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Published on: July 31, 2019
Regulation of SARS-CoV-2 infection by diet-modulated gut microbiota
Vivian Tieu1, Sedra Tibi1, Jun Ling1
1Department of Medical Education, California University of Science and Medicine, School of Medicine, Colton, CA, United States.
Abstract:
Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 infection has claimed millions of lives since late 2019, yet there are still many unexplored areas in its pathogenesis and clinical outcomes. COVID-19 is a disease that can affects multiple systems, some of which are overlapped with those modulated by gut microbiota, especially the immune system, thus leading to our concentration on analyzing the roles of microbiota in COVID-19 pathogenesis through the gut-lung axis. Dysbiosis of the commensal intestinal microbes and their metabolites (e.g., SCFAs) as well as the expression and activity of ACE2 in the gut could influence the host's immune system in COVID-19 patients. Moreover, it has been known that the elderly and individuals diagnosed with comorbidities (e.g., hypertension, type 2 diabetes mellitus, cardiovascular disease, etc.) are more susceptible to gut flora alterations, SARS-CoV-2 infection, and death. Thus, in this review we will focus on analyzing how the gut microbiota regulates the immune system that leads to different responses to SARS-CoV-2 infection. Since diet is a major factor to modulate the status of gut microbiota, dietary influence on COVID-19 pathogenesis will be also discussed, aiming to shed light on how diet-modulated gut microbiota regulates the susceptibility, severity, and treatment of SARS-CoV-2 infection.
Insights
The gut microbiota influences COVID-19 severity and immune response via the gut-lung axis. Diet modulation of gut microbes may impact susceptibility and treatment outcomes for coronavirus disease 2019.
Area of Science:
- Microbiology
- Immunology
- Gastroenterology
Background:
- Coronavirus disease 2019 (COVID-19) pathogenesis remains incompletely understood.
- The gut microbiota interacts with host immunity, overlapping with systems affected by COVID-19.
- The gut-lung axis is a key pathway for microbial influence on respiratory infections.
Purpose of the Study:
- To analyze the role of gut microbiota in COVID-19 pathogenesis.
- To investigate how gut microbiota regulates the immune system's response to SARS-CoV-2.
- To explore the impact of diet on gut microbiota and COVID-19 outcomes.
Main Methods:
- Review of existing literature on gut microbiota, immune system, and COVID-19.
- Analysis of the gut-lung axis in SARS-CoV-2 infection.
- Discussion of dietary factors influencing gut microbiota composition and function.
Main Results:
- Gut dysbiosis and altered microbial metabolites can affect the immune system in COVID-19 patients.
- ACE2 expression in the gut may be modulated by microbiota, influencing SARS-CoV-2.
- Elderly individuals and those with comorbidities show increased susceptibility linked to gut flora alterations.
Conclusions:
- Gut microbiota plays a significant role in modulating immune responses to SARS-CoV-2 infection.
- Dietary interventions targeting the gut microbiota may offer strategies for managing COVID-19 susceptibility, severity, and treatment.
- Understanding the gut-lung axis is crucial for developing novel therapeutic approaches for COVID-19.
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