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Everyone has millions of microbes living in complex communities in their sinuses. All these hundreds of species of bacteria, fungi, and viruses are the sinus microbiome or sinus microbiota. In addition, some (many?) people also have tiny organisms called archaea living in their sinuses.

What are archaea? Archaea are single-celled organisms that lack cell nuclei, and have a unique cell wall membrane. Very little is known about them, what their role is in the sinuses (that is, what are they doing there?), how do they interact with the host (the person), and whether their presence is beneficial or not.

There are only a few studies looking at archaea in humans, and while very little is known, the current view is that there are no known harmful archaea ("archaeal pathogens or parasites").

In a 2019 study, French researchers found archaea in the sinuses of 9 of their patients with chronic sinusitis - and therefore thought they were linked to disease. But unfortunately they didn't look to see if archaea are also found in the sinuses of healthy persons, thus there wasn't a comparison group. They found methanogenic archaea (the only microorganisms able to produce methane) in these nine patients, and they thought that the archaea were contributing to or causing the chronic sinusitis.

The Methanobrevibacter species they found were  M. smithii, M. oralis, and M. massiliense, of which 2 have been found in dental plaque and periodontitis lesions, and one is a gut methanogen. [Note: This means it is found in the gut and is methane producing - but that doesn't mean it is harmful.]

Finally, a more recent and comprehensive study looked at archaea and bacteria in the sinuses of both healthy persons and those with chronic sinusitis. University of Auckland researchers found that only 6 out of 70 persons (both healthy and with sinusitis) had archaea in the sinuses, and they were very low in numbers and in diversity. In those with archaea, there was a lot of variation between people. They did not see any archaea associated with chronic sinusitis.

Archaea found were from Euryarchaeota, Thaumarchaeota, and Methanobrevibacteriaceae phyla.

One can only wonder what the archaea are doing in the sinuses in those with them. Especially, as the researchers point out that archaea are characterized by a unique cell wall membrane that "assists survival in extreme conditions such as hydrothermal vents, salt lakes, anoxic and highly acidic or alkaline environments". Also, that recent studies suggest that the human immune system recognizes and can be "activated" by archaea.

Archaea. Credit: Wikipedia

Finally, studies also mention that archaea are resistant to many antibiotics (because of lack of peptidoglycan in their cell wall). It is unknown how this influences their role (if any) in human health and disease.

As you can see, much is unknown right now. Even how many people have archaea in their sinuses, and what kinds of archaea. Stay tuned.

Article by B.W. Mackenzie et al in Frontiers in Cellular Infection and Microbiology: A Novel Description of the Human Sinus Archaeome During Health and Chronic Rhinosinusitis

Human lungs Credit: Wikipedia

We have millions of all sorts of microbes living throughout our respiratory tract (nose, sinuses, mouth, lungs, etc.). A recent study looked at the microbes in the lungs and found that fungi normally live in healthy lungs, including fungi that are usually thought of as harmful. Surprisingly, the fungi found in lungs of people with COPD (chronic obstructive pulmonary disease) are basically similar to those in healthy people.

The fungi living in different parts of the body is the mycobiome. The lung (pulmonary) microbiome is unique, meaning it is different than in other parts of the respiratory tract, such as the mouth. It used to be thought that the lungs were sterile (unless there was an infection). But now we know that is not true - we normally have fungi, bacteria, and viruses living in our lungs.

University of Bergen researchers analyzed both the oral (mouth) mycobiome and lung mycobiome of 93 persons with COPD and 100 healthy persons (the control group). Surprisingly, both the oral and lung mycobiomes of both healthy and COPD groups were dominated by Candida fungi, with more Candida in the mouth, than in the lungs for both groups. Finding that Candida resides in the lungs of heathy individuals was surprising because it can be a "fungal pathogen" (thus harmful and invasive) in different parts of the body.

One piece of good news - using inhaled steroids didn't seem to affect the lung mycobiome.

Keep in mind that fungi are all around us, both indoors and outdoors, and we are constantly breathing in fungal spores. Our bodies have evolved to handle normal amounts just fine. As the researchers wrote: "Healthy airways possess effective removal of such spores". It's when a person is immunocompromised or has COPD that problems can develop.

From Medical Xpress: Fungi are present in your lungs

The lungs were for a long time considered to be sterile in health, while in diseases like chronic obstructive pulmonary disease (COPD) failure in immune mechanisms were thought to allow microorganisms to proliferate and persist. New sequencing techniques have shown that several microorganisms reside in the lungs of healthy individuals, as well. Few studies have examined the fungal community in COPD and compared it to healthy controls using such techniques. ...continue reading "Fungi Are Living In Your Lungs"

Another reason to get more active - a new study finds that being physically inactive (a couch potato) is associated with a higher risk of severe COVID-19 infection, hospitalization and ICU admission for COVID-19, and death from COVID-19. The researchers concluded that being consistently inactive should be viewed as a risk factor for severe COVID-19 outcomes, and that it is a "stronger risk factor than any of the underlying medical conditions and risk factors identified by the CDC except for age and a history of organ transplant". Yikes!

On the other hand, being physically active at least 150 minutes per week, and this includes brisk walking, is linked to lower rates of all of the above. Some activity (but under 150 minutes per week) is also better than none, but 150 minutes or more is better. The researchers state that besides vaccinations, social distancing, and mask wearing - being physically active is the single most important action individuals can take to prevent severe COVID-19 and its complications, including death.

The 150 minutes (2 1/2 hours) of physical activity per week are the recommended US Physical Activity Guidelines for adults, and include moderate and vigorous physical activity. It includes brisk walking. This can be achieved in less than 1/2 hour per day!

The researchers point out that health benefits of regular physical activity include: improved immune function, lower incidence of viral infections, as well as lower intensity and cases of death from viral infections, lowers the risk of chronic inflammation, improves cardiovascular health, increases lung capacity, muscle strength, and improves mental health. Which is why it is not surprising that persons getting a good amount of physical activity each week also generally have fewer problems with COVID-19 infections.

From CNN: Reduce risk of severe Covid with regular activity, study says. Here's how to get in 22 minutes of exercise daily

Some excerpts from the study at British Journal of Sports Medicine (BJSM): Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48,440 adult patients

Abstract: Objectives To compare hospitalisation rates, intensive care unit (ICU) admissions and mortality for patients with COVID-19 who were consistently inactive, doing some activity or consistently meeting physical activity guidelines.  ...continue reading "Reduce Your Risk of Severe COVID-19 Infection By Being Physically Active"

The millions of bacteria, fungi, viruses (human microbiome) that live on and within us are extremely important for our health in all sorts of ways. The birth experience (as the baby travels down the birth canal) is one way that a mother's microbes get transmitted to the baby ("seeds" the baby's microbiome). But babies born by Cesarean delivery start out picking up different species of microbes - from dust in the operating room.

Thus there has been concern with the possibility that a baby born by C-section, as compared to a vaginal delivery, will have life long microbiome differences. Swedish researchers studied this issue in 471 children and determined that by 5 years of age that the microbiome differences at birth and first year of life have generally disappeared. The differences in microbial composition had decreased to less than 2% in the 2 groups. This is good news!

Over the 5 years everyone had a great increase in the number of microbial species that live in the gut. The gut microbiome became more "adult-like", but it wasn't yet like that of adults. A conclusion was that not only does it take years to develop adult microbial complexity, but there is also individual variation in how long this takes. A person's diet, especially the introduction of solid foods, and environment all have an effect on species diversity and composition.

By the way, another way mothers transmit hundreds of species of microbes to their babies is during nursing in the breast milk (this is great!), and these species change over time. This is a good reason to breast feed - it's not just the nutrition, but also the microbes.

From Science  Daily: Gut microbiota in Cesarean-born babies catches up

Infants born by cesarean section have a relatively meager array of bacteria in the gut. But by the age of three to five years they are broadly in line with their peers. This is shown by a study that also shows that it takes a remarkably long time for the mature intestinal microbiota to get established.  ...continue reading "Five Year Olds Have Similar Gut Microbes, No Matter the Type of Birth"

It turns out that people experiencing a major depression have differences in their gut microbiome (community of microbes) when compared to healthy people who are not depressed. A persistent and prolonged period of extreme sadness or depression is called a major depressive disorder (MDD).

A team of researchers (in both China and the US) analyzed stool samples from 311 people  with either MDD or healthy and not-depressed (the control group). They used modern genetic sequencing to see what microbes were in the stools. They found differences in 47 bacterial species, 3 bacteriophages (a virus that infects bacteria), and 50 fecal metabolites - which suggested to the researchers that depression is characterized by gut microbiome problems (it's imbalanced or out of whack).

There actually was a "signature composition" of gut microbes in the depressed persons, all of whom were unmedicated. They found higher levels ("increased abundance") of 18 bacterial species in people with MDD (mainly belonging to the genus Bacteroides) and 29 were less common (mainly belonging to Eubacterium and Blautia), when compared to healthy persons.

The researchers point out that other studies also find the gut microbiome to be imbalanced in MDD, and there are animal experiments showing that the gut microbiome has a role in causing MDD (e.g. transplanting gut microbes from a depressed person into a rat results in the rat exhibiting depressive behaviors).

Excerpts from The Scientist: Distinct Microbiome and Metabolites Linked with Depression

The human gut microbiome is a world in miniature, populated by a chatty community of bacteria, viruses, fungi, and protozoa nestled within various gastrointestinal niches. Over the past decade, researchers have linked disturbances within this complicated microbial society to a variety of diseases. Major depressive disorder (MDD) is one such condition, but the studies have been small and the findings imprecise.   ...continue reading "Gut Microbiome Is Altered In Persons With Major Depression"

Some good news for those with Rh negative blood (whether it is A, B, AB, or O), and also for those with type O blood. A large Canadian study found that both the O and Rh- blood groups are associated with a slightly lower risk of COVID-19 infection and also severe COVID-19 illness and death. In other words, both are somewhat protective from the new coronavirus, especially O-negative blood.

Among 225,556 Canadians who were tested for the virus, the risk for a COVID-19 diagnosis was 12% lower and the risk for severe COVID-19 or death was 13% lower in people with blood group O versus those with A, AB, or B, researchers reported in Annals of Internal Medicine.

The researchers point out that some other studies had a similar finding regarding type O blood. Interestingly, the O blood group is associated with a decreased risk for venous thromboembolism (blood clots in the veins) - which can be a big complication of COVID-19.

How many people have O negative blood? One study of 3.1 million American blood donors found that O− was seen in 8.0% of White non-Hispanic donors, 3.9% of Hispanic donors, 3.6% of Black non-Hispanic donors, and 0.7% of Asian donors. So not that common in the US.

From Medscape: More Evidence for Lower Risk With Certain Blood Groups

A large study adds to evidence that people with type O or Rh−negative blood may be at slightly lower risk from the new coronavirus.  ...continue reading "Some Good News About Having Rh- Blood"

Holy mackerel! Currently COVID-19 kills someone in the United States every 107 seconds! And the U.S. is reporting more than 70,000 new coronavirus cases each day.

Wear a mask! Wearing a mask protects us from others exhaling the virus, protects us from inhaling the virus, and lowers how much virus we are exposed to (cloth and surgical masks protect us from most virus particles, but not all). There is evidence that wearing masks so lowers the amount of virus a person is exposed to (viral load), that if a person gets the infection, the body can deal with it much better and the infections may be asymptomatic or minor. This is huge - the possibility that up to 95% of infections could be asymptomatic!

Excerpts from Medscape: US Cases Spike as COVID Kills Every 107 Seconds

The U.S. is reporting more than 70,000 new coronavirus cases each day, and 41 states are reporting at least 10% more cases this week than the week before, according to CNN. ...continue reading "An American Dies of COVID-19 Every 107 Seconds"

To boost the immune system of young children, as well as improve their skin and gut microbiomes - send them out daily to play in a natural environment. That means outdoors in a natural park-like setting with grass, plants, soil, and trees. Yes, germs and dirt!

Finnish researchers found that replacing the gravel and pavement in urban daycare playground areas with natural forest-type vegetation (forest plants, shrubs, sod, mosses, and peat blocks for climbing) resulted in beneficial changes to young children's immune systems, and skin and gut microbiomes. This happened in just one month!

The researchers studied 75 children (3 to 5 years old) at 10 daycare centers in 2 Finnish cities (urban areas). Four of the daycare centers had their gravel/paved playgrounds turned into a forest-type natural area (where the children played), 3 daycare centers weren't changed (kept the gravel/pavement), and 3 daycare centers were already nature-oriented with children visiting forests daily. All children spent the same amount of time outside each day.

An important finding was that after 28 days the skin and gut microbiomes (microbial communities) of children playing in the transformed forest-type playgrounds had shifted to become more similar to children attending nature-oriented daycares. This change was also reflected in their immune systems: they developed a higher ratio of anti-inflammatory proteins to pro-inflammatory proteins in their blood (this is good).

The researchers point out that getting exposed to all the microbes in a natural forest-type setting (environmental microbial diversity) is beneficial. On the other hand, playing outside on man-made landscaping materials does not result in beneficial changes. Translation: playing outside in the dirt and plants is good for you.

From Medical Xpress: Replacing asphalt with forest-type plants at daycare centers found to strengthen immune defenses in children

A team of researchers affiliated with multiple institutions in Finland and one in the Czech Republic found that replacing asphalt in play areas at daycare centers with natural vegetation can lead to stronger immune defenses in the children at the centers. In their paper published in the journal Science Advances, the group describes removing asphalt from play areas at several daycare centers and replacing it with forest floor vegetation, and what they found when they tested the children who attended the centers.  ...continue reading "Playing Outside In Nature Is Healthy For Young Children"

A study looked at how long the new coronavirus (SARS-CoV-2) which causes COVID-19 lives on human skin. Researchers in Japan used human cadaver skin (because they didn't want to infect living humans) to compare influenza and the new coronavirus. They found that coronavirus lives up to 9 hours on undisturbed skin! And influenza A virus (a flu strain) less than 2 hours.

They also found that both viruses are easily washed away with soap and water or a hand sanitizer containing 80% alcohol.

Yes, it is thought that aerosol and droplets are the main ways to get the new coronavirus. But you do want to wash it off your hands after exposure. Proper hand hygiene!

From Medscape: New Coronavirus Survives Nine Hours on Human Skin

Left undisturbed, the new coronavirus can survive many hours on human skin, a new study has found.  ...continue reading "Wash Your Hands!"

Today while waiting in a line at the store, everyone wearing the required masks, the woman in front of me told me that the masks are useless and that there isn't good evidence that the coronavirus is spread through the air. Huh? Where did she get that idea? Of course there is airborne transmission of the virus!

It's true that some government agencies are hedging about airborne transmission of SARS-CoV-2 (the virus which leads to COVID-19 infection) , but the scientific evidence for aerosol and droplet transmission of the virus is growing and very clear. [Aerosols are smaller than droplets, and both carry the virus.] Fortunately, the evidence just isn't there for getting this particular virus from touching surfaces (such as doorknobs or faucets) - which originally was a big worry.

The following are some articles that discuss how airborne transmission occurs, why wearing a mask protects us from others exhaling the virus, and also protects us from inhaling the virus and lowers how much virus we are exposed to (cloth and surgical masks protect us from most virus particles, but not all). In fact, some scientists are wondering whether wearing masks so lowers the amount of virus a person is exposed to (viral load), that if a person gets the infection, the body can deal with it much better and the infections may be asymptomatic or minor.

In case you're wondering: being outdoors dilutes and disperses the virus. If you are concerned about the virus spreading indoors - then open a window (to dilute and disperse the virus).

This is a really big deal - the possibility that up to 95% of infections could be asymptomatic! Excerpts from an interesting article by Dr. Monica Gandhi (Prof. of Medicine at Univ. of California) at The Conversation: Cloth masks do protect the wearer – breathing in less coronavirus means you get less sick

It seems people get less sick if they wear a mask.   ...continue reading "Masks Protect Us Several Ways From the Coronavirus"