Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Department of Mental Health, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
Gut Microbes. 2023 Jan-Dec;15(1):2226282. doi: 10.1080/19490976.2023.2226282.
Recent evidence has suggested that changes in maternal gut microbiota in early life may generate neurobiological consequences associated with psychiatric-related abnormalities. However, the number of studies on humans investigating this problem is limited, and preclinical findings sometimes conflict. Therefore, we run a meta-analysis to examine whether maternal microbiota disturbance (MMD) during neurodevelopment might affect the offspring during adulthood. We found thirteen studies, from a set of 459 records selected by strategy registered on PROSPERO (#289224), to target preclinical studies that evaluated the behavioral outcomes of the rodents generated by dams submitted to perinatal enteric microbiota perturbation. The analysis revealed a significant effect size (SMD = -0.51, 95% CI = -0.79 to -0.22, < .001, T2 = 0.54, I2 = 79.85%), indicating that MMD might provoke behavioral impairments in the adult offspring. The MMD also induces a significant effect size for the reduction of the sociability behavior (SMD = -0.63, 95% CI = -1.18 to -0.07, = 0.011, T2 = 0.30, I2 = 76.11%) and obsessive-compulsive-like behavior (SMD = -0.68, 95% CI = -0.01 to -1.36, = 0.009, T2 = 0.25, I2 = 62.82%) parameters. The effect size was not significant or inconclusive for memory and anxiety-like behavior, or inconclusive for schizophrenia-like and depressive-like behavior. Therefore, experimental perinatal MMD is vertically transmitted to the offspring, negatively impacting behavioral parameters related to psychiatric disorders.
最近的证据表明,生命早期母体肠道微生物群的变化可能会产生与精神相关异常相关的神经生物学后果。然而,研究这一问题的人类研究数量有限,临床前研究结果有时也存在冲突。因此,我们进行了一项荟萃分析,以检验神经发育过程中母体微生物群失调(MMD)是否会影响成年期的后代。我们从 PROSPERO 注册的策略中选择了 459 条记录的一组中找到了 13 项研究,这些研究旨在评估母体肠道微生物群扰动的啮齿动物后代的行为结果。分析显示,效应量存在显著差异(SMD=-0.51,95%CI=-0.79 至-0.22,p<0.001,T2=0.54,I2=79.85%),表明 MMD 可能导致成年后代的行为障碍。MMD 还导致社交行为(SMD=-0.63,95%CI=-1.18 至-0.07,p=0.011,T2=0.30,I2=76.11%)和强迫行为(SMD=-0.68,95%CI=-0.01 至-1.36,p=0.009,T2=0.25,I2=62.82%)显著降低。对于记忆和焦虑样行为,效应量不显著或没有定论,对于精神分裂症样和抑郁样行为,效应量没有定论。因此,实验性围产期 MMD 垂直传递给后代,对与精神障碍相关的行为参数产生负面影响。