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人乳中的微生物群落与母亲体重指标相关。

Microbial Communities in Human Milk Relate to Measures of Maternal Weight.

作者信息

Lundgren Sara N, Madan Juliette C, Karagas Margaret R, Morrison Hilary G, Hoen Anne G, Christensen Brock C

机构信息

Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.

Institute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.

出版信息

Front Microbiol. 2019 Dec 20;10:2886. doi: 10.3389/fmicb.2019.02886. eCollection 2019.

Abstract

The process of breastfeeding exposes infants to bioactive substances including a diversity of bacteria from breast milk as well as maternal skin. Knowledge of the character of and variation in these microbial communities, as well as the factors that influence them, is limited. We aimed to identify profiles of breastfeeding-associated microbial communities and their association with maternal and infant factors. Bilateral milk samples were collected from women in the New Hampshire Birth Cohort Study at approximately 6 weeks postpartum without sterilization of the skin in order to capture the infant-relevant exposure. We sequenced the V4-V5 hypervariable region of the bacterial 16S rRNA gene in 155 human milk samples. We used unsupervised clustering (partitioning around medoids) to identify microbial profiles in milk samples, and multinomial logistic regression to test their relation with maternal and infant variables. Associations between alpha diversity and maternal and infant factors were tested with linear models. Four breastfeeding microbiome types (BMTs) were identified, which differed in alpha diversity and in , , , and abundances. Higher maternal pre-pregnancy BMI was associated with increased odds of belonging to BMT1 [OR (95% CI) = 1.13 (1.02, 1.24)] or BMT3 [OR (95% CI) = 1.12 (1.01, 1.25)] compared to BMT2. Independently, increased gestational weight gain was related to reduced odds of membership in BMT1 [OR (95% CI) = 0.66 (0.44, 1.00) per 10 pounds]. Alpha diversity was positively associated with gestational weight gain and negatively associated with postpartum sample collection week. There were no statistically significant associations of breastfeeding microbiota with delivery mode. Our results indicate that the breastfeeding microbiome partitions into four profiles and that its composition and diversity is associated with measures of maternal weight.

摘要

母乳喂养过程会使婴儿接触到生物活性物质,包括来自母乳以及母体皮肤的多种细菌。对于这些微生物群落的特征、变异以及影响它们的因素,我们了解有限。我们旨在确定与母乳喂养相关的微生物群落概况及其与母体和婴儿因素的关联。在新罕布什尔州出生队列研究中,于产后约6周从女性双侧采集乳汁样本,且不对皮肤进行消毒,以便获取与婴儿相关的暴露情况。我们对155份人乳样本中的细菌16S rRNA基因的V4 - V5高变区进行了测序。我们使用无监督聚类(围绕中心点划分)来确定乳汁样本中的微生物概况,并使用多项逻辑回归来测试它们与母体和婴儿变量的关系。通过线性模型测试了α多样性与母体和婴儿因素之间的关联。确定了四种母乳喂养微生物组类型(BMTs),它们在α多样性以及[此处缺失具体细菌种类,原文未完整给出]、[此处缺失具体细菌种类,原文未完整给出]、[此处缺失具体细菌种类,原文未完整给出]和[此处缺失具体细菌种类,原文未完整给出]丰度方面存在差异。与BMT2相比,较高的孕前母体BMI与属于BMT1 [比值比(95%置信区间)= 1.13(1.02,1.24)] 或BMT3 [比值比(95%置信区间)= 1.12(1.01,1.25)] 的几率增加相关。独立来看,孕期体重增加每10磅与属于BMT1的几率降低相关 [比值比(95%置信区间)= 0.66(0.44,1.00)]。α多样性与孕期体重增加呈正相关,与产后样本采集周呈负相关。母乳喂养微生物群与分娩方式之间没有统计学上的显著关联。我们的结果表明,母乳喂养微生物组可分为四种概况,其组成和多样性与母体体重指标相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c6/6933483/a3714024a13c/fmicb-10-02886-g001.jpg

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