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1.
Gut Microbes ; 13(1): 1997560, 2021.
Article in English | MEDLINE | ID: mdl-34839801

ABSTRACT

The early life microbiome plays critical roles in host development, shaping long-term outcomes including brain functioning. It is not known which initial infant colonizers elicit optimal neurodevelopment; thus, this study investigated the association between gut microbiome succession from the first week of life and head circumference growth (HCG), the earliest validated marker for neurodevelopment. Fecal samples were collected weekly from a preterm infant cohort during their neonatal intensive care unit stay and subjected to 16S rRNA gene sequencing for evaluating gut microbiome composition, in conjunction with clinical data and head circumference measurements. Preterm infants with suboptimal HCG trajectories had a depletion in the abundance/prevalence of Bacteroidota and Lachnospiraceae, independent of morbidity and caloric restriction. The severity of gut microbiome depletion matched the timing of significant HCG pattern separation between study groups at 30-week postmenstrual age demonstrating a potential mediating relationship resultant from clinical practices. Consideration of the clinical variables indicated that optimal infant microbiome succession is primarily driven by dispersal limitation (i.e., delivery mode) and secondarily by habitat filtering (i.e., antibiotics and enteral feeding). Bacteroidota and Lachnospiraceae are known core taxa of the adult microbiome, with roles in dietary glycan foraging, beneficial metabolite production and immunity, and our work provides evidence that their integration into the gut microbiome needs to occur early for optimal neurodevelopment.


Subject(s)
Bacteroidetes/physiology , Child Development/physiology , Clostridiales/physiology , Gastrointestinal Microbiome/physiology , Anti-Bacterial Agents/therapeutic use , Bacteroidetes/isolation & purification , Clostridiales/isolation & purification , Delivery, Obstetric , Enteral Nutrition , Feces/microbiology , Female , Head/growth & development , Humans , Infant , Infant, Newborn , Infant, Premature , Male
2.
Gastroenterology ; 160(2): 495-506, 2021 01.
Article in English | MEDLINE | ID: mdl-33307032

ABSTRACT

The composition of the intestinal microbiome affects health from the prenatal period throughout childhood, and many diseases have been associated with dysbiosis. The gut microbiome is constantly changing, from birth throughout adulthood, and several variables affect its development and content. Features of the intestinal microbiota can affect development of the brain, immune system, and lungs, as well as body growth. We review the development of the gut microbiome, proponents of dysbiosis, and interactions of the microbiota with other organs. The gut microbiome should be thought of as an organ system that has important effects on childhood development. Dysbiosis has been associated with diseases in children and adults, including autism, attention deficit hyperactivity disorder, asthma, and allergies.


Subject(s)
Child Development/physiology , Dysbiosis/physiopathology , Gastrointestinal Microbiome/physiology , Adolescent , Body Weight/physiology , Central Nervous System/growth & development , Child , Child, Preschool , Dysbiosis/microbiology , Environment , Female , Health , Health Status , Humans , Immune System/growth & development , Immune System/physiopathology , Infant , Infant, Newborn , Lung/growth & development , Lung/physiology , Lung/physiopathology
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