母乳和阴道微生物群对新生儿肠道微生物群的影响:第一年的纵向研究。

Influence of Maternal Breast Milk and Vaginal Microbiome on Neonatal Gut Microbiome: a Longitudinal Study during the First Year.

机构信息

National Institute of Biomedical Genomics, West Bengal, India.

Department of Paediatrics, Gauhati Medical College, Assam, India.

出版信息

Microbiol Spectr. 2023 Jun 15;11(3):e0496722. doi: 10.1128/spectrum.04967-22. Epub 2023 Apr 17.

Abstract

It is believed that establishment of the gut microbiome starts very early in life and is crucial for growth, immunity, and long-term metabolic health. In this longitudinal study, we recruited 25 mothers in their third trimester, of whom 15 had vaginal delivery while 10 had an unplanned cesarean section (C-section). The mother-neonate pairs were followed for 1 year, and we generated 16S metagenomic data to study the neonatal gut microbiome along with mother's breast milk and vaginal microbiomes through 12 months after delivery, at 1, 3, 6, and 12 months. We inferred (i) mode of delivery is an important factor influencing both composition and entropy of the neonatal gut microbiome, and the genus Streptococcus plays an important role in the temporal differentiation. (ii) Microbial diversity monotonically increases with age, irrespective of the mode of delivery, and it is significantly altered once exclusive breastfeeding is stopped. (iii) We found little evidence in favor of the microflora of mother's breast milk and a vaginal swab being directly reflected in the offspring's gut microbiome; however, some distinction could be made in the gut microbiome of neonates whose mothers were classified as community state type III (CSTIII) and CSTIV, based on their vaginal microbiomes. (iv) A lot of the mature gut microbiome is possibly acquired from the environment, as the genera and , two of the most abundant flora in the neonatal gut microbiome, are introduced after initiation of solidified food. The distinction between the gut microbiome of babies born by vaginal delivery and babies born by C-section becomes blurred after introduction of solid food, although the diversity in the gut microbiota drastically increases in both cases. Gut microbiome architecture seems to have a potential impact on host metabolism, health, and nutrition. Early life gut microbiome development is considered a crucial phenomenon for neonatal health as well as adulthood metabolic complications. In this longitudinal study, we examined the association of neonatal gut microbiome entropy and its temporal variation. The study revealed that adult-like gut microbiome architecture starts taking shape after initiation of solidified food. Further, we also observed that the difference of microbial diversity was reduced between vaginally delivered and C-section babies compared to exclusive breastfeeding tenure. We found evidence in favor of the inheritance of the microflora of mother's posterior vaginal wall to the offspring's gut microbiome.

摘要

人们认为肠道微生物组的建立始于生命早期,对于生长、免疫和长期代谢健康至关重要。在这项纵向研究中,我们招募了 25 名处于妊娠晚期的母亲,其中 15 名经阴道分娩,10 名接受了计划外剖宫产。母婴对在 1 年内进行了随访,我们生成了 16S 宏基因组数据,以研究新生儿肠道微生物组以及母亲的母乳和阴道微生物组,这些数据是在分娩后 12 个月内、第 1、3、6 和 12 个月时获得的。我们推断:(i)分娩方式是影响新生儿肠道微生物组组成和熵的重要因素,而链球菌属在时间分化中起着重要作用。(ii)微生物多样性与年龄单调相关,与分娩方式无关,一旦停止纯母乳喂养,多样性就会显著改变。(iii)我们几乎没有证据支持母亲母乳和阴道拭子中的微生物群直接反映在后代的肠道微生物组中;然而,根据阴道微生物组,我们可以在被分类为社区状态类型 III(CSTIII)和 CSTIV 的新生儿的肠道微生物组中做出一些区分。(iv)大量成熟的肠道微生物组可能是从环境中获得的,因为在新生儿肠道微生物组中最丰富的两个菌群属和属,是在固体食物开始后引入的。在引入固体食物后,阴道分娩婴儿和剖宫产婴儿的肠道微生物组之间的区别变得模糊,尽管两种情况下肠道微生物组的多样性都急剧增加。肠道微生物组结构似乎对宿主代谢、健康和营养有潜在影响。早期生命肠道微生物组的发展被认为是新生儿健康以及成年期代谢并发症的关键现象。在这项纵向研究中,我们检查了新生儿肠道微生物组熵及其时间变化的相关性。研究表明,成人样的肠道微生物组结构在开始食用固体食物后开始形成。此外,我们还观察到,与纯母乳喂养期限相比,阴道分娩婴儿和剖宫产婴儿之间的微生物多样性差异减少。我们有证据表明,母亲后阴道壁的微生物群会遗传给后代的肠道微生物组。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a9/10269640/f5d4dbb88ff3/spectrum.04967-22-f001.jpg

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