Bharadia Lalit, Agrawal Neha, Joshi Nandan
Santokba Durlabhji Memorial Hospital cum Medical Research Institute, Bhawani Singh Marg, Jaipur, 302015 Rajasthan, India.
Danone India, Phoenix Market City, Centrium Gate 1, LBS Road, Kurla (West), Mumbai, 400070 Maharashtra, India.
Int J Pediatr. 2020 May 7;2020:7586264. doi: 10.1155/2020/7586264. eCollection 2020.
The human gut is colonized by trillions of bacteria as well as other microorganisms, collectively referred to as the "gut microflora." This microflora plays an important role in metabolism as well as immunity, and alterations in its normal composition and pattern of colonization can disturb the development and functioning of the immune system, predisposing the individual to several diseases. Neonates acquire their gut microflora from the mother as well as the surroundings, and as the infant grows, the gut microflora undergoes several changes, ultimately acquiring an adult-like composition. Characterization of the gut microflora of healthy infants is important to protect infants from infectious diseases. Furthermore, formulation of prebiotics and probiotics for boosting infant immunity in a specific population also requires prior knowledge of the normal gut microflora in a healthy infant in that population. To this end, several studies have been performed on Western infants; however, the gut microflora of Indian infants is as yet insufficiently studied. Moreover, there has been no comparative analysis of the development and characteristics of the infant gut microflora between the two populations. In this review, we discuss the development and maturation of the infant gut microflora and its effect on immunity, as well as the factors affecting the patterns of colonization. In addition, we compare the patterns of colonization of gut microflora between Western and Indian infants based on the available literature in an attempt to identify the extent of similarity or difference between the two populations.
人类肠道中栖息着数万亿细菌以及其他微生物,它们统称为“肠道微生物群”。这种微生物群在新陈代谢和免疫方面发挥着重要作用,其正常组成和定植模式的改变会干扰免疫系统的发育和功能,使个体易患多种疾病。新生儿从母亲和周围环境中获得肠道微生物群,随着婴儿成长,肠道微生物群会发生多种变化,最终形成类似成人的组成。了解健康婴儿的肠道微生物群特征对于保护婴儿免受传染病侵害至关重要。此外,针对特定人群增强婴儿免疫力的益生元和益生菌配方也需要事先了解该人群中健康婴儿的正常肠道微生物群情况。为此,已经对西方婴儿进行了多项研究;然而,印度婴儿的肠道微生物群尚未得到充分研究。此外,尚未对这两个人群中婴儿肠道微生物群的发育和特征进行比较分析。在这篇综述中,我们讨论了婴儿肠道微生物群的发育和成熟及其对免疫的影响,以及影响定植模式的因素。此外,我们根据现有文献比较了西方和印度婴儿肠道微生物群的定植模式,试图确定这两个人群之间的相似程度或差异程度。