PMID- 35379123 OWN - NLM STAT- MEDLINE DCOM- 20221024 LR - 20221024 IS - 1873-4316 (Electronic) IS - 1389-2010 (Linking) VI - 23 IP - 15 DP - 2022 TI - Gut Microbiota Might Act as a Potential Therapeutic Pathway in COVID-19. PG - 1837-1850 LID - 10.2174/1389201023666220404183859 [doi] AB - It has been very recently suggested that individuals with chronic gut inflammation are highly susceptible to COVID-19. They constitute the serious cases of COVID-19, in which inflammatory cytokine storm is observed. On the contrary, the healthy gut microbiota is linked with low chronic gut and systemic inflammation. This raises the idea that maintenance of the healthy gut microbiota and prevention of gut microbial dysbiosis in COVID-19 patients might avoid the increased cytokine storm, which in turn might reduce the mortality rate. It has been shown that the modulation of the gut microbiota is an effective strategy to strengthen immunity and might be a possible treatment for individuals with viral infections. Currently, there is no clinical data considering the impact of the modulation of the gut microbiota on the treatment of COVID-19. We hypothesize that targeting the gut microbiota might be a novel therapeutic approach or at least a supportive therapy. In the present review article, we described the interaction between SARS-CoV-2 and gut microbiota dysbiosis through two possible mechanisms, including aberrant immune activation and aberrant mammalian target of rapamycin (mTOR) activation. Further, the disruption of the gastrointestinal reninangiotensin system (GI RAS), dysregulation of the coagulation and fibrinolytic systems, and the activity of human serine proteases in COVID-19 pathogenesis were addressed. We also provided possible strategies to restore all the discussed aspects via gut microbiota modulation. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Gharajeh, Nahid Hosseinzadeh AU - Gharajeh NH AD - Department of Plant Breeding and Biotechnology, Faculty of Agriculture, University of Tabriz, Tabriz, Iran. FAU - Pourjafar, Hadi AU - Pourjafar H AD - Dietary Supplements & Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran. FAU - Derakhshanian, Hoda AU - Derakhshanian H AD - Dietary Supplements & Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran. AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Mohammadi, Hamed AU - Mohammadi H AD - Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. AD - Department of Immunology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. FAU - Barzegari, Abolfazl AU - Barzegari A AD - Research Center for Pharmaceutical Nanotechnology, Biomedicine Institute, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Eslami, Solat AU - Eslami S AD - Dietary Supplements & Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran. AD - Department of Medical Biotechnology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Curr Pharm Biotechnol JT - Current pharmaceutical biotechnology JID - 100960530 RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.4.- (Serine Proteases) SB - IM MH - Humans MH - *COVID-19 MH - *Gastrointestinal Microbiome MH - Dysbiosis MH - SARS-CoV-2 MH - Cytokine Release Syndrome MH - Inflammation MH - TOR Serine-Threonine Kinases MH - Serine Proteases OTO - NOTNLM OT - COVID-19 OT - Gut microbiota modulation OT - dysbiosis OT - gut inflammation OT - renin-angiotensin system OT - viral infection EDAT- 2022/04/06 06:00 MHDA- 2022/10/25 06:00 CRDT- 2022/04/05 05:26 PHST- 2021/11/01 00:00 [received] PHST- 2022/01/20 00:00 [revised] PHST- 2022/02/01 00:00 [accepted] PHST- 2022/04/06 06:00 [pubmed] PHST- 2022/10/25 06:00 [medline] PHST- 2022/04/05 05:26 [entrez] AID - CPB-EPUB-122262 [pii] AID - 10.2174/1389201023666220404183859 [doi] PST - ppublish SO - Curr Pharm Biotechnol. 2022;23(15):1837-1850. doi: 10.2174/1389201023666220404183859.