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  • Gut microbiota composition ...
    Ng, Siew C; Peng, Ye; Zhang, Lin; Mok, Chris Kp; Zhao, Shilin; Li, Amy; Ching, Jessica Yl; Liu, Yingzhi; Yan, Shuai; Chan, Dream L S; Zhu, Jie; Chen, Chunke; Fung, Adrian Ch; Wong, Kenneth Ky; Hui, David Sc; Chan, Francis Kl; Tun, Hein M

    Gut, 06/2022, Letnik: 71, Številka: 6
    Journal Article

    The gut microbiota plays a key role in modulating host immune response. We conducted a prospective, observational study to examine gut microbiota composition in association with immune responses and adverse events in adults who have received the inactivated vaccine (CoronaVac; Sinovac) or the mRNA vaccine (BNT162b2; BioNTech; Comirnaty). We performed shotgun metagenomic sequencing in stool samples of 138 COVID-19 vaccinees (37 CoronaVac and 101 BNT162b2 vaccinees) collected at baseline and 1 month after second dose of vaccination. Immune markers were measured by SARS-CoV-2 surrogate virus neutralisation test and spike receptor-binding domain IgG ELISA. We found a significantly lower immune response in recipients of CoronaVac than BNT162b2 vaccines (p<0.05). was persistently higher in subjects with high neutralising antibodies to CoronaVac vaccine (p=0.023) and their baseline gut microbiome was enriched in pathways related to carbohydrate metabolism (linear discriminant analysis (LDA) scores >2 and p<0.05). Neutralising antibodies in BNT162b2 vaccinees showed a positive correlation with the total abundance of bacteria with flagella and fimbriae including (p=0.028). The abundance of and two species were enriched in individuals with fewer adverse events following either of the vaccines indicating that these bacteria may play an anti-inflammatory role in host immune response (LDA scores>3 and p<0.05). Our study has identified specific gut microbiota markers in association with improved immune response and reduced adverse events following COVID-19 vaccines. Microbiota-targeted interventions have the potential to complement effectiveness of COVID-19 vaccines.