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从产前微生物组争议中吸取的教训。

Lessons learned from the prenatal microbiome controversy.

机构信息

Departments of Medicine and Pathology and Center for Advanced Biotechnology and Medicine, Rutgers University, New Brunswick, USA.

F. Widjaja Foundation Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.

出版信息

Microbiome. 2021 Jan 12;9(1):8. doi: 10.1186/s40168-020-00946-2.


DOI:10.1186/s40168-020-00946-2
PMID:33436098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7805060/
Abstract

For more than a century, the prenatal environment was considered sterile. Over the last few years, findings obtained with next-generation sequencing approaches from samples of the placenta, the amniotic fluid, meconium, and even fetal tissues have challenged the dogma of a sterile womb, and additional reports have emerged that used culture, microscopy, and quantitative PCR to support the presence of a low-biomass microbial community at prenatal sites. Given the substantial implications of prenatal exposure to microbes for the development and health of the host, the findings have gathered substantial interest from academics, high impact journals, the public press, and funding agencies. However, an increasing number of studies have challenged the prenatal microbiome identifying contamination as a major issue, and scientists that remained skeptical have pointed to inconsistencies with in utero colonization, the impact of c-sections on early microbiome assembly, and the ability to generate germ-free mammals. A lively academic controversy has emerged on the existence of the wider importance of prenatal microbial communities. Microbiome has asked experts to discuss these issues and provide their thoughts on the implications. To allow for a broader perspective of this discussion, we have specifically selected scientists, who have a long-standing expertise in microbiome sciences but who have not directly been involved in the debate so far.

摘要

一个多世纪以来,人们一直认为产前环境是无菌的。在过去的几年中,通过对胎盘、羊水、胎粪甚至胎儿组织样本进行下一代测序方法的研究发现,挑战了子宫无菌的教条,并且有更多的报告使用培养、显微镜和定量 PCR 来支持产前部位存在低生物量微生物群落。鉴于产前接触微生物对宿主发育和健康的重要影响,这些发现引起了学术界、高影响力期刊、大众媒体和资助机构的极大兴趣。然而,越来越多的研究对产前微生物组提出了质疑,认为污染是一个主要问题,持怀疑态度的科学家指出了与宫内定植、剖宫产对早期微生物组组装的影响以及生成无菌哺乳动物的能力不一致的问题。围绕产前微生物群落的更广泛重要性,学术界出现了激烈的争论。《微生物组》杂志邀请专家讨论这些问题,并就其影响发表意见。为了更广泛地了解这一讨论,我们特别选择了在微生物组科学方面具有长期专业知识但迄今为止尚未直接参与辩论的科学家。

相似文献

[1]
Lessons learned from the prenatal microbiome controversy.

Microbiome. 2021-1-12

[2]
A critical assessment of the "sterile womb" and "in utero colonization" hypotheses: implications for research on the pioneer infant microbiome.

Microbiome. 2017-4-28

[3]
Lack of Evidence for Microbiota in the Placental and Fetal Tissues of Rhesus Macaques.

mSphere. 2020-5-6

[4]
A philosophical perspective on the prenatal in utero microbiome debate.

Microbiome. 2021-1-12

[5]
Presence of distinctive microbiome in the first-pass meconium of newborn infants.

Sci Rep. 2021-9-30

[6]
No Consistent Evidence for Microbiota in Murine Placental and Fetal Tissues.

mSphere. 2020-2-26

[7]
The dogma of the sterile uterus revisited: does microbial seeding occur during fetal life in humans and animals?

Reproduction. 2024-1-1

[8]
Is a foetus developing in a sterile environment?

Lett Appl Microbiol. 2014-12

[9]
Fetal environment and fetal intestine are sterile during the third trimester of pregnancy.

Vet Immunol Immunopathol. 2018-10

[10]
Questioning the fetal microbiome illustrates pitfalls of low-biomass microbial studies.

Nature. 2023-1

引用本文的文献

[1]
Perinatal factors influencing the earliest establishment of the infant microbiome.

Microbiome Res Rep. 2025-6-12

[2]
The development and evaluation of a microbiota education programme intended for women.

Rev Assoc Med Bras (1992). 2025-8-8

[3]
Analysis of metagenomic data.

Nat Rev Methods Primers. 2025

[4]
Association of specific microbiota taxa in the amniotic fluid at birth with severe acute and longer-term outcomes of very preterm infants: a prospective observational study.

BMC Med. 2025-7-18

[5]
Microbiome-based therapeutics towards healthier aging and longevity.

Genome Med. 2025-7-1

[6]
Gut Mycobiome: Latest Findings and Current Knowledge Regarding Its Significance in Human Health and Disease.

J Fungi (Basel). 2025-4-22

[7]
Human Gut Microbiome: A Connecting Organ Between Nutrition, Metabolism, and Health.

Int J Mol Sci. 2025-4-26

[8]
Neonatal microbiome in the multiomics era: development and its impact on long-term health.

Pediatr Res. 2025-2-28

[9]
Revisiting the cancer microbiome using PRISM.

bioRxiv. 2025-1-24

[10]
Low Bacterial Biomass in Human Pancreatic Cancer and Adjacent Normal Tissue.

Int J Mol Sci. 2024-12-27

本文引用的文献

[1]
Developing standards for the microbiome field.

Microbiome. 2020-6-26

[2]
Human placenta has no microbiome but can contain potential pathogens.

Nature. 2019-7-31

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