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高通量测序揭示了氨苄西林和庆大霉素静脉注射抗生素治疗后婴儿肠道微生物组的不完全、短期恢复。

High-throughput sequencing reveals the incomplete, short-term recovery of infant gut microbiota following parenteral antibiotic treatment with ampicillin and gentamicin.

机构信息

Teagasc Food Research Centre, Fermoy, Cork, Ireland.

出版信息

Antimicrob Agents Chemother. 2012 Nov;56(11):5811-20. doi: 10.1128/AAC.00789-12. Epub 2012 Sep 4.

Abstract

The infant gut microbiota undergoes dramatic changes during the first 2 years of life. The acquisition and development of this population can be influenced by numerous factors, and antibiotic treatment has been suggested as one of the most significant. Despite this, however, there have been relatively few studies which have investigated the short-term recovery of the infant gut microbiota following antibiotic treatment. The aim of this study was to use high-throughput sequencing (employing both 16S rRNA and rpoB-specific primers) and quantitative PCR to compare the gut microbiota of nine infants who underwent parenteral antibiotic treatment with ampicillin and gentamicin (within 48 h of birth), 4 and 8 weeks after the conclusion of treatment, relative to that of nine matched healthy controls. The investigation revealed that the gut microbiota of the antibiotic-treated infants had significantly higher proportions of Proteobacteria (P = 0.0049) and significantly lower proportions of Actinobacteria (P = 0.00001) (and the associated genus Bifidobacterium [P = 0.0132]) as well as the genus Lactobacillus (P = 0.0182) than the untreated controls 4 weeks after the cessation of treatment. By week 8, the Proteobacteria levels remained significantly higher in the treated infants (P = 0.0049), but the Actinobacteria, Bifidobacterium, and Lactobacillus levels had recovered and were similar to those in the control samples. Despite this recovery of total Bifidobacterium numbers, rpoB-targeted pyrosequencing revealed that the number of different Bifidobacterium species present in the antibiotic-treated infants was reduced. It is thus apparent that the combined use of ampicillin and gentamicin in early life can have significant effects on the evolution of the infant gut microbiota, the long-term health implications of which remain unknown.

摘要

婴儿肠道微生物群在生命的头 2 年经历了巨大的变化。这种人群的获得和发展可以受到许多因素的影响,抗生素治疗被认为是最重要的因素之一。尽管如此,关于婴儿肠道微生物群在抗生素治疗后短期恢复的研究相对较少。本研究旨在使用高通量测序(同时使用 16S rRNA 和 rpoB 特异性引物)和定量 PCR 比较 9 名接受氨苄西林和庆大霉素(出生后 48 小时内)肠内抗生素治疗的婴儿与 9 名匹配的健康对照婴儿的肠道微生物群。研究结果表明,抗生素治疗婴儿的肠道微生物群中变形菌门的比例明显更高(P = 0.0049),而放线菌门的比例明显更低(P = 0.00001)(双歧杆菌属 [P = 0.0132])和乳杆菌属(P = 0.0182)明显低于未治疗的对照组在治疗结束后 4 周。到第 8 周,治疗组的变形菌门水平仍然明显更高(P = 0.0049),但放线菌门、双歧杆菌门和乳杆菌门的水平已经恢复,与对照样本相似。尽管双歧杆菌总数的恢复,rpoB 靶向焦磷酸测序显示,在接受抗生素治疗的婴儿中存在的不同双歧杆菌物种的数量减少。因此,氨苄西林和庆大霉素在生命早期的联合使用对婴儿肠道微生物群的演变有显著影响,其长期健康影响尚不清楚。

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