Hsu Ya-Chi, Lin Ming-Chih, Ardanareswari Katharina, Lowisia Webiana, Lin Yi-Hsuan, Chen Yi-Jhen, Hsu Cheng-Kuang, Chung Yun-Chin
Division of Neonatology, Children's Medical Center, Taichung Veterans General Hospital, Taichung 407219, Taiwan.
Department of Food and Nutrition, Providence University, Taichung 43301, Taiwan.
Biomedicines. 2024 Feb 28;12(3):539. doi: 10.3390/biomedicines12030539.
This study compared gut (fecal) microbiota profiles between pre-term and full-term infants, assuming that pre-term infants without feeding intolerance would have gut microbiota similar to those of full-term infants. A total of 13 pre-term infants (gestational age < 37 weeks, birthweight ≤ 2500 g) and 10 full-term infants were included. The pre-term infants were assigned to the feeding tolerance (FT) group (n = 7) if their daily intake exceeded 100 mL/kg/day at two weeks after birth, or the feeding intolerance (FI) group (n = 6). Microbial DNA from weekly fecal samples was analyzed. The microbiota profiles of the pre-term infants and full-term infants were significantly different ( = 0.0001), as well as the FT and FI groups ( = 0.0009). The full-term group had more diversity, with higher concentrations of facultative anaerobes such as Bifidobacteriaceae and Lactobacteriaceae. The FT group's gut microbiota matured over four weeks, with higher levels of digestion-related bacteria, while the FI group had more pathogens. In the FI group, a significant difference was observed between the first and second weeks, with no significant differences noted between the first week and the third or fourth weeks. The delay in the development of the pre-term infants' gut microbiota may be associated with the FI.
本研究比较了早产儿和足月儿的肠道(粪便)微生物群谱,假设无喂养不耐受的早产儿的肠道微生物群与足月儿相似。共纳入13例早产儿(胎龄<37周,出生体重≤2500g)和10例足月儿。如果早产儿在出生后两周时每日摄入量超过100mL/kg/天,则将其分配到喂养耐受(FT)组(n=7),或喂养不耐受(FI)组(n=6)。对每周粪便样本中的微生物DNA进行分析。早产儿和足月儿的微生物群谱有显著差异(P=0.0001),FT组和FI组之间也有显著差异(P=0.0009)。足月儿组的多样性更高,双歧杆菌科和乳杆菌科等兼性厌氧菌的浓度更高。FT组的肠道微生物群在四周内成熟,与消化相关的细菌水平更高,而FI组的病原体更多。在FI组中,第一周和第二周之间观察到显著差异,第一周与第三周或第四周之间未观察到显著差异。早产儿肠道微生物群发育延迟可能与喂养不耐受有关。