Related Experiment Video
Updated: Aug 29, 2025

Microbiota Analysis Using Two-step PCR and Next-generation 16S rRNA Gene Sequencing
Published on: October 15, 2019
COVID-19 severity is associated with population-level gut microbiome variations
Eva Lymberopoulos1,2, Giorgia Isabella Gentili1, Sanjay Budhdeo1,3,4
1The Sharma Lab, Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, University College London, London, England.
Population-level gut microbiome signatures are linked to COVID-19 severity. Anti-inflammatory bacteria like Bifidobacteria were associated with lower severity, while pro-inflammatory Prevotella copri indicated higher COVID-19 severity.
Area of Science:
- Microbiome research
- Infectious disease epidemiology
- Computational biology
Background:
- The human gut microbiome plays a role in various diseases.
- Previous small studies suggest a link between gut microbiota and COVID-19 severity.
- Population-level analysis can offer new insights into global health disparities in COVID-19.
Purpose of the Study:
- To investigate the association between population-level gut microbiome composition and COVID-19 severity (hospitalization rates) across different countries.
- To identify specific bacterial signatures correlating with varying levels of COVID-19 severity.
- To explore the utility of Topological Data Analysis (TDA) for microbiome research.
Main Methods:
- Utilized data from the curatedMetagenomicData repository (n=3,055) and country-level metadata.
- Classified 12 countries into high/low COVID-19 hospitalization rate groups.
- Applied unsupervised machine learning, specifically Topological Data Analysis (TDA), alongside PERMANOVA for statistical analysis.
Main Results:
- Identified distinct population-level gut microbiome signatures associated with COVID-19 severity.
- Found an association between anti-inflammatory bacteria (e.g., Bifidobacteria, Eubacterium rectale) and lower COVID-19 hospitalization rates.
- Observed a correlation between pro-inflammatory bacteria (e.g., Prevotella copri) and higher COVID-19 hospitalization rates.
- Highlighted the significant impact of country-level factors like age demographics, GDP, and Human Development Index.
Conclusions:
- Population-level gut microbiome composition is associated with COVID-19 severity.
- Specific bacterial species may influence disease outcomes, suggesting potential therapeutic targets.
- Topological Data Analysis (TDA) is a valuable tool for uncovering complex associations in microbiome data.
- Further research, including interventional studies, is needed to establish causality and explore other contributing factors.
Related Concept Videos
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Bacterial Flora of the Large Intestine
The normal gut flora of the colon plays a critical role in generating essential vitamins such as vitamins K, B5, and B7.
Anatomy of the Intestines
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:

