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母亲妊娠期糖尿病新生儿肠道菌群多样性。

Diversified gut microbiota in newborns of mothers with gestational diabetes mellitus.

机构信息

Joint Laboratory of Reproductive Medicine, SCU-CUHK, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, P. R. China.

Department of Obstetric and Gynecologic Diseases, West China Second University Hospital, Sichuan University, Chengdu, P. R. China.

出版信息

PLoS One. 2018 Oct 17;13(10):e0205695. doi: 10.1371/journal.pone.0205695. eCollection 2018.

Abstract

Gestational diabetes mellitus (GDM), a high-risk pregnancy complication of great effect on the perinatal health of women and newborns, may cause changes of gut microbiota in mothers and further affect gut microbiota in newborns. This study aimed to investigate the potential effect of mother GDM on newborns' gut microbiota. Meconium DNA was extracted from a total of 34 full-term and C-sectioned newborns, in which 20 newborns had mothers diagnosed with GDM, while 14 had unaffected mothers. Sequencing and bioinformatics analysis of 16S rRNA indicated that the gut microbiota of GDM newborns showed differences compared to control newborns. The taxonomy analyses suggested that the overall bacterial content significantly differed by maternal diabetes status, with the microbiome of the GDM group showing lower alpha-diversity than that of control group. The phyla of Proteobacteria and Actinobacteria in GDM newborns increased, while that of Bacteroidetes significantly reduced (P<0.05). Moreover, several unique gut microbiota in phylum of Proteobacteria, Firmicutes, Actinobacteria, Bacteroidetes, Chloroflexi, Acidobacteria, and Planctomycetes found in control newborns were absent in GDM ones. At genus level, the relative abundance of Prevotella and Lactobacillus significantly decreased (P<0.05) in GDM newborns. Correlation analysis indicated that maternal fasting glucose levels were positively correlated with the relative abundance of phylum Actinobacteria and genus Acinetobacter, while negatively correlated with that of phylum Bacteroidetes and genus Prevotella. However, bacteria in GDM grade A2 (GDM_A2) newborns did not show any statistical variation compared to those from control newborns, which might be attributed to the additional intervention by insulin. The results of this study have important implications for understanding the potential effects of GDM on the gut microbiota of newborns and thus possibly their metabolism at later stages in their lives.

摘要

妊娠期糖尿病(GDM)是一种对母婴围产期健康有重大影响的高危妊娠并发症,可能导致母亲肠道微生物群发生变化,并进一步影响新生儿的肠道微生物群。本研究旨在探讨母亲 GDM 对新生儿肠道微生物群的潜在影响。从 34 名足月剖宫产的新生儿中提取胎粪 DNA,其中 20 名新生儿的母亲被诊断为 GDM,14 名新生儿的母亲未受影响。16S rRNA 测序和生物信息学分析表明,GDM 新生儿的肠道微生物群与对照组新生儿存在差异。分类分析表明,母体糖尿病状态显著影响总体细菌含量,GDM 组的微生物组多样性低于对照组。GDM 新生儿的变形菌门和放线菌门的含量增加,而厚壁菌门的含量显著降低(P<0.05)。此外,在对照组新生儿中发现的厚壁菌门、拟杆菌门、放线菌门、变形菌门、绿弯菌门、酸杆菌门和浮霉菌门等独特的肠道微生物群在 GDM 新生儿中不存在。在属水平上,GDM 新生儿中普雷沃氏菌属和乳杆菌属的相对丰度显著降低(P<0.05)。相关性分析表明,母体空腹血糖水平与放线菌门和不动杆菌属的相对丰度呈正相关,与拟杆菌门和普雷沃氏菌属的相对丰度呈负相关。然而,与对照组新生儿相比,GDM_A2 新生儿的细菌并没有显示出任何统计学上的差异,这可能是由于胰岛素的额外干预。本研究的结果对于理解 GDM 对新生儿肠道微生物群的潜在影响及其对生命后期代谢的影响具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05ac/6192631/aabd91903e62/pone.0205695.g001.jpg

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