Evidence map›Paper›PMID 36271144›Full record

ReviewNature reviews. Gastroenterology & hepatology2023

Gut microbiota in COVID-19: key microbial changes, potential mechanisms and clinical applications.

Fen Zhang, Raphaela I Lau, Qin Liu, Qi Su, Francis K L Chan, Siew C Ng

Erratum issuedOpen access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 168 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 3 pooled it
21.1field-weighted citation impact, top 1% 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

168 citing papers in PubMed, 3 syntheses or guidelines pooled it, 249 citations in OpenAlex.

  1. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Gut microbial allies and adversaries in SARS-CoV-2 infection.Current research in microbial sciences · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Review
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  11. Machine Learning Prediction ofHealthcare (Basel, Switzerland) · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Metformin on the Presence of COVID-19 Symptoms 6 Months after Infection: The ACTIV-6 Randomized Clinical Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  16. Article
  17. Article
  18. Article
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  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 2 countries.

Fen Zhang *Microbiota I-Center (MagIC), Shatin, Hong Kong S.A.R., China.ORCID 0000-0003-0679-4406
Raphaela I Lau *Microbiota I-Center (MagIC), Shatin, Hong Kong S.A.R., China.ORCID 0000-0003-0887-1073
Qin LiuMicrobiota I-Center (MagIC), Shatin, Hong Kong S.A.R., China.ORCID 0000-0003-2924-7309
Qi SuMicrobiota I-Center (MagIC), Shatin, Hong Kong S.A.R., China.
Francis K L ChanMicrobiota I-Center (MagIC), Shatin, Hong Kong S.A.R., China.
Siew C NgMicrobiota I-Center (MagIC), Shatin, Hong Kong S.A.R., China. siewchienng@cuhk.edu.hk.ORCID 0000-0002-6850-4454
Chinese University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The gastrointestinal tract is involved in coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The gut microbiota has important roles in viral entry receptor angiotensin-converting enzyme 2 (ACE2) expression, immune homeostasis, and crosstalk between the gut and lungs, the 'gut-lung axis'. Emerging preclinical and clinical studies indicate that the gut microbiota might contribute to COVID-19 pathogenesis and disease outcomes; SARS-CoV-2 infection was associated with altered intestinal microbiota and correlated with inflammatory and immune responses. Here, we discuss the cutting-edge evidence on the interactions between SARS-CoV-2 infection and the gut microbiota, key microbial changes in relation to COVID-19 severity and host immune dysregulations with the possible underlying mechanisms, and the conceivable consequences of the pandemic on the human microbiome and post-pandemic health. Finally, potential modulatory strategies of the gut microbiota are discussed. These insights could shed light on the development of microbiota-based interventions for COVID-19.

Indexed as

COVID-19Gastrointestinal MicrobiomeMicrobiotaGastrointestinal TractHumansSARS-CoV-2

Identifiers

PMID36271144
PMCPMC9589856
OpenAlexW4307232282

What OpenQuestion holds

Textmetadata
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.