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Published on: December 31, 2017
The Gut Microbiome of Children during the COVID-19 Pandemic
Mickayla Bacorn1, Hector N Romero-Soto1, Shira Levy1
1Clinical Microbiome Unit (CMU), Laboratory of Host Immunity and Microbiome (LHIM), National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD 20892, USA.
Insights
The gut microbiome plays a role in pediatric COVID-19, with dysbiosis observed in children. Understanding these gut bacteria changes may reveal therapeutic strategies for children with COVID-19.
Area of Science:
- Microbiology
- Pediatrics
- Infectious Diseases
Background:
- The gut microbiome is crucial for health, and its dysbiosis impacts COVID-19 severity in adults.
- Children exhibit distinct gut microbiome development compared to adults.
- Limited research exists on the gut microbiome's role in pediatric COVID-19.
Purpose of the Study:
- To review current knowledge on the gut microbiome in children with COVID-19.
- To explore differences in gut microbiome dysbiosis between pediatric and adult COVID-19 cases.
- To discuss potential mechanisms and therapeutic interventions targeting the gut microbiome in pediatric COVID-19.
Main Methods:
- Literature review of studies on pediatric COVID-19 and the gut microbiome.
- Comparative analysis of gut microbiome alterations in children versus adults with COVID-19.
- Exploration of potential mechanistic links between gut dysbiosis and COVID-19 presentation in children.
Main Results:
- Gut microbiome dysbiosis is present in pediatric COVID-19.
- Specific gut bacterial taxa changes in children with COVID-19 often differ from those in adults.
- The developing gut microbiome in children may influence COVID-19 clinical presentation and complications.
Conclusions:
- Gut microbiome dysbiosis is a feature of pediatric COVID-19, with distinct patterns compared to adults.
- Further research is needed to elucidate the mechanisms by which the gut microbiome influences pediatric COVID-19.
- Microbial therapeutics hold potential for managing COVID-19 in children.
Abstract:
The gut microbiome has been shown to play a critical role in maintaining a healthy state. Dysbiosis of the gut microbiome is involved in modulating disease severity and potentially contributes to long-term outcomes in adults with COVID-19. Due to children having a significantly lower risk of severe illness and limited sample availability, much less is known about the role of the gut microbiome in children with COVID-19. It is well recognized that the developing gut microbiome of children differs from that of adults, but it is unclear if this difference contributes to the different clinical presentations and complications. In this review, we discuss the current knowledge of the gut microbiome in children with COVID-19, with gut microbiome dysbiosis being found in pediatric COVID-19 but specific taxa change often differing from those described in adults. Additionally, we discuss possible mechanisms of how the gut microbiome may mediate the presentation and complications of COVID-19 in children and the potential role for microbial therapeutics.
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