Exploring the Interplay between COVID-19 and Gut Health: The Potential Role of Prebiotics and Probiotics in Immune Support

Author:

Giovanetti Marta123ORCID,Pannella Gianfranco14,Altomare Annamaria15,Rocchi Giulia5ORCID,Guarino Michele56,Ciccozzi Massimo7ORCID,Riva Elisabetta89ORCID,Gherardi Giovanni9ORCID

Affiliation:

1. Sciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, 00128 Roma, Italy

2. Climate Amplified Diseases and Epidemics (CLIMADE), Brasilia 70070-130, Brazil

3. Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, Brazil

4. Department of Agricultural, Enviromental and Food Science, University of Molise, 86100 Campobasso, Italy

5. Research Unit of Gastroenterology, Università Campus Bio-Medico di Roma, 00128 Rome, Italy

6. Operative Research Unit of Gastroenterology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy

7. Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, 00128 Roma, Italy

8. Unit of Virology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy

9. Applied Bacteriological Sciences Unit, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, Italy

Abstract

The COVID-19 pandemic has profoundly impacted global health, leading to extensive research focused on developing strategies to enhance outbreak response and mitigate the disease’s severity. In the aftermath of the pandemic, attention has shifted towards understanding and addressing long-term health implications, particularly in individuals experiencing persistent symptoms, known as long COVID. Research into potential interventions to alleviate long COVID symptoms has intensified, with a focus on strategies to support immune function and mitigate inflammation. One area of interest is the gut microbiota, which plays a crucial role in regulating immune responses and maintaining overall health. Prebiotics and probiotics, known for their ability to modulate the gut microbiota, have emerged as potential therapeutic agents in bolstering immune function and reducing inflammation. This review delves into the intricate relationship between long COVID, the gut microbiota, and immune function, with a specific focus on the role of prebiotics and probiotics. We examine the immune response to long COVID, emphasizing the importance of inflammation and immune regulation in the persistence of symptoms. The potential of probiotics in modulating immune responses, including their mechanisms in combating viral infections such as COVID-19, is discussed in detail. Clinical evidence supporting the use of probiotics in managing long COVID symptoms is summarized, highlighting their role as adjunctive therapy in addressing various aspects of SARS-CoV-2 infection and its aftermath.

Funder

PON “Ricerca e Innovazione”

CRP-ICGEB RESEARCH GRANT

Publisher

MDPI AG

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