Changes in the ocular surface microbiome of patients with coronavirus disease 2019 (COVID-19)

Front Microbiol. 2024 Jul 8:15:1389139. doi: 10.3389/fmicb.2024.1389139. eCollection 2024.

Abstract

Purpose: To elucidate the reasons behind the increased incidence of ocular disease in patients with coronavirus disease 2019 (COVID-19), this study delved deeper into the specific effects of COVID-19 on patients' ocular surface microbiome (OSM) and investigated its relationship with the increased incidence of ocular disease.

Methods: In this study, conjunctival sac swabs were collected from 43 participants for 16S rRNA amplicon sequencing. The participants were categorized into three groups based on their COVID-19 status: the control group (C group) consisted of 15 participants who showed no evidence of COVID-19, the experimental group (E group) included 15 participants who tested positive for COVID-19, and the COVID-19 recovery period group (R group) comprised 13 participants.

Results: In the comparison of alpha diversity, group E had a higher Shannon, Chao1 and Goods coverage index. When comparing beta diversity, groups E and R were more similar to each other. At the phylum level, although the OSM of the three groups was dominated by Proteobacteria, Actinobacteriota, Bacteroidota and Firmicutes, the compositional proportions were significantly different. At the genus level, the dominant species in the three OSM groups were significantly different, with Pseudomonas becoming the dominant genus in groups E and R compared to group C, and the abundance of Ralstonia decreasing significantly.

Conclusion: This study provides additional evidence supporting the association between the OSM and COVID-19, which contributes to our understanding of the potential mechanisms underlying ocular symptoms and complications associated with COVID-19 in the future.

Keywords: 16S rRNA amplicon sequencing; COVID-19; COVID-19 recovery period; ocular surface; ocular surface microbiome.

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the National Natural Science Foundation of China (Grant nos. U20A20363 and 82301173); The Science Fund for Excellent Young Scholars of First Affiliated Hospital of Harbin Medical University (Grant no. 2024YQ04); The Science Fund for Excellent Young Scholars of First Affiliated Hospital of Harbin Medical University (Grant no. 2024YQ05).