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10.1053/j.gastro.2020.06.048

http://scihub22266oqcxt.onion/10.1053/j.gastro.2020.06.048
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suck abstract from ncbi


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pmid32598884      Gastroenterology 2020 ; 159 (4): 1302-1310.e5
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  • Alterations in Fecal Fungal Microbiome of Patients With COVID-19 During Time of Hospitalization until Discharge #MMPMID32598884
  • Zuo T; Zhan H; Zhang F; Liu Q; Tso EYK; Lui GCY; Chen N; Li A; Lu W; Chan FKL; Chan PKS; Ng SC
  • Gastroenterology 2020[Oct]; 159 (4): 1302-1310.e5 PMID32598884show ga
  • BACKGROUND & AIMS: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infects intestinal cells, and might affect the intestinal microbiota. We investigated changes in the fecal fungal microbiomes (mycobiome) of patients with SARS-CoV-2 infection during hospitalization and on recovery. METHODS: We performed deep shotgun metagenomic sequencing analysis of fecal samples from 30 patients with coronavirus disease 2019 (COVID-19) in Hong Kong, from February 5 through May 12, 2020. Fecal samples were collected 2 to 3 times per week from time of hospitalization until discharge. We compared fecal mycobiome compositions of patients with COVID-19 with those from 9 subjects with community-acquired pneumonia and 30 healthy individuals (controls). We assessed fecal mycobiome profiles throughout time of hospitalization until clearance of SARS-CoV-2 from nasopharyngeal samples. RESULTS: Patients with COVID-19 had significant alterations in their fecal mycobiomes compared with controls, characterized by enrichment of Candia albicans and a highly heterogeneous mycobiome configuration, at time of hospitalization. Although fecal mycobiomes of 22 patients with COVID-19 did not differ significantly from those of controls during times of hospitalization, 8 of 30 patients with COVID-19 had continued significant differences in fecal mycobiome composition, through the last sample collected. The diversity of the fecal mycobiome of the last sample collected from patients with COVID-19 was 2.5-fold higher than that of controls (P < .05). Samples collected at all timepoints from patients with COVID-19 had increased proportions of opportunistic fungal pathogens, Candida albicans, Candida auris, and Aspergillus flavus compared with controls. Two respiratory-associated fungal pathogens, A. flavus and Aspergillus niger, were detected in fecal samples from a subset of patients with COVID-19, even after clearance of SARS-CoV-2 from nasopharyngeal samples and resolution of respiratory symptoms. CONCLUSIONS: In a pilot study, we found heterogeneous configurations of the fecal mycobiome, with enrichment of fungal pathogens from the genera Candida and Aspergillus, during hospitalization of 30 patients with COVID-19 compared with controls. Unstable gut mycobiomes and prolonged dysbiosis persisted in a subset of patients with COVID-19 up to 12 days after nasopharyngeal clearance of SARS-CoV-2. Studies are needed to determine whether alterations in intestinal fungi contribute to or result from SARS-CoV-2 infection, and the effects of these changes in disease progression.
  • |*Gastrointestinal Microbiome[MESH]
  • |*Mycobiome[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aspergillus flavus/genetics/isolation & purification[MESH]
  • |Aspergillus niger/genetics/isolation & purification[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Candida albicans/genetics/isolation & purification[MESH]
  • |Candida/genetics/isolation & purification[MESH]
  • |Case-Control Studies[MESH]
  • |Community-Acquired Infections/microbiology[MESH]
  • |Coronavirus Infections/*microbiology[MESH]
  • |DNA, Fungal/analysis[MESH]
  • |Feces/*microbiology[MESH]
  • |Female[MESH]
  • |Fungi/genetics/*isolation & purification[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Metagenomics[MESH]
  • |Middle Aged[MESH]
  • |Nasopharynx/virology[MESH]
  • |Pandemics[MESH]
  • |Patient Discharge[MESH]
  • |Pneumonia, Viral/*microbiology[MESH]
  • |Pneumonia/microbiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Time Factors[MESH]


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