A Pilot Study Exploring Temporal Development of Gut Microbiome/Metabolome in Breastfed Neonates during the First Week of Life.

Imad Awan, Emily Schultz, John D Sterrett, Lamya'a M Dawud, Lyanna R Kessler, Deborah Schoch, Christopher A Lowry, Lori Feldman-Winter, Sangita Phadtare
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引用次数: 1

Abstract

Purpose: Exclusive breastfeeding promotes gut microbial compositions associated with lower rates of metabolic and autoimmune diseases. Its cessation is implicated in increased microbiome-metabolome discordance, suggesting a vulnerability to dietary changes. Formula supplementation is common within our low-income, ethnic-minority community. We studied exclusively breastfed (EBF) neonates' early microbiome-metabolome coupling in efforts to build foundational knowledge needed to target this inequality.

Methods: Maternal surveys and stool samples from seven EBF neonates at first transitional stool (0-24 hours), discharge (30-48 hours), and at first appointment (days 3-5) were collected. Survey included demographics, feeding method, medications, medical history and tobacco and alcohol use. Stool samples were processed for 16S rRNA gene sequencing and lipid analysis by gas chromatography-mass spectrometry. Alpha and beta diversity analyses and Procrustes randomization for associations were carried out.

Results: Firmicutes, Proteobacteria, Bacteroidetes and Actinobacteria were the most abundant taxa. Variation in microbiome composition was greater between individuals than within (p=0.001). Palmitic, oleic, stearic, and linoleic acids were the most abundant lipids. Variation in lipid composition was greater between individuals than within (p=0.040). Multivariate composition of the metabolome, but not microbiome, correlated with time (p=0.030). Total lipids, saturated lipids, and unsaturated lipids concentrations increased over time (p=0.012, p=0.008, p=0.023). Alpha diversity did not correlate with time (p=0.403). Microbiome composition was not associated with each samples' metabolome (p=0.450).

Conclusion: Neonate gut microbiomes were unique to each neonate; respective metabolome profiles demonstrated generalizable temporal developments. The overall variability suggests potential interplay between influences including maternal breastmilk composition, amount consumed and living environment.

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一项探索母乳喂养的新生儿在生命第一周肠道微生物/代谢组时间发育的初步研究。
目的:纯母乳喂养促进肠道微生物组成,降低代谢和自身免疫性疾病的发病率。它的停止与微生物组-代谢组失调增加有关,表明易受饮食变化的影响。在我们低收入的少数民族社区,配方奶粉补充剂很常见。我们研究了纯母乳喂养(EBF)新生儿的早期微生物组-代谢组耦合,努力建立针对这种不平等所需的基础知识。方法:收集7例EBF新生儿首次排便(0-24小时)、出院(30-48小时)和首次就诊(3-5天)时的产妇调查和粪便样本。调查内容包括人口统计、喂养方法、药物、病史和烟酒使用情况。对粪便样品进行16S rRNA基因测序和气相色谱-质谱分析。进行α和β多样性分析和Procrustes随机化。结果:厚壁菌门、变形菌门、拟杆菌门和放线菌门是最丰富的类群。个体之间微生物组组成的差异大于个体内部(p=0.001)。棕榈酸、油酸、硬脂酸和亚油酸是最丰富的脂质。个体间脂质组成差异大于个体内差异(p=0.040)。代谢组的多变量组成与时间相关,但与微生物组无关(p=0.030)。总脂质、饱和脂质和不饱和脂质浓度随时间增加而增加(p=0.012, p=0.008, p=0.023)。α多样性与时间无关(p=0.403)。微生物组组成与每个样品的代谢组无关(p=0.450)。结论:新生儿肠道微生物组具有独特性;各自的代谢组谱显示出普遍性的时间发展。总体差异表明,母乳成分、摄入量和生活环境等影响因素之间存在潜在的相互作用。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
43
期刊介绍: Pediatric Gastroenterology, Hepatology and Nutrition (Pediatr Gastroenterol Hepatol Nutr), an official journal of The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition, is issued bimonthly and published in English. The aim of Pediatr Gastroenterol Hepatol Nutr is to advance scientific knowledge and promote child healthcare by publishing high-quality empirical and theoretical studies and providing a recently updated knowledge to those practitioners and scholars in the field of pediatric gastroenterology, hepatology and nutrition. Pediatr Gastroenterol Hepatol Nutr publishes review articles, original articles, and case reports. All of the submitted papers are peer-reviewed. The journal covers basic and clinical researches on molecular and cellular biology, pathophysiology, epidemiology, diagnosis, and treatment of all aspects of pediatric gastrointestinal diseases and nutritional health problems.
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