Wellcome Sanger Institute, Cambridge, UK.
Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Nature. 2019 Aug;572(7769):329-334. doi: 10.1038/s41586-019-1451-5. Epub 2019 Jul 31.
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.
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。
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