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人类胎盘没有微生物组,但可能含有潜在的病原体。

Human placenta has no microbiome but can contain potential pathogens.

机构信息

Wellcome Sanger Institute, Cambridge, UK.

Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.

出版信息

Nature. 2019 Aug;572(7769):329-334. doi: 10.1038/s41586-019-1451-5. Epub 2019 Jul 31.


DOI:10.1038/s41586-019-1451-5
PMID:31367035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6697540/
Abstract

We sought to determine whether pre-eclampsia, spontaneous preterm birth or the delivery of infants who are small for gestational age were associated with the presence of bacterial DNA in the human placenta. Here we show that there was no evidence for the presence of bacteria in the large majority of placental samples, from both complicated and uncomplicated pregnancies. Almost all signals were related either to the acquisition of bacteria during labour and delivery, or to contamination of laboratory reagents with bacterial DNA. The exception was Streptococcus agalactiae (group B Streptococcus), for which non-contaminant signals were detected in approximately 5% of samples collected before the onset of labour. We conclude that bacterial infection of the placenta is not a common cause of adverse pregnancy outcome and that the human placenta does not have a microbiome, but it does represent a potential site of perinatal acquisition of S. agalactiae, a major cause of neonatal sepsis.

摘要

我们试图确定子痫前期、自发性早产或胎儿小于胎龄是否与胎盘内存在细菌 DNA 有关。在这里,我们表明,在大多数胎盘样本中,无论是复杂妊娠还是简单妊娠,都没有证据表明存在细菌。几乎所有的信号都与分娩和分娩过程中细菌的获得,或实验室试剂被细菌 DNA 污染有关。唯一的例外是无乳链球菌(B 组链球菌),在大约 5%的分娩前采集的样本中检测到了非污染信号。我们得出的结论是,胎盘细菌感染不是不良妊娠结局的常见原因,人类胎盘没有微生物组,但它确实代表了围产期获得无乳链球菌的潜在部位,而无乳链球菌是新生儿败血症的主要原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/6f5be52a52d8/EMS83569-f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/51df56b893e8/EMS83569-f005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/f62d78dd2f2b/EMS83569-f006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/e413e1dc09f8/EMS83569-f007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/de86c15f07c8/EMS83569-f008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/100ba72f077a/EMS83569-f009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/aea6c2090775/EMS83569-f010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/edd4bf8ab52a/EMS83569-f011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/87cdd6a266c2/EMS83569-f012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/5cdbb5cf88b3/EMS83569-f013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/c529c39f9168/EMS83569-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/89aa21cb2616/EMS83569-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/292c70643997/EMS83569-f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/6f5be52a52d8/EMS83569-f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/51df56b893e8/EMS83569-f005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/f62d78dd2f2b/EMS83569-f006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/e413e1dc09f8/EMS83569-f007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/de86c15f07c8/EMS83569-f008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/100ba72f077a/EMS83569-f009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/aea6c2090775/EMS83569-f010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/edd4bf8ab52a/EMS83569-f011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/87cdd6a266c2/EMS83569-f012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/5cdbb5cf88b3/EMS83569-f013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/c529c39f9168/EMS83569-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/89aa21cb2616/EMS83569-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/292c70643997/EMS83569-f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8805/6697540/6f5be52a52d8/EMS83569-f004.jpg

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[1]
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本文引用的文献

[1]
Does the human placenta delivered at term have a microbiota? Results of cultivation, quantitative real-time PCR, 16S rRNA gene sequencing, and metagenomics.

Am J Obstet Gynecol. 2019-3

[2]
Lack of detection of a human placenta microbiome in samples from preterm and term deliveries.

Microbiome. 2018-10-30

[3]
Detecting eukaryotic microbiota with single-cell sensitivity in human tissue.

Microbiome. 2018-9-1

[4]
Recognizing the reagent microbiome.

Nat Microbiol. 2018-8

[5]
Enrichment of Clinically Relevant Organisms in Spontaneous Preterm-Delivered Placentas and Reagent Contamination across All Clinical Groups in a Large Pregnancy Cohort in the United Kingdom.

Appl Environ Microbiol. 2018-7-2

[6]
A critical assessment of the "sterile womb" and "in utero colonization" hypotheses: implications for research on the pioneer infant microbiome.

Microbiome. 2017-4-28

[7]
Does a prenatal bacterial microbiota exist?

Mucosal Immunol. 2017-5

[8]
Comparison of placenta samples with contamination controls does not provide evidence for a distinct placenta microbiota.

Microbiome. 2016-6-23

[9]
Human gut colonisation may be initiated in utero by distinct microbial communities in the placenta and amniotic fluid.

Sci Rep. 2016-3-22

[10]
Screening for fetal growth restriction with universal third trimester ultrasonography in nulliparous women in the Pregnancy Outcome Prediction (POP) study: a prospective cohort study.

Lancet. 2015-11-21

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