Scholar 

  20. Nyholm L, Koziol A, Marcos S, Botnen AB, Aizpurua O, Gopalakrishnan S, Limborg MT, Gilbert MT, Alberdi A (2020) Holo-omics: integrated host-microbiota multi-omics for basic and applied biological research. Iscience. 23(8):101414

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Chen Y, Li L (2024) The human microbiota and its therapeutic options. Molecular medical microbiology. Academic Press, Cambridge, pp 1993–2005

    Chapter  Google Scholar 

  22. Young RB, Marcelino VR, Chonwerawong M, Gulliver EL, Forster SC (2021) Key technologies for progressing discovery of microbiome-based medicines. Front Microbiol 12:685935

    Article  PubMed  PubMed Central  Google Scholar 

  23. Appanna VD, Appanna VD (2018) Dysbiosis, probiotics, and prebiotics: in diseases and health. Human microbes-the power within: health, healing and beyond. Springer, Singapore, pp 81–122

    Chapter  Google Scholar 

  24. Rosario D, Boren J, Uhlen M, Proctor G, Aarsland D, Mardinoglu A, Shoaie S (2020) Systems biology approaches to understand the host–microbiome interactions in neurodegenerative diseases. Front Neurosci 14:716

    Article  PubMed  PubMed Central  Google Scholar 

  25. De Pessemier B, Grine L, Debaere M, Maes A, Paetzold B, Callewaert C (2021) Gut–skin axis: current knowledge of the interrelationship between microbial dysbiosis and skin conditions. Microorganisms 9(2):353

    Article  PubMed  PubMed Central  Google Scholar 

  26. Zhang XE, Zheng P, Ye SZ, Ma X, Liu E, Pang YB, He QY, Zhang YX, Li WQ, Zeng JH, Guo J (2024) Microbiome: role in inflammatory skin diseases. J Inflamm Res 17:1057–1082

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Gasaly N, De Vos P, Hermoso MA (2021) Impact of bacterial metabolites on gut barrier function and host immunity: a focus on bacterial metabolism and its relevance for intestinal inflammation. Front Immunol 12:658354

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Ramos GP, Papadakis KA (2019) Mechanisms of disease: inflammatory bowel diseases. Mayo Clin Proceed 94(1):155–165

    Article  CAS  Google Scholar 

  29. Sun MF, Shen YQ (2018) Dysbiosis of gut microbiota and microbial metabolites in Parkinson’s disease. Ageing Res Rev 45:53–61

    Article  CAS  PubMed  Google Scholar 

  30. Denman CR, Park SM, Jo J (2023) Gut-brain axis: gut dysbiosis and psychiatric disorders in Alzheimer’s and Parkinson’s disease. Front Neurosci 17:1268419

    Article  PubMed  PubMed Central  Google Scholar 

  31. Lazar V, Ditu LM, Pircalabioru GG, Picu A, Petcu L, Cucu N, Chifiriuc MC (2019) Gut microbiota, host organism, and diet trialogue in diabetes and obesity. Front Nutr 6:21

    Article  PubMed  PubMed Central  Google Scholar 

  32. Genua F, Raghunathan V, Jenab M, Gallagher WM, Hughes DJ (2021) The role of gut barrier dysfunction and microbiome dysbiosis in colorectal cancer development. Front Oncol 11:626349

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Jenkins SV, Robeson MS, Griffin RJ, Quick CM, Siegel ER, Cannon MJ, Vang KB, Dings RP (2019) Gastrointestinal tract dysbiosis enhances distal tumor progression through suppression of leukocyte trafficking. Can Res 79(23):5999–6009

    Article  CAS  Google Scholar 

  34. Visconti A, Le Roy CI, Rosa F, Rossi N, Martin TC, Mohney RP, Li W, de Rinaldis E, Bell JT, Venter JC, Nelson KE (2019) Interplay between the human gut microbiome and host metabolism. Nat Commun 10(1):1

    Article  CAS  Google Scholar 

  35. Graham DB, Xavier RJ (2023) Conditioning of the immune system by the microbiome. Trends Immunol 44:499

    Article  CAS  PubMed  Google Scholar 

  36. Morais LH, Schreiber HL IV, Mazmanian SK (2021) The gut microbiota–brain axis in behaviour and brain disorders. Nat Rev Microbiol 19(4):241–255

    Article  CAS  PubMed  Google Scholar 

  37. Stolfi C, Maresca C, Monteleone G, Laudisi F (2022) Implication of intestinal barrier dysfunction in gut dysbiosis and diseases. Biomedicines 10(2):289

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Lengfelder I, Sava IG, Hansen JJ, Kleigrewe K, Herzog J, Neuhaus K, Hofmann T, Sartor RB, Haller D (2019) Complex bacterial consortia reprogram the colitogenic activity of Enterococcus faecalis in a gnotobiotic mouse model of chronic, immune-mediated colitis. Front Immunol 10:1420

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Kawai T, Autieri MV, Scalia R (2021) Adipose tissue inflammation and metabolic dysfunction in obesity. Am J Physiol Cell Physiol 320(3):C375–C391

    Article  CAS  PubMed  Google Scholar 

  40. Abdulkareem AA, Al-Taweel FB, Al-Sharqi AJ, Gul SS, Sha A, Chapple IL (2023) Current concepts in the pathogenesis of periodontitis: from symbiosis to dysbiosis. J Oral Microbiol 15(1):2197779

    Article  PubMed  PubMed Central  Google Scholar 

  41. Stolzer I, Scherer E, Süß P, Rothhammer V, Winner B, Neurath MF, Günther C (2023) Impact of microbiome-brain communication on neuroinflammation and neurodegeneration. Int J Mol Sci 24(19):14925

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. SafiabadiTali SH, LeBlanc JJ, Sadiq Z, Oyewunmi OD, Camargo C, Nikpour B, Armanfard N, Sagan SM, Jahanshahi-Anbuhi S (2021) Tools and techniques for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)/COVID-19 detection. Clin Microbiol Rev 34(3):10–128

    Google Scholar 

  43. Kadam SB, Sukhramani GS, Bishnoi P, Pable AA, Barvkar VT (2021) SARS-CoV-2, the pandemic coronavirus: molecular and structural insights. J Basic Microbiol 61(3):180–202

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Wang CC, Prather KA, Sznitman J, Jimenez JL, Lakdawala SS, Tufekci Z, Marr LC (2021) Airborne transmission of respiratory viruses. Science 373(6558):eabd9149

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Robishaw JD, Alter SM, Solano JJ, Shih RD, DeMets DL, Maki DG, Hennekens CH (2021) Genomic surveillance to combat COVID-19: challenges and opportunities. Lancet Microbe 2(9):e481–e484

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Mehta OP, Bhandari P, Raut A, Kacimi SE, Huy NT (2021) Coronavirus disease (COVID-19): comprehensive review of clinical presentation. Front Public Health 8:582932

    Article  PubMed  PubMed Central  Google Scholar 

  47. Zhou YW, Xie Y, Tang LS, Pu D, Zhu YJ, Liu JY, Ma XL (2021) Therapeutic targets and interventional strategies in COVID-19: mechanisms and clinical studies. Signal Transduct Target Ther 6(1):317

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Webb Hooper M, Nápoles AM, Pérez-Stable EJ (2021) No populations left behind: vaccine hesitancy and equitable diffusion of effective COVID-19 vaccines. J Gen Intern Med 36(7):2130–2133

    Article  PubMed  PubMed Central  Google Scholar 

  49. Guha SK, Niyogi S (2023) Cultural mapping and SARS-CoV-2 vaccination: an ethnic perspective. Societal Impacts 1(1–2):100014

    Article  Google Scholar 

  50. Dougherty ER, Seidel DP, Carlson CJ, Spiegel O, Getz WM (2018) Going through the motions: incorporating movement analyses into disease research. Ecol Lett 21(4):588–604

    Article  PubMed  Google Scholar 

  51. Dyson L, Hill EM, Moore S, Curran-Sebastian J, Tildesley MJ, Lythgoe KA, House T, Pellis L, Keeling MJ (2021) Possible future waves of SARS-CoV-2 infection generated by variants of concern with a range of characteristics. Nat Commun 12(1):5730

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Santiago-Rodriguez TM, Hollister EB (2022) Unraveling the viral dark matter through viral metagenomics. Front Immunol 13:1005107

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Zhang JJ, Dong X, Liu GH, Gao YD (2023) Risk and protective factors for COVID-19 morbidity, severity, and mortality. Clin Rev Allergy Immunol 64(1):90–107

    Article  CAS  PubMed  Google Scholar 

  54. Zhao S, Feng P, Meng W, Jin W, Li X, Li X (2022) Modulated gut microbiota for potential COVID-19 prevention and treatment. Front Med 9:811176

    Article  Google Scholar 

  55. de Oliveira GL, Oliveira CN, Pinzan CF, de Salis LV, Cardoso CR (2021) Microbiota modulation of the gut-lung axis in COVID-19. Front Immunol 12:635471

    Article  PubMed  PubMed Central  Google Scholar 

  56. Zhang F, Wan Y, Zuo T, Yeoh YK, Liu Q, Zhang L, Zhan H, Lu W, Xu W, Lui GC, Li AY (2022) Prolonged impairment of short-chain fatty acid and L-isoleucine biosynthesis in gut microbiome in patients with COVID-19. Gastroenterology 162(2):548–561

    Article  CAS  PubMed  Google Scholar 

  57. Chen J, Hall S, Vitetta L (2021) Altered gut microbial metabolites could mediate the effects of risk factors in Covid-19. Rev Med Virol 31(5):1–3

    Article  CAS  PubMed  Google Scholar 

  58. Penninger JM, Grant MB, Sung JJ (2021) The role of angiotensin converting enzyme 2 in modulating gut microbiota, intestinal inflammation, and coronavirus infection. Gastroenterology 160(1):39–46

    Article  CAS  PubMed  Google Scholar 

  59. Mindt BC, DiGiandomenico A (2022) Microbiome modulation as a novel strategy to treat and prevent respiratory infections. Antibiotics 11(4):474

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Xie X, Zhong Z, Zhao W, Zheng C, Wang F, Liu J (2020) Chest CT for typical coronavirus disease 2019 (COVID-19) pneumonia: relationship to negative RT-PCR testing. Radiology 296(2):E41–E45

    Article  PubMed  Google Scholar 

  61. Santacroce L, Inchingolo F, Topi S, Del Prete R, Di Cosola M, Charitos IA, Montagnani M (2021) Potential beneficial role of probiotics on the outcome of COVID-19 patients: an evolving perspective. Diabetes Metab Syndr 15(1):295–301

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Yeoh YK, Zuo T, Lui GC, Zhang F, Liu Q, Li AY, Chung AC, Cheung CP, Tso EY, Fung KS, Chan V (2021) Gut microbiota composition reflects disease severity and dysfunctional immune responses in patients with COVID-19. Gut 70(4):698–706

    Article  CAS  PubMed  Google Scholar 

  63. Zuo T, Zhang F, Lui GC, Yeoh YK, Li AY, Zhan H, Wan Y, Chung AC, Cheung CP, Chen N, Lai CK (2020) Alterations in gut microbiota of patients with COVID-19 during time of hospitalization. Gastroenterology 159(3):944–955

    Article  CAS  PubMed  Google Scholar 

  64. Mendes V, Galvao I, Vieira AT (2019) Mechanisms by which the gut microbiota influences cytokine production and modulates host inflammatory responses. J Interferon Cytokine Res 39(7):393–409

    Article  CAS  PubMed  Google Scholar 

  65. Darif D, Hammi I, Kihel A, Saik IE, Guessous F, Akarid K (2021) The pro-inflammatory cytokines in COVID-19 pathogenesis: what goes wrong? Microb Pathog 153:104799

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Rastogi S, Mohanty S, Sharma S, Tripathi P (2022) Possible role of gut microbes and host’s immune response in gut–lung homeostasis. Front Immunol 13:954339

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  67. Enaud R, Prevel R, Ciarlo E, Beaufils F, Wieërs G, Guery B, Delhaes L (2020) The gut-lung axis in health and respiratory diseases: a place for inter-organ and inter-kingdom crosstalks. Front Cell Infect Microbiol 10:9

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  68. Hoque MN, Sarkar MM, Rahman MS, Akter S, Banu TA, Goswami B, Jahan I, Hossain MS, Shamsuzzaman AM, Nafisa T, Molla MM (2021) SARS-CoV-2 infection reduces human nasopharyngeal commensal microbiome with inclusion of pathobionts. Sci Rep 11(1):24042

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Butera A, Maiorani C, Morandini A, Simonini M, Colnaghi A, Morittu S, Barbieri S, Ricci M, Guerrisi G, Piloni D, Cimarossa R (2021) Assessment of oral microbiome changes in healthy and COVID-19-affected pregnant women: a narrative review. Microorganisms 9(11):2385

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  70. Lozada-Nur F, Chainani-Wu N, Fortuna G, Sroussi H (2020) Dysgeusia in COVID-19: possible mechanisms and implications. Oral Surg Oral Med Oral Pathol Oral Radiol 130(3):344–346

    Article  PubMed  PubMed Central  Google Scholar 

  71. du Preez HN, Aldous C, Hayden MR, Kruger HG, Lin J (2022) Pathogenesis of COVID-19 described through the lens of an undersulfated and degraded epithelial and endothelial glycocalyx. FASEB J 36(1):e22052

    Article  PubMed  Google Scholar 

  72. Pistone D, Meroni G, Panelli S, D’Auria E, Acunzo M, Pasala AR, Zuccotti GV, Bandi C, Drago L (2021) A journey on the skin microbiome: pitfalls and opportunities. Int J Mol Sci 22(18):9846

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Gautier T, David-Le Gall S, Sweidan A, Tamanai-Shacoori Z, Jolivet-Gougeon A, Loréal O, Bousarghin L (2021) Next-generation probiotics and their metabolites in COVID-19. Microorganisms 9(5):941

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  74. Gauthier NP, Locher K, MacDonald C, Chorlton SD, Charles M, Manges AR (2022) Alterations in the nasopharyngeal microbiome associated with SARS-CoV-2 infection status and disease severity. PLoS ONE 17(10):e0275815

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Hoque MN, Akter S, Mishu ID, Islam MR, Rahman MS, Akhter M, Islam I, Hasan MM, Rahaman MM, Sultana M, Islam T (2021) Microbial co-infections in COVID-19: associated microbiota and underlying mechanisms of pathogenesis. Microb Pathog 156:104941

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Quinton LJ, Walkey AJ, Mizgerd JP (2018) Integrative physiology of pneumonia. Physiol Rev 98(3):1417–1464

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. Feldman C, Anderson R (2021) The role of co-infections and secondary infections in patients with COVID-19. Pneumonia 13:1–5

    Article  Google Scholar 

  78. Calderaro A, Buttrini M, Farina B, Montecchini S, De Conto F, Chezzi C (2022) Respiratory tract infections and laboratory diagnostic methods: a review with a focus on syndromic panel-based assays. Microorganisms 10(9):1856

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  79. Majumder MA, Rahman S, Cohall D, Bharatha A, Singh K, Haque M, Gittens-St HM (2020) Antimicrobial stewardship: fighting antimicrobial resistance and protecting global public health. Infect Drug Resist 13:4713–4738

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  80. Dong J, Li W, Wang Q, Chen J, Zu Y, Zhou X, Guo Q (2022) Relationships between oral microecosystem and respiratory diseases. Front Mol Biosci 8:718222

    Article  PubMed  PubMed Central  Google Scholar 

  81. Suárez LJ, Arboleda S, Angelov N, Arce RM (2021) Oral versus gastrointestinal mucosal immune niches in homeostasis and allostasis. Front Immunol 12:705206

    Article  PubMed  PubMed Central  Google Scholar 

  82. Bourgonje AR, Abdulle AE, Timens W, Hillebrands JL, Navis GJ, Gordijn SJ, Bolling MC, Dijkstra G, Voors AA, Osterhaus AD, van Der Voort PH (2020) Angiotensin-converting enzyme 2 (ACE2), SARS-CoV-2 and the pathophysiology of coronavirus disease 2019 (COVID-19). J Pathol 251(3):228–248

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  83. Bao L, Zhang C, Dong J, Zhao L, Li Y, Sun J (2020) Oral microbiome and SARS-CoV-2: beware of lung co-infection. Front Microbiol 11:1840

    Article  PubMed  PubMed Central  Google Scholar 

  84. Polidoro RB, Hagan RS, deSantis SR, Schmidt NW (2020) Overview: systemic inflammatory response derived from lung injury caused by SARS-CoV-2 infection explains severe outcomes in COVID-19. Front Immunol 11:564628

    Article  Google Scholar 

  85. Zhao L, Luo JL, Ali MK, Spiekerkoetter E, Nicolls MR (2023) The human respiratory microbiome: current understandings and future directions. Am J Respir Cell Mol Biol 68(3):245–255

    Article  CAS  PubMed  Google Scholar 

  86. Amrouche T, Chikindas ML (2022) Probiotics for immunomodulation in prevention against respiratory viral infections with special emphasis on COVID-19. AIMS microbiology 8(3):338

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  87. Chakraborty C, Sharma AR, Bhattacharya M, Dhama K, Lee SS (2022) Altered gut microbiota patterns in COVID-19: markers for inflammation and disease severity. World J Gastroenterol 28(25):2802

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  88. Metwaly A, Reitmeier S, Haller D (2022) Microbiome risk profiles as biomarkers for inflammatory and metabolic disorders. Nat Rev Gastroenterol Hepatol 19(6):383–397

    Article  PubMed  Google Scholar 

  89. Petakh P, Kobyliak N, Kamyshnyi A (2023) Gut microbiota in patients with COVID-19 and type 2 diabetes: a culture-based method. Front Cell Infect Microbiol 13:1142578

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  90. Zhang D, Zhou Y, Ma Y, Chen P, Tang J, Yang B, Li H, Liang M, Xue Y, Liu Y, Zhang J (2023) Gut microbiota dysbiosis correlates with long COVID-19 at one-year after discharge. J Korean Med Sci. https://doi.org/10.3346/jkms.2023.38.e120

    Article  PubMed  PubMed Central  Google Scholar 

  91. Zuo T, Wu X, Wen W, Lan P (2021) Gut microbiome alterations in COVID-19. Genom Proteom Bioinform 19(5):679–688

    Article  CAS  Google Scholar 

  92. Fan R, Liu S, Sun N, Yang Y, Deng X, Hu B, Sun C, Wen C, Li H, Cheng D, Huang C (2023) Gut microbiota composition is associated with disease severity and host immune responses in COVID-19. Front Cell Infect Microbiol 13:1274690

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  93. Villapol S (2020) Gastrointestinal symptoms associated with COVID-19: impact on the gut microbiome. Transl Res 226:57–69

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  94. Ortega-Peña S, Rodríguez-Martínez S, Cancino-Diaz ME, Cancino-Diaz JC (2022) Staphylococcus epidermidis controls opportunistic pathogens in the nose, could it help to regulate SARS-CoV-2 (COVID-19) infection? Life 12(3):341

    Article  PubMed  PubMed Central  Google Scholar 

  95. Wu Y, Cheng X, Jiang G, Tang H, Ming S, Tang L, Lu J, Guo C, Shan H, Huang X (2021) Altered oral and gut microbiota and its association with SARS-CoV-2 viral load in COVID-19 patients during hospitalization. npj Biofilms Microbiomes 7(1):61

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  96. Ren L, Wang Y, Zhong J, Li X, Xiao Y, Li J, Yang J, Fan G, Guo L, Shen Z, Kang L (2021) Dynamics of the upper respiratory tract microbiota and its association with mortality in COVID-19. Am J Respir Crit Care Med 204(12):1379–1390

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  97. Kumar A et al (2021) Alterations in the vaginal microbiome of COVID-19 patients. J Clin Microbiol 59(1):e02365-e2420

    Google Scholar 

  98. Gaibani P, Viciani E, Bartoletti M, Lewis RE, Tonetti T, Lombardo D, Castagnetti A, Bovo F, Horna CS, Ranieri M, Viale P (2021) The lower respiratory tract microbiome of critically ill patients with COVID-19. Sci Rep 11(1):10103

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  99. Wang B, Zhang L, Wang Y, Dai T, Qin Z, Zhou F, Zhang L (2022) Alterations in microbiota of patients with COVID-19: potential mechanisms and therapeutic interventions. Signal Transduct Target Ther 7(1):143

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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SN conceptualized the idea and designed the article theme. SN& SKG wrote the manuscript. SN approved the final version.

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Guha, S.K., Niyogi, S. Microbial Dynamics in COVID-19: Unraveling the Impact of Human Microbiome on Disease Susceptibility and Therapeutic Strategies. Curr Microbiol 82, 59 (2025). https://doi.org/10.1007/s00284-024-04041-9

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