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患坏死性小肠结肠炎的早产儿的人乳微生物群、低聚糖谱和婴儿肠道微生物组。

Human milk microbiota, oligosaccharide profiles, and infant gut microbiome in preterm infants diagnosed with necrotizing enterocolitis.

机构信息

Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, UK.

Microbiology Department, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK.

出版信息

Cell Rep Med. 2024 Sep 17;5(9):101708. doi: 10.1016/j.xcrm.2024.101708. Epub 2024 Aug 30.

DOI:10.1016/j.xcrm.2024.101708
PMID:39216480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11524953/
Abstract

Necrotizing enterocolitis (NEC) is a severe intestinal disease of very preterm infants with mother's own milk (MOM) providing protection, but the contribution of the MOM microbiota to NEC risk has not been explored. Here, we analyze MOM of 110 preterm infants (48 NEC, 62 control) in a cross-sectional study. Breast milk contains viable bacteria, but there is no significant difference in MOM microbiota between NEC and controls. Integrative analysis between MOM microbiota, human milk oligosaccharides (HMOs), and the infant gut microbiota shows positive correlations only between Acinetobacter in the infant gut and Acinetobacter and Staphylococcus in MOM. This study suggests that NEC protection from MOM is not modulated through the MOM microbiota. Thus, "'restoring" the MOM microbiota in donor human milk is unlikely to reduce NEC, and emphasis should instead focus on increasing fresh maternal human milk intake and researching different therapies for NEC prevention.

摘要

坏死性小肠结肠炎（NEC）是一种严重的早产儿肠道疾病，母亲的自身奶（MOM）提供保护，但 MOM 微生物群对 NEC 风险的贡献尚未得到探索。在这里，我们在一项横断面研究中分析了 110 名早产儿的 MOM（48 名 NEC，62 名对照）。母乳中含有活菌，但 NEC 和对照组之间的 MOM 微生物群没有显著差异。MOM 微生物群、人乳寡糖（HMO）和婴儿肠道微生物群之间的综合分析表明，只有婴儿肠道中的不动杆菌与 MOM 中的不动杆菌和葡萄球菌之间存在正相关。这项研究表明，MOM 对 NEC 的保护不是通过 MOM 微生物群来调节的。因此，“恢复”捐赠人乳中的 MOM 微生物群不太可能降低 NEC 的发病率，而应重点增加新鲜母乳的摄入量，并研究预防 NEC 的不同疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/1bc57d9a5359/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/507eaf5fbdce/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/71c01f573a04/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/4313a4816cc9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/1bc57d9a5359/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/507eaf5fbdce/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/71c01f573a04/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/4313a4816cc9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9251/11524953/1bc57d9a5359/gr3.jpg

相似文献

[1]
Human milk microbiota, oligosaccharide profiles, and infant gut microbiome in preterm infants diagnosed with necrotizing enterocolitis.

Cell Rep Med. 2024-9-17

[2]
Human milk oligosaccharide DSLNT and gut microbiome in preterm infants predicts necrotising enterocolitis.

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[3]
Human Milk Oligosaccharides to Prevent Gut Dysfunction and Necrotizing Enterocolitis in Preterm Neonates.

Nutrients. 2018-10-8

[4]
Improved feeding tolerance and growth are linked to increased gut microbial community diversity in very-low-birth-weight infants fed mother's own milk compared with donor breast milk.

Am J Clin Nutr. 2019-4-1

[5]
The Role of Human Milk Oligosaccharides and Probiotics on the Neonatal Microbiome and Risk of Necrotizing Enterocolitis: A Narrative Review.

Nutrients. 2020-10-6

[6]
Necrotizing enterocolitis - classification and two initial steps towards prevention.

Dan Med J. 2017-6

[7]
Effect of a Quality Improvement Project to Use Exclusive Mother's Own Milk on Rate of Necrotizing Enterocolitis in Preterm Infants.

Breastfeed Med. 2015-9

[8]
Preterm infant nutrition, gut bacteria, and necrotizing enterocolitis.

Curr Opin Clin Nutr Metab Care. 2015-5

[9]
Metagenomic profile of the fecal microbiome of preterm infants consuming mother's own milk with bovine milk-based fortifier or infant formula: a cross-sectional study.

Am J Clin Nutr. 2022-8-4

[10]
Human milk oligosaccharides promote intestinal epithelium regeneration independent of the microbiota during necrotizing enterocolitis.

Pediatr Surg Int. 2024-1-12

引用本文的文献

[1]
Review: microbial metabolites - a key to address gut inflammation and barrier dysfunction in the premature infant.

Gut Microbes. 2025-12

[2]
Integrated analysis of serum metabolomics and fecal microbiome in infants with necrotizing enterocolitis.

Front Microbiol. 2025-6-5

[3]
Human milk oligosaccharide secretion dynamics during breastfeeding and its antimicrobial role: A systematic review.

World J Clin Pediatr. 2025-6-9

[4]
Quality improvement interventions to prevent neonatal necrotizing enterocolitis: a systematic review.

Front Pediatr. 2025-5-23

[5]
Donor human milk pasteurization methods and the effect on milk components as they relate to Necrotizing enterocolitis.

Semin Fetal Neonatal Med. 2025-7

本文引用的文献

[1]
Neurodevelopmental Outcomes of Extremely Preterm Infants Fed Donor Milk or Preterm Infant Formula: A Randomized Clinical Trial.

JAMA. 2024-2-20

[2]
Milk microbiome transplantation: recolonizing donor milk with mother's own milk microbiota.

Appl Microbiol Biotechnol. 2024-12

[3]
Mother-to-infant microbiota transmission and infant microbiota development across multiple body sites.

Cell Host Microbe. 2023-3-8

[4]
Mechanisms affecting the gut of preterm infants in enteral feeding trials: a nested cohort within a randomised controlled trial of lactoferrin.

Arch Dis Child Fetal Neonatal Ed. 2023-5

[5]
Strain-specific impacts of probiotics are a significant driver of gut microbiome development in very preterm infants.

Nat Microbiol. 2022-10

[6]
Development of the gut microbiome in early life.

Exp Physiol. 2022-5

[7]
Untangling human milk oligosaccharides and infant gut microbiome.

iScience. 2021-12-1

[8]
Necrotising enterocolitis, late-onset sepsis and mortality after routine probiotic introduction in the UK.

Arch Dis Child Fetal Neonatal Ed. 2022-7

[9]
Variation in Human Milk Composition Is Related to Differences in Milk and Infant Fecal Microbial Communities.

Microorganisms. 2021-5-27

[10]
Frozen Mother's Own Milk Can Be Used Effectively to Personalize Donor Human Milk.

Front Microbiol. 2021-4-14

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