Evidence map›Paper›PMID 34403368›Full record

ArticleJCI insight2021

Inflammation-type dysbiosis of the oral microbiome associates with the duration of COVID-19 symptoms and long COVID.

John P Haran, Evan Bradley, Abigail L Zeamer, Lindsey Cincotta, Marie-Claire Salive, Protiva Dutta, Shafik Mutaawe, Otuwe Anya, Mario Meza-Segura, Ann M Moormann and 3 more

Abstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

108 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
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  8. Review
  9. Review
  10. Article
  11. Article
  12. The Impact of Aging Oral Health on Long COVID-19.Journal of dental research · 2025
    Review
  13. Microbiome and Long COVID-19: Current Evidence and Insights.International journal of molecular sciences · 2025
    Review
  14. Long COVID: current research and future directions.Infectious diseases & immunity · 2025
    Review
  15. Review
  16. Review
  17. Article
  18. Infectious and Immunological Links Between Periodontitis and COVID-19: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  19. Review
  20. Review

48 more citing papers are in PubMed but not listed here.

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

13 authors.

John P HaranDepartment of Emergency Medicine.
Evan BradleyDepartment of Emergency Medicine.
Abigail L ZeamerDepartment of Microbiology and Physiological Systems.
Lindsey CincottaDepartment of Emergency Medicine.
Marie-Claire SaliveDepartment of Emergency Medicine.
Protiva DuttaDepartment of Emergency Medicine.
Shafik MutaaweDepartment of Emergency Medicine.
Otuwe AnyaDepartment of Emergency Medicine.
Mario Meza-SeguraDepartment of Microbiology and Physiological Systems.
Ann M MoormannDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Doyle V WardDepartment of Microbiology and Physiological Systems.
Beth A McCormickDepartment of Microbiology and Physiological Systems.
Vanni BucciDepartment of Microbiology and Physiological Systems.

Funding

Understanding the Microbiome-gut-brain axisn Alzheimer disease and its Role in Cognitive DeclineRF1AG067483 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI HARAN, JOHN PATRICK · 2020 to 2020
$3.3M
NIA NIH HHS RF1 AG067483
6 · The paper itself

Abstract

In the COVID-19 pandemic, caused by SARS-CoV-2, many individuals experience prolonged symptoms, termed long-lasting COVID-19 symptoms (long COVID). Long COVID is thought to be linked to immune dysregulation due to harmful inflammation, with the exact causes being unknown. Given the role of the microbiome in mediating inflammation, we aimed to examine the relationship between the oral microbiome and the duration of long COVID symptoms. Tongue swabs were collected from patients presenting with COVID-19 symptoms. Confirmed infections were followed until resolution of all symptoms. Bacterial composition was determined by metagenomic sequencing. We used random forest modeling to identify microbiota and clinical covariates that are associated with long COVID symptoms. Of the patients followed, 63% developed ongoing symptomatic COVID-19 and 37% went on to long COVID. Patients with prolonged symptoms had significantly higher abundances of microbiota that induced inflammation, such as members of the genera Prevotella and Veillonella, which, of note, are species that produce LPS. The oral microbiome of patients with long COVID was similar to that of patients with chronic fatigue syndrome. Altogether, our findings suggest an association with the oral microbiome and long COVID, revealing the possibility that dysfunction of the oral microbiome may have contributed to this draining disease.

Indexed as

DysbiosisInflammationMicrobiotaAgedBacteriaCOVID-19FemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeSARS-CoV-2COVID-19InflammationNeurological disorders

Identifiers

PMID34403368
PMCPMC8564890

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.