Evidence map›Paper›PMID 33725024›Full record

ArticlePloS one2021

Variability in digestive and respiratory tract Ace2 expression is associated with the microbiome.

Sean T Koester, Naisi Li, Daniel M Lachance, Norma M Morella, Neelendu Dey

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Human microbiome in post-acute COVID-19 syndrome (PACS).Current research in microbial sciences · 2025
    Article
  4. Observational
  5. Article
  6. Microbiota and Immunity during Respiratory Infections: Lung and Gut Affair.International journal of molecular sciences · 2024
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Roles of the gut microbiota in severe SARS-CoV-2 infection.Cytokine & growth factor reviews · 2022
    Review
  20. Phage therapy in the Covid-19 era: Advantages over antibiotics.Current research in microbial sciences · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Sean T KoesterClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States of America.ORCID 0000-0002-0984-2752
Naisi LiClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States of America.
Daniel M LachanceClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States of America.
Norma M MorellaClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States of America.ORCID 0000-0001-8090-295X
Neelendu DeyClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, United States of America.ORCID 0000-0001-8825-5689
Fred Hutch Cancer Center · USUniversity of Washington · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
The gut microbiota, bile acid-mediated enteric nervous system signaling, and modulation of gastrointestinal motilityK08DK111941 · NIDDK · WASHINGTON UNIVERSITY · PI DEY, NEELENDU · 2016 to 2020
$809k
NCI NIH HHS P30 CA015704NIDDK NIH HHS K08 DK111941
6 · The paper itself

Abstract

COVID-19 (coronavirus disease 2019) patients exhibiting gastrointestinal symptoms are reported to have worse prognosis. Ace2 (angiotensin-converting enzyme 2), the gene encoding the host protein to which SARS-CoV-2 spike proteins bind, is expressed in the gut and therefore may be a target for preventing or reducing severity of COVID-19. Here we test the hypothesis that Ace2 expression in the gastrointestinal and respiratory tracts is modulated by the microbiome. We used quantitative PCR to profile Ace2 expression in germ-free mice, conventional raised specific pathogen-free mice, and gnotobiotic mice colonized with different microbiota. Intestinal Ace2 expression levels were significantly higher in germ-free mice compared to conventional mice. A similar trend was observed in the respiratory tract. Intriguingly, microbiota depletion via antibiotics partially recapitulated the germ-free phenotype, suggesting potential for microbiome-mediated regulation of Ace2 expression. Variability in intestinal Ace2 expression was observed in gnotobiotic mice colonized with different microbiota, partially attributable to differences in microbiome-encoded proteases and peptidases. Together, these data suggest that the microbiome may be one modifiable factor determining COVID-19 infection risk and disease severity.

Indexed as

Gastrointestinal MicrobiomeAdenomatous Polyposis Coli ProteinAngiotensin-Converting Enzyme 2AnimalsColonFemaleGene ExpressionInterleukin-10Intestine, SmallLungMaleMiceMice, Inbred C57BLMice, KnockoutAce2 protein, mouseAdenomatous Polyposis Coli Proteinadenomatous polyposis coli protein, mouseAngiotensin-Converting Enzyme 2Interleukin-10

Identifiers

PMID33725024
PMCPMC7963026
OpenAlexW3139022409

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.