2021
DOI: 10.1007/s11427-020-1847-7
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Gut microbiota in antiviral strategy from bats to humans: a missing link in COVID-19

Abstract: Bats are a potential natural reservoir for SARS-CoV-2 virus and other viruses detrimental to humans. Accumulated evidence has shown that, in their adaptation to a flight-based lifestyle, remodeling of the gut microbiota in bats may have contributed to immune tolerance to viruses. This evidence from bats provides profound insights into the potential influence of gut microbiota in COVID-19 disease in humans. Here, we highlight recent advances in our understanding of the mechanisms by which the gut microbiota hel… Show more

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Cited by 21 publications
(24 citation statements)
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“…In humans, the endogenous source of α-Gal is gut bacteria ( 78 ), and glycan metabolism has a key role in shaping microbiota composition ( 82 ). Therefore, the dysregulation in C3 and HBB serum protein levels observed in COVID-19 cohorts and previously reported in response to α-Gal51 may be due to gut microbiota dysbiosis associated to SARS-CoV-2 infection and COVID-19 severity ( 83 , 84 ) ( Supplementary Figure 8 ). Apolipoprotein A (APOA) isoforms A-I, A-II, and A-IV were significantly dysregulated in COVID-19 patients and serum protein levels decreased with disease symptomatology ( Figure 4 and Supplementary Data 1 ).…”
Section: Discussionsupporting
confidence: 59%
“…In humans, the endogenous source of α-Gal is gut bacteria ( 78 ), and glycan metabolism has a key role in shaping microbiota composition ( 82 ). Therefore, the dysregulation in C3 and HBB serum protein levels observed in COVID-19 cohorts and previously reported in response to α-Gal51 may be due to gut microbiota dysbiosis associated to SARS-CoV-2 infection and COVID-19 severity ( 83 , 84 ) ( Supplementary Figure 8 ). Apolipoprotein A (APOA) isoforms A-I, A-II, and A-IV were significantly dysregulated in COVID-19 patients and serum protein levels decreased with disease symptomatology ( Figure 4 and Supplementary Data 1 ).…”
Section: Discussionsupporting
confidence: 59%
“…The composition of gut microflora in patients with COVID-19 and even recovered patients is unbalanced, which is characterized by the decrease of beneficial microbes and the increase of harmful ones ( Yeoh et al, 2021 ). These results suggest that the GI disorders caused by COVID-19 are mainly due to the destruction of intestinal mechanical barrier integrity, alteration of the intestinal microflora, and systemic inflammatory response to the virus ( Luo et al, 2021 ; Syed et al, 2020 ; Villapol, 2020 ). Therefore, it is recommended to properly add beneficial intestinal microbes, especially probiotics and prebiotics, which may enhance the intestinal barrier function, help to improve and alleviate the sequela of COVID-19 and accelerate the complete recovery of patients.…”
Section: Current Concerns and Suggestions On Sars-cov-2 Mutationmentioning
confidence: 91%
“…The gut microbiome plays important role in modulating host immune response and affecting viral pathogenesis and secondary infection in the gastrointestinal (GI) tract. As reported, patients infected with SARS-CoV-2 show a wide range of GI disorders, including anorexia, nausea, vomiting, and abdominal pain ( Luo et al, 2021 ). The gut microbiome is also associated with the COVID-19 severity and levels of plasma concentrations of cytokines, chemokines, and inflammation markers ( Luo et al, 2021 ; Yeoh et al, 2021 ).…”
Section: Current Concerns and Suggestions On Sars-cov-2 Mutationmentioning
confidence: 93%
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“…Bats are considered by many to be natural reservoirs for many viruses [233], including Ebola [234] and other SARS-like coronaviruses [235]. An apparent high tolerance for viruses in the Chiropterans that are lethal to many other species has been well-noted in the literature [236,237], and may be an indirect consequence of the evolution of flight in these species [238]. These authors argue that the metabolic demands of flight have intersected with immune system and gut microbiology evolution in the chiropterans in a way that makes these animals uniquely able to tolerate a diversity of viruses, and unfortunately for other species, to be able to spread those viruses through their feces and saliva.…”
Section: The Rodentiamentioning
confidence: 99%