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New Emirates Medical Journal

Editor-in-Chief
ISSN (Online): 0250-6882

Research Article

SARS-CoV-2: Possible Factors Contributing to Serious Consequences of COVID-19?

Author(s): Ruqaiyyah Siddiqui, Mohammad R. Mungroo, Mohamed Y. Abouleish and Naveed A. Khan*

Volume 3, Issue 1, 2022

Published on: 14 December, 2021

Article ID: e180722198847 Pages: 5

DOI: 10.2174/02666211213150918

open_access

Abstract

Background and Objectives: The recently discovered coronavirus, SARS-CoV-2 has infected over 170 million people (as of 31th May 2021) since it was elucidated in December 2019. The number of SARS-CoV-2 cases and mortality rates vary from country to country, and unfortunately, the United Kingdom ranks in the top 5 countries with the most deaths as of 31th May 2021.

Methods: A literature review was conducted during May 2021 to examine if factors such as gut microbiome, ethnic diversity, high cancer rates, obesity and alcohol consumption may have contributed to the higher number of cases and mortality due to SARS-CoV-2 in the UK.

Results: The western diet is associated with a less diverse gut microbiome, as well as obesity, and contributes to the severity of SARS-CoV-2 infection. Moreover, people belonging to Black and South Asian ethnic groups in the UK have an increased risk of death due to SARS-CoV-2 infection. Given the high number of cancer patients in the UK, as well as excess consumption of alcohol, higher mortality rates were observed, most likely due to people possessing a less diverse gut microbiome and/or weakened immune system.

Conclusion: Targeting the gut microbiome in developing potential therapeutics against SARS-CoV-2 is of value, and further studies are needed to understand the specific role of the gut microbiome.

Keywords: Severe acute respiratory syndrome, Coronavirus, Cancer, Ethnicity, Obesity, Gut microbiome.

[1]
Johns Hopkins Coronavirus Resource Center. COVID-19 Map. 2021. Available at: https://coronavirus.jhu.edu/map.html
[2]
Wu D, Wu T, Liu Q, Yang Z. The SARS-CoV-2 outbreak: What we know. Int J Infect Dis 2020; 94: 44-8.
[http://dx.doi.org/10.1016/j.ijid.2020.03.004] [PMID: 32171952]
[3]
Mungroo MR, Khan NA, Siddiqui R. Novel coronavirus: current understanding of clinical features, diagnosis, pathogenesis, and treatment options. Pathogens 2020; 9(4): 297.
[http://dx.doi.org/10.3390/pathogens9040297] [PMID: 32316618]
[5]
Triggle N, Jeavans C, Cuffe R. UK Covid deaths: Why the 100,000 toll is so bad. 2021. Available at: http://bbc.com/news/health -55757790
[6]
OECD (2017) Obesity Update 2017. Available at: https://www. oecd.org/els/health-systems/Obesity-Update-2017.pdf
[7]
Siddiqui R, Akbar N, Khan NA. Gut microbiome and human health under the space environment. J Appl Microbiol 2021; 130(1): 14-24.
[http://dx.doi.org/10.1111/jam.14789] [PMID: 32692438]
[8]
Han M, Zha Y, Chong H, Zhong C, Ning K. Utilizing microbiome approaches to assist source tracking, treatment and prevention of COVID-19: Review and assessment. Comput Struct Biotechnol J 2020; 18: 3615-22.
[http://dx.doi.org/10.1016/j.csbj.2020.11.027] [PMID: 33304459]
[9]
Li N, Ma WT, Pang M, Fan QL, Hua JL. The commensal microbiota and viral infection: A comprehensive review. Front Immunol 2019; 10: 1551.
[http://dx.doi.org/10.3389/fimmu.2019.01551] [PMID: 31333675]
[10]
Pan L, Mu M, Yang P, et al. Clinical characteristics of COVID-19 patients with digestive symptoms in Hubei, China: A descriptive, cross-sectional, multicenter study. Am J Gastroenterol 2020; 115(5): 766-73.
[http://dx.doi.org/10.14309/ajg.0000000000000620] [PMID: 32287140]
[11]
Reid B, Spence AL, Stroup C. A review of the gastrointestinal effects associated with COVID-19 infections. Ann Gastroenterol Dig Syst 2020; 3(1): 1027.
[12]
Xiao F, Sun J, Xu Y, et al. Infectious SARS-CoV-2 in feces of patient with severe COVID-19. Emerg Infect Dis 2020; 26(8): 1920-2.
[http://dx.doi.org/10.3201/eid2608.200681] [PMID: 32421494]
[13]
Villapol S. Gastrointestinal symptoms associated with COVID-19: impact on the gut microbiome. Transl Res 2020; 226: 57-69.
[http://dx.doi.org/10.1016/j.trsl.2020.08.004] [PMID: 32827705]
[14]
Kalantar-Zadeh K, Ward SA, Kalantar-Zadeh K, El-Omar EM. Considering the effects of microbiome and diet on SARS-CoV-2 infection: nanotechnology roles. ACS Nano 2020; 14(5): 5179-82.
[http://dx.doi.org/10.1021/acsnano.0c03402] [PMID: 32356654]
[15]
Ward DV, Bhattarai S, Rojas-Correa M, et al. 2021.The Intestinal and Oral Microbiomes Are Robust Predictors of COVID-19 Severity the Main Predictor of COVID-19-related Fatality [pre-print].
[http://dx.doi.org/10.1101/2021.01.05.20249061]
[16]
Zuo T, Liu Q, Zhang F, et al. Depicting SARS-CoV-2 faecal viral activity in association with gut microbiota composition in patients with COVID-19. Gut 2021; 70(2): 276-84.
[PMID: 32690600]
[17]
Zinöcker MK, Lindseth IA. The Western diet–microbiome-host interaction and its role in metabolic disease. Nutrients 2018; 10(3): 365.
[http://dx.doi.org/10.3390/nu10030365] [PMID: 29562591]
[18]
Deschasaux M, Bouter KE, Prodan A, et al. Depicting the composition of gut microbiota in a population with varied ethnic origins but shared geography. Nat Med 2018; 24(10): 1526-31.
[http://dx.doi.org/10.1038/s41591-018-0160-1] [PMID: 30150717]
[19]
Gaulke CA, Sharpton TJ. The influence of ethnicity and geography on human gut microbiome composition. Nat Med 2018; 24(10): 1495-6.
[http://dx.doi.org/10.1038/s41591-018-0210-8] [PMID: 30275567]
[20]
Office for National Statistics (2012) Ethnicity and National Identity in England and Wales: 2011. Available at: https://www.ons.gov.uk /peoplepopulationandcommunity/culturalidentity/ethnicity/articles/ethnicityandnationalidentityinenglandandwales/2012-12-11
[21]
Centers for Disease Control and Prevention (2021) Hospitalization and Death by Race/Ethnicity. Available at: https://www.cdc.gov/ coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html
[22]
Sze S, Pan D, Nevill CR, et al. Ethnicity and clinical outcomes in COVID-19: A systematic review and meta-analysis. EClinicalMedicine 2020; 29(100630): 100630.
[http://dx.doi.org/10.1016/j.eclinm.2020.100630] [PMID: 33200120]
[24]
Abuelgasim E, Saw LJ, Shirke M, Zeinah M, Harky A. COVID-19: Unique public health issues facing Black, Asian and minority ethnic communities. Curr Probl Cardiol 2020; 45(8): 100621.
[http://dx.doi.org/10.1016/j.cpcardiol.2020.100621] [PMID: 32448759]
[25]
Goodrich JK, Waters JL, Poole AC, et al. Human genetics shape the gut microbiome. Cell 2014; 159(4): 789-99.
[http://dx.doi.org/10.1016/j.cell.2014.09.053] [PMID: 25417156]
[26]
Otu A, Ahinkorah BO, Ameyaw EK, Seidu AA, Yaya S. One country, two crises: what Covid-19 reveals about health inequalities among BAME communities in the United Kingdom and the sustainability of its health system? Int J Equity Health 2020; 19(1): 189.
[http://dx.doi.org/10.1186/s12939-020-01307-z] [PMID: 33109197]
[27]
Burton R, Henn C, Lavoie D, et al. The public health burden of alcohol and the effectiveness and cost-effectiveness of alcohol control policies: an evidence review. Public Health England 2016. Available at: https://assets.publishing.service.gov.uk/government/uploads/system /uploads/attachment_data/file/733108/alcohol_public_health_burden_evidence_review_update_2018.pdf
[29]
Garcia LP, Sanchez ZM. Alcohol consumption during the COVID-19 pandemic: a necessary reflection for confronting the situation. Cad Saude Publica 2020; 36(10): e00124520.
[http://dx.doi.org/10.1590/0102-311x00124520] [PMID: 33111838]
[30]
Moss M, Bucher B, Moore FA, Moore EE, Parsons PE. The role of chronic alcohol abuse in the development of acute respiratory distress syndrome in adults. JAMA 1996; 275(1): 50-4.
[http://dx.doi.org/10.1001/jama.1996.03530250054027] [PMID: 8531287]
[31]
Brackley P. One in three increased alcohol consumption during lockdown, University of Cambridge study finds. Cambridge independent 2020. Available at: https://www.cambridgeindependent .co.uk/news/one-in-three-increased-alcohol-consumption-during-lockdown-cambridge-study-finds-9146617/
[32]
Engen PA, Green SJ, Voigt RM, Forsyth CB, Keshavarzian A. The gastrointestinal microbiome: alcohol effects on the composition of intestinal microbiota. Alcohol Res 2015; 37(2): 223-36.
[PMID: 26695747]
[33]
Liang W, Guan W, Chen R, et al. Cancer patients in SARS-CoV-2 infection: A nationwide analysis in China. Lancet Oncol 2020; 21(3): 335-7.
[http://dx.doi.org/10.1016/S1470-2045(20)30096-6] [PMID: 32066541]
[34]
World Cancer Research Fund (2021) Global cancer data by country. 2021. Available at: https://www.wcrf.org/dietandcancer/ global-cancer-data-by-country/
[35]
Yeoh CB, Lee KJ, Rieth EF, et al. COVID-19 in the cancer patient. Anesth Analg 2020; 131(1): 16-23.
[http://dx.doi.org/10.1213/ANE.0000000000004884] [PMID: 32543802]
[36]
Hijano DR, Maron G, Hayden RT. Respiratory viral infections in patients with cancer or undergoing hematopoietic cell transplant. Front Microbiol 2018; 9: 3097.
[http://dx.doi.org/10.3389/fmicb.2018.03097] [PMID: 30619176]
[37]
Kamboj M, Sepkowitz KA. Nosocomial infections in patients with cancer. Lancet Oncol 2009; 10(6): 589-97.
[http://dx.doi.org/10.1016/S1470-2045(09)70069-5] [PMID: 19482247]
[38]
Bhaskaran K, Bacon S, Evans SJ, et al. Factors associated with deaths due to COVID-19 versus other causes: Population-based cohort analysis of UK primary care data and linked national death registrations within the OpenSAFELY platform. Lancet Reg Health-Europe 2021; 6: 100109.
[http://dx.doi.org/10.1016/j.lanepe.2021.100109] [PMID: 33997835]
[39]
Elezkurtaj S, Greuel S, Ihlow J, et al. Causes of death and comorbidities in hospitalized patients with COVID-19. Sci Rep 2021; 11(1): 4263.
[http://dx.doi.org/10.1038/s41598-021-82862-5] [PMID: 33608563]

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