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母婴微生物定植干预能否改善剖宫产婴儿的健康?

Can maternal-child microbial seeding interventions improve the health of infants delivered by Cesarean section?

机构信息

Clinical Microbiome Unit (CMU), Laboratory of Host Immunity and Microbiome, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.

Department of Biochemistry and Microbiology, Rutgers, The State University of New Jersey, New Brunswick, NJ 08854, USA.

出版信息

Cell Host Microbe. 2022 May 11;30(5):607-611. doi: 10.1016/j.chom.2022.02.014.

DOI:10.1016/j.chom.2022.02.014
PMID:35550663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9237654/
Abstract

Maternal-child microbial seeding interventions expose Cesarean-section (C-section)-delivered infants to the maternal microbiome they bypass during Cesarean delivery. It is theorized such interventions restore the microbiome and normalize immune development to reduce the occurrence of C-section-associated inflammatory conditions. Here we discuss the rationale, evidence, and controversies surrounding such interventions.

摘要

母婴微生物播种干预措施使剖宫产(C -section)分娩的婴儿接触到他们在剖宫产过程中错过的母体微生物组。理论上,这些干预措施可以恢复微生物组并使免疫发育正常化,从而减少与 C -section 相关的炎症发生。在这里,我们讨论了这些干预措施的原理、证据和争议。

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本文引用的文献

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Naturalization of the microbiota developmental trajectory of Cesarean-born neonates after vaginal seeding.阴道播种后剖宫产出生新生儿微生物群发育轨迹的本土化。
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The composition of human vaginal microbiota transferred at birth affects offspring health in a mouse model.出生时转移的人类阴道微生物组组成会影响小鼠模型中的后代健康。
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Maternal Fecal Microbiota Transplantation in Cesarean-Born Infants Rapidly Restores Normal Gut Microbial Development: A Proof-of-Concept Study.剖宫产儿的母体粪便微生物移植可快速恢复正常肠道微生物发育:概念验证研究。
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Bacterial Baptism: Scientific, Medical, and Regulatory Issues Raised by Vaginal Seeding of C-Section-Born Babies.阴道灌洗:剖宫产婴儿阴道灌洗引发的科学、医学和监管问题。
J Law Med Ethics. 2019 Dec;47(4):568-578. doi: 10.1177/1073110519897732.
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Does the human placenta delivered at term have a microbiota? Results of cultivation, quantitative real-time PCR, 16S rRNA gene sequencing, and metagenomics.足月分娩的胎盘是否存在微生物群?培养、定量实时 PCR、16S rRNA 基因测序和宏基因组学的结果。
Am J Obstet Gynecol. 2019 Mar;220(3):267.e1-267.e39. doi: 10.1016/j.ajog.2018.10.018.
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