Gut-Lung Axis Plays Crucial Role in Recovery from Severe COVID-19
Researchers have identified that the composition of the gut microbiome and associated metabolites can predict the trajectory of respiratory function and death in patients with severe SARS-Cov-2 infection. According to a study, the gut-lung axis plays an important role in the recovery from COVID-19. The study found that increased representation of Proteobacteria in the fecal microbiota and decreased concentrations of fecal secondary bile acids and desaminotyrosine (DAT) were associated with mortality. A microbiome metabolic profile (MMP) that accounts for fecal secondary bile acids and desaminotyrosine concentrations was independently associated with progression of respiratory failure leading to mechanical ventilation.
Key Takeaways:
- The composition of the gut microbiome and associated metabolites can predict the trajectory of respiratory function and death in patients with severe SARS-Cov-2 infection.
- Increased representation of Proteobacteria in the fecal microbiota was associated with mortality.
- Decreased concentrations of fecal secondary bile acids and desaminotyrosine (DAT) were associated with mortality.
- A microbiome metabolic profile (MMP) that accounts for fecal secondary bile acids and desaminotyrosine concentrations predicted progression of respiratory failure leading to mechanical ventilation.
- The study suggests that the gut-lung axis plays an important role in the recovery from COVID-19.
- The research was conducted on 71 patients with severe SARS-Cov-2 infection.
- 39 patients survived, while 32 died.
Statistics:
- 71 patients were enrolled in the study.
- 39 patients survived, while 32 died.
- Increased representation of Proteobacteria in the fecal microbiota was associated with mortality.
- Decreased concentrations of fecal secondary bile acids and desaminotyrosine (DAT) were associated with mortality.
- The microbiome metabolic profile (MMP) that accounts for fecal secondary bile acids and desaminotyrosine concentrations predicted progression of respiratory failure leading to mechanical ventilation.
Sources:
- Immunomodulatory Fecal Metabolites Are Associated With Mortality In Covid-19 Patients With Respiratory Failure. Nature Communications, 2022;13(1).
- Nature Portfolio, Heidelberger Platz 3, Berlin, 14197, Germany.
- University of Chicago Medicine, Dept. of Medicine, Section of Pulmonary and Critical Care Medicine, 5841 South Maryland Ave, Chicago, IL 60637, United States.
- Bhakti K. Patel, et al. "Immunomodulatory Fecal Metabolites Are Associated With Mortality In Covid-19 Patients With Respiratory Failure." Nature Communications, vol. 13, no. 1, 2022.