Progress on the pathogenesis of gut microbiota in neonatal necrotizing enterocolitis / 国际儿科学杂志

ABSTRACT

Necrotizing enterocolitis(NEC)is an acute inflammatory disease of the intestine which is related to gut dysbiosis.Gut microbiota of NEC patients in meconium or feces are different from those of healthy infants.Although the pathogenic bacteria and metabolites of NEC have not been specified, short-chain fatty acids, lithocholic acid and tryptophan derived metabolites may play protective or aggravating roles in NEC.Probiotics and fecal microbiota transplantation that target on gut microbiota may optimize the composition of gut microbiota and thereby decrease the incidence of NEC.Besides, the early diagnosis of NEC is challenging due to its unspecific presentations.Once diagnosed, it is often severe.More research about disease biomarkers based on gut microbiota is needed.