Enterococcus and Eggerthella species are enriched in the gut microbiomes of COVID-19 cases in Uganda

Abstract Background Infection with the COVID-19-causing pathogen SARS-CoV-2 is associated with disruption in the human gut microbiome. The gut microbiome enables protection against diverse pathogens and exhibits dysbiosis during infectious and autoimmune disease. Studies based in the United States a...

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Main Authors: Carolina Agudelo, David Patrick Kateete, Emmanuel Nasinghe, Rogers Kamulegeya, Christopher Lubega, Monica Mbabazi, Noah Baker, Kathryn Y. Lin, Chang C. Liu, Arthur Shem Kasambula, Edgar Kigozi, Kevin Komakech, John Mukisa, Kassim Mulumba, Patricia Mwachan, Brenda Sharon Nakalanda, Gloria Patricia Nalubega, Julius Nsubuga, Diana Sitenda, Henry Ssenfuka, Giana T. Cirolia, Jeshua T. Gustafson, Ruohong Wang, Moses Luutu Nsubuga, Fahim Yiga, Sarah A. Stanley, Bernard Ssentalo Bagaya, Alison Elliott, Moses Joloba, Ashley R. Wolf
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Gut Pathogens
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Online Access:https://doi.org/10.1186/s13099-025-00678-4
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author Carolina Agudelo
David Patrick Kateete
Emmanuel Nasinghe
Rogers Kamulegeya
Christopher Lubega
Monica Mbabazi
Noah Baker
Kathryn Y. Lin
Chang C. Liu
Arthur Shem Kasambula
Edgar Kigozi
Kevin Komakech
John Mukisa
Kassim Mulumba
Patricia Mwachan
Brenda Sharon Nakalanda
Gloria Patricia Nalubega
Julius Nsubuga
Diana Sitenda
Henry Ssenfuka
Giana T. Cirolia
Jeshua T. Gustafson
Ruohong Wang
Moses Luutu Nsubuga
Fahim Yiga
Sarah A. Stanley
Bernard Ssentalo Bagaya
Alison Elliott
Moses Joloba
Ashley R. Wolf
author_facet Carolina Agudelo
David Patrick Kateete
Emmanuel Nasinghe
Rogers Kamulegeya
Christopher Lubega
Monica Mbabazi
Noah Baker
Kathryn Y. Lin
Chang C. Liu
Arthur Shem Kasambula
Edgar Kigozi
Kevin Komakech
John Mukisa
Kassim Mulumba
Patricia Mwachan
Brenda Sharon Nakalanda
Gloria Patricia Nalubega
Julius Nsubuga
Diana Sitenda
Henry Ssenfuka
Giana T. Cirolia
Jeshua T. Gustafson
Ruohong Wang
Moses Luutu Nsubuga
Fahim Yiga
Sarah A. Stanley
Bernard Ssentalo Bagaya
Alison Elliott
Moses Joloba
Ashley R. Wolf
author_sort Carolina Agudelo
collection DOAJ
description Abstract Background Infection with the COVID-19-causing pathogen SARS-CoV-2 is associated with disruption in the human gut microbiome. The gut microbiome enables protection against diverse pathogens and exhibits dysbiosis during infectious and autoimmune disease. Studies based in the United States and China have found that severe COVID-19 cases have altered gut microbiome composition when compared to mild COVID-19 cases. We present the first study to investigate the gut microbiome composition of COVID-19 cases in a population from Sub-Saharan Africa. Given the impact of geography and cultural traditions on microbiome composition, it is important to investigate the microbiome globally and not draw broad conclusions from homogenous populations. Results We used stool samples in a Ugandan biobank collected from COVID-19 cases during 2020–2022. We profiled the gut microbiomes of 83 symptomatic individuals who tested positive for SARS-CoV-2 along with 43 household contacts who did not present any symptoms of COVID-19. The inclusion of healthy controls enables us to generate hypotheses about bacterial strains potentially related to susceptibility to COVID-19 disease, which is highly heterogeneous. Comparison of the COVID-19 patients and their household contacts revealed decreased alpha diversity and blooms of Enterococcus and Eggerthella in COVID-19 cases. Conclusions Our study finds that the microbiome of COVID-19 individuals is more likely to be disrupted, as indicated by decreased diversity and increased pathobiont levels. This is either a consequence of the disease or may indicate that certain microbiome states increase susceptibility to COVID-19 disease. Our findings enable comparison with cohorts previously published in the Global North, as well as support new hypotheses about the interaction between the gut microbiome and SARS-CoV-2 infection.
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spelling doaj-art-441b4b37a8a04a858eb7dcaddcefbbdd2025-02-09T12:38:51ZengBMCGut Pathogens1757-47492025-02-0117111310.1186/s13099-025-00678-4Enterococcus and Eggerthella species are enriched in the gut microbiomes of COVID-19 cases in UgandaCarolina Agudelo0David Patrick Kateete1Emmanuel Nasinghe2Rogers Kamulegeya3Christopher Lubega4Monica Mbabazi5Noah Baker6Kathryn Y. Lin7Chang C. Liu8Arthur Shem Kasambula9Edgar Kigozi10Kevin Komakech11John Mukisa12Kassim Mulumba13Patricia Mwachan14Brenda Sharon Nakalanda15Gloria Patricia Nalubega16Julius Nsubuga17Diana Sitenda18Henry Ssenfuka19Giana T. Cirolia20Jeshua T. Gustafson21Ruohong Wang22Moses Luutu Nsubuga23Fahim Yiga24Sarah A. Stanley25Bernard Ssentalo Bagaya26Alison Elliott27Moses Joloba28Ashley R. Wolf29Division of Infectious Diseases and Vaccinology, School of Public Health, University of California, BerkeleyDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDivision of Infectious Diseases and Vaccinology, School of Public Health, University of California, BerkeleyDivision of Infectious Diseases and Vaccinology, School of Public Health, University of California, BerkeleyDivision of Infectious Diseases and Vaccinology, School of Public Health, University of California, BerkeleyDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDivision of Infectious Diseases and Vaccinology, School of Public Health, University of California, BerkeleyCollege of Engineering, University of California, BerkeleyCollege of Engineering, University of California, BerkeleyDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDivision of Infectious Diseases and Vaccinology, School of Public Health, University of California, BerkeleyDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesMRC/UVRI and LSHTM Uganda Research UnitDepartment of Immunology and Molecular Biology, School of Biomedical Sciences, Makerere University College of Health SciencesDivision of Infectious Diseases and Vaccinology, School of Public Health, University of California, BerkeleyAbstract Background Infection with the COVID-19-causing pathogen SARS-CoV-2 is associated with disruption in the human gut microbiome. The gut microbiome enables protection against diverse pathogens and exhibits dysbiosis during infectious and autoimmune disease. Studies based in the United States and China have found that severe COVID-19 cases have altered gut microbiome composition when compared to mild COVID-19 cases. We present the first study to investigate the gut microbiome composition of COVID-19 cases in a population from Sub-Saharan Africa. Given the impact of geography and cultural traditions on microbiome composition, it is important to investigate the microbiome globally and not draw broad conclusions from homogenous populations. Results We used stool samples in a Ugandan biobank collected from COVID-19 cases during 2020–2022. We profiled the gut microbiomes of 83 symptomatic individuals who tested positive for SARS-CoV-2 along with 43 household contacts who did not present any symptoms of COVID-19. The inclusion of healthy controls enables us to generate hypotheses about bacterial strains potentially related to susceptibility to COVID-19 disease, which is highly heterogeneous. Comparison of the COVID-19 patients and their household contacts revealed decreased alpha diversity and blooms of Enterococcus and Eggerthella in COVID-19 cases. Conclusions Our study finds that the microbiome of COVID-19 individuals is more likely to be disrupted, as indicated by decreased diversity and increased pathobiont levels. This is either a consequence of the disease or may indicate that certain microbiome states increase susceptibility to COVID-19 disease. Our findings enable comparison with cohorts previously published in the Global North, as well as support new hypotheses about the interaction between the gut microbiome and SARS-CoV-2 infection.https://doi.org/10.1186/s13099-025-00678-4COVID-19SARS-CoV-2Gut microbiomeEnterococcusUganda
spellingShingle Carolina Agudelo
David Patrick Kateete
Emmanuel Nasinghe
Rogers Kamulegeya
Christopher Lubega
Monica Mbabazi
Noah Baker
Kathryn Y. Lin
Chang C. Liu
Arthur Shem Kasambula
Edgar Kigozi
Kevin Komakech
John Mukisa
Kassim Mulumba
Patricia Mwachan
Brenda Sharon Nakalanda
Gloria Patricia Nalubega
Julius Nsubuga
Diana Sitenda
Henry Ssenfuka
Giana T. Cirolia
Jeshua T. Gustafson
Ruohong Wang
Moses Luutu Nsubuga
Fahim Yiga
Sarah A. Stanley
Bernard Ssentalo Bagaya
Alison Elliott
Moses Joloba
Ashley R. Wolf
Enterococcus and Eggerthella species are enriched in the gut microbiomes of COVID-19 cases in Uganda
Gut Pathogens
COVID-19
SARS-CoV-2
Gut microbiome
Enterococcus
Uganda
title Enterococcus and Eggerthella species are enriched in the gut microbiomes of COVID-19 cases in Uganda
title_full Enterococcus and Eggerthella species are enriched in the gut microbiomes of COVID-19 cases in Uganda
title_fullStr Enterococcus and Eggerthella species are enriched in the gut microbiomes of COVID-19 cases in Uganda
title_full_unstemmed Enterococcus and Eggerthella species are enriched in the gut microbiomes of COVID-19 cases in Uganda
title_short Enterococcus and Eggerthella species are enriched in the gut microbiomes of COVID-19 cases in Uganda
title_sort enterococcus and eggerthella species are enriched in the gut microbiomes of covid 19 cases in uganda
topic COVID-19
SARS-CoV-2
Gut microbiome
Enterococcus
Uganda
url https://doi.org/10.1186/s13099-025-00678-4
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