Coker Modupe O, Laue Hannah E, Hoen Anne G, Hilliard Margaret, Dade Erika, Li Zhigang, Palys Thomas, Morrison Hilary G, Baker Emily, Karagas Margaret R, Madan Juliette C
Department of Epidemiology, The Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
School of Dental Medicine, School of Public Health at Rutgers, Newark, NJ, United States.
Front Microbiol. 2021 Apr 7;12:642197. doi: 10.3389/fmicb.2021.642197. eCollection 2021.
Cesarean-delivered (CD) infants harbor a distinct gut microbiome from vaginally delivered (VD) infants, however, during infancy, the most important driver of infant gut microbial colonization is infant feeding. Earlier studies have shown that breastfeeding is associated with higher levels of health-promoting bacteria such and and via modulation of the immune system, and production of metabolites. As the infant gut matures and solid foods are introduced, it is unclear whether longer duration of breast feeding restore loss of beneficial taxa within the intestinal microbiota of operatively delivered infants. Within the New Hampshire Birth Cohort Study, we evaluated the longitudinal effect of delivery mode and infant feeding on the taxonomic composition and functional capacity of developing gut microbiota in the First year of life. Microbiota of 500 stool samples collected between 6 weeks and 12 months of age (from 229 infants) were characterized by 16S ribosomal RNA sequencing. Shotgun metagenomic sequencing was also performed on 350 samples collected at either 6 weeks or 12 months of age. Among infant participants, 28% were cesarean-delivered (CD) infants and most (95%) initiated breastfeeding within the first six months of life, with 26% exclusively breastfed and 69% mixed-fed (breast milk and formula), in addition to complementary foods by age 1. Alpha (within-sample) diversity was significantly lower in CD infants compared to vaginally delivered (VD) infants ( < 0.05) throughout the study period. Bacterial community composition clustering by both delivery mode and feeding duration at 1 year of age revealed that CD infants who were breast fed for < 6 months were more dissimilar to VD infants than CD infants who breast fed for ≥ 6 months. We observed that breastfeeding modified the longitudinal impact of delivery mode on the taxonomic composition of the microbiota by 1 year of age, with an observed increase in abundance of and with longer duration of breastfeeding among CD infants while there was an increase in for VD infants. Our findings confirm that duration of breastfeeding plays a critical role in restoring a health-promoting microbiome, call for further investigations regarding the association between breast milk exposure and health outcomes in early life.
剖宫产(CD)出生的婴儿拥有与阴道分娩(VD)出生的婴儿不同的肠道微生物群,然而,在婴儿期,婴儿肠道微生物定植的最重要驱动因素是婴儿喂养方式。早期研究表明,母乳喂养通过调节免疫系统和产生代谢产物,与促进健康的细菌(如双歧杆菌属和拟杆菌属)水平较高有关。随着婴儿肠道成熟并开始引入固体食物,尚不清楚较长时间的母乳喂养是否能恢复手术分娩婴儿肠道微生物群中有益菌群的损失。在新罕布什尔州出生队列研究中,我们评估了分娩方式和婴儿喂养方式对生命第一年发育中的肠道微生物群分类组成和功能能力的纵向影响。通过16S核糖体RNA测序对229名婴儿在6周龄至12月龄期间收集的500份粪便样本的微生物群进行了特征分析。还对350份在6周龄或12月龄时收集的样本进行了鸟枪法宏基因组测序。在婴儿参与者中,28%为剖宫产(CD)出生的婴儿,大多数(95%)在生命的前六个月内开始母乳喂养,其中26%为纯母乳喂养,69%为混合喂养(母乳和配方奶),此外在1岁时还添加了辅食。在整个研究期间,剖宫产(CD)出生的婴儿的α(样本内)多样性显著低于阴道分娩(VD)出生的婴儿(P<0.05)。1岁时按分娩方式和喂养持续时间进行的细菌群落组成聚类分析表明,母乳喂养<6个月的剖宫产(CD)出生的婴儿与阴道分娩(VD)出生的婴儿相比,差异大于母乳喂养≥6个月的剖宫产(CD)出生的婴儿。我们观察到,母乳喂养改变了分娩方式对1岁时微生物群分类组成的纵向影响,剖宫产(CD)出生的婴儿中,随着母乳喂养时间延长,双歧杆菌属和拟杆菌属的丰度增加,而阴道分娩(VD)出生的婴儿中普雷沃氏菌属增加。我们的研究结果证实,母乳喂养持续时间在恢复促进健康的微生物群方面起着关键作用,呼吁进一步研究母乳接触与生命早期健康结果之间的关联。