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孕期母亲吸烟会增加儿童因肠道微生物群导致超重和肥胖的风险。

Maternal smoking during pregnancy increases the risk of gut microbiome-associated childhood overweight and obesity.

作者信息

Peng Ye, Tun Hein M, Ng Siew C, Wai Hogan Kok-Fung, Zhang Xi, Parks Jaclyn, Field Catherine J, Mandhane Piush, Moraes Theo J, Simons Elinor, Turvey Stuart E, Subbarao Padmaja, Brook Jeffrey R, Takaro Tim K, Scott James A, Chan Francis Kl, Kozyrskyj Anita L

机构信息

The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China.

Microbiota I-Center (MagIC), Hong Kong, SAR, China.

出版信息

Gut Microbes. 2024 Jan-Dec;16(1):2323234. doi: 10.1080/19490976.2024.2323234. Epub 2024 Mar 4.

Abstract

Childhood obesity is linked to maternal smoking during pregnancy. Gut microbiota may partially mediate this association and could be potential targets for intervention; however, its role is understudied. We included 1,592 infants from the Canadian Healthy Infants Longitudinal Development Cohort. Data on environmental exposure and lifestyle factors were collected prenatally and throughout the first three years. Weight outcomes were measured at one and three years of age. Stool samples collected at 3 and 12 months were analyzed by sequencing the V4 region of 16S rRNA to profile microbial compositions and magnetic resonance spectroscopy to quantify the metabolites. We showed that quitting smoking during pregnancy did not lower the risk of offspring being overweight. However, exclusive breastfeeding until the third month of age may alleviate these risks. We also reported that maternal smoking during pregnancy significantly increased Firmicutes abundance and diversity. We further revealed that Firmicutes diversity mediates the elevated risk of childhood overweight and obesity linked to maternal prenatal smoking. This effect possibly occurs through excessive microbial butyrate production. These findings add to the evidence that women should quit smoking before their pregnancies to prevent microbiome-mediated childhood overweight and obesity risk, and indicate the potential obesogenic role of excessive butyrate production in early life.

摘要

儿童肥胖与孕期母亲吸烟有关。肠道微生物群可能部分介导了这种关联,并且可能是干预的潜在靶点;然而,其作用尚未得到充分研究。我们纳入了来自加拿大健康婴儿纵向发育队列的1592名婴儿。在产前及整个头三年收集了环境暴露和生活方式因素的数据。在1岁和3岁时测量体重结果。对在3个月和12个月时采集的粪便样本进行16S rRNA V4区域测序以分析微生物组成,并采用磁共振波谱法定量代谢产物。我们发现孕期戒烟并未降低后代超重的风险。然而,纯母乳喂养至3个月大可能会减轻这些风险。我们还报告称,孕期母亲吸烟会显著增加厚壁菌门的丰度和多样性。我们进一步揭示,厚壁菌门的多样性介导了与母亲产前吸烟相关的儿童超重和肥胖风险的升高。这种影响可能是通过微生物过量产生丁酸盐而发生的。这些发现进一步证明,女性在怀孕前应戒烟以预防微生物群介导的儿童超重和肥胖风险,并表明过量产生丁酸盐在生命早期可能具有致肥胖作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feb5/10913716/b0bade66cb85/KGMI_A_2323234_UF0001_OC.jpg

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