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Impacts of Cesarean Section on Neonatal Gut Microbiome and Future Health Outcomes: A qualitative analysis of the literature 剖宫产对新生儿肠道微生物组和未来健康结果的影响:文献的定性分析
Pub Date : 2023-02-01 DOI: 10.1530/mah-23-0006
Paige Buffington, Alexia M Sebghati, Kasey B Stewart, Samantha Lawson, Oleg Karaduta
Objective This study aims to evaluate the impact of cesarean section delivery on the neonatal intestinal microflora compared to vaginal deliveries. Design A mini-review. Methods A comprehensive search strategy was implemented, primarily using PubMed, to identify relevant studies published in English within the past 10 years. Selected studies were appraised by three independent reviewers using JBI critical appraisal and data extraction forms. Four articles were included in the analysis, encompassing systematic reviews and a retrospective cohort study. Primary and secondary outcome data were combined across these studies. Results Selected studies revealed consistent trends in bacterial colonization differences between cesarean and vaginal deliveries. Vaginally delivered infants exhibited higher populations of beneficial bacteria such as Bifidobacterium , Lactobacillus , and Bacteroides . Cesarean-delivered infants, on the other hand, showed greater colonization of Enterococcus , Klebsiella , Clostridium , Staphylococcus , Streptococcus , and Corynebacterium . Statistically significant differences were observed in two studies. All articles explored the potential health implications of these microbiome differences, with associations found between cesarean deliveries and various health outcomes. Conclusion This review demonstrates that cesarean section delivery influences the composition of the neonatal gut microbiota. The presence of certain bacterial species more prevalent in vaginally delivered infants, such as Bifidobacterium , is associated with improved infant health, while species found in cesarean-delivered infants, such as Clostridium , increase the risk of certain infections. Recognizing the increased health risks for cesarean-born infants enables clinicians to implement early screening, treatment, or prevention strategies, potentially reducing future morbidity and mortality.
目的探讨剖宫产与阴道分娩对新生儿肠道菌群的影响。设计一个小型回顾。方法采用综合检索策略,以PubMed为主要检索工具,检索近10年发表的相关英文文献。选定的研究由三名独立审稿人使用JBI关键评估和数据提取表格进行评估。四篇文章被纳入分析,包括系统综述和回顾性队列研究。将这些研究的主要和次要结局数据结合起来。结果选定的研究揭示了剖宫产和阴道分娩之间细菌定植差异的一致趋势。阴道分娩的婴儿显示出更高的有益菌群,如双歧杆菌、乳杆菌和拟杆菌。另一方面,剖宫产婴儿肠球菌、克雷伯氏菌、梭状芽胞杆菌、葡萄球菌、链球菌和棒状杆菌的定植量更大。在两项研究中观察到统计学上的显著差异。所有文章都探讨了这些微生物组差异对健康的潜在影响,并发现剖宫产与各种健康结果之间存在关联。结论剖宫产会影响新生儿肠道菌群的组成。在阴道分娩的婴儿中更为普遍的某些细菌种类的存在,如双歧杆菌,与婴儿健康状况的改善有关,而在剖腹产分娩的婴儿中发现的物种,如梭状芽孢杆菌,则增加了某些感染的风险。认识到剖宫产婴儿增加的健康风险使临床医生能够实施早期筛查、治疗或预防策略,从而潜在地降低未来的发病率和死亡率。
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引用次数: 0
Microbiota and Host: A new Journal focused on the ‘Internal Climate Change’ 微生物群与宿主:专注于“内部气候变化”的新期刊
Pub Date : 2022-12-15 DOI: 10.1530/mah-22-0001
B. Joe
In centuries prior to the modern age, human mortality was largely attributed to a variety of infectious diseases. As such, research was heavily focused on discovering antimicrobial agents, which lead to the discovery of antibiotics. Fast forward to the 21st century, infectious diseases as the leading causes of human mortality are replaced by cardiovascular diseases and cancer. Recent research on these two and other polygenic diseases has revealed intriguing associations between the host and microbiota residing with the host as a previously ignored feature contributing to a variety of pathologies. The vast scope of such host-microbiota interactions, which is now known to affect most, if not all host organs and their physiology, begs the question of whether the use of antibiotics has reshaped our microbiota and thereby contributed to the surge of host new age disorders. In support, multiple studies provide clear evidence demonstrating that perturbations of the host microbiota with antibiotics have consequences on shaping the course of host susceptibility to pathologies. From the perspective of the trillions of microbiota residing within the host, this experience of what they face as consequences of the actions of the host can be likened to an ‘internal climate change’. This ‘internal climate change’ is a continuum shaped not just by antibiotics, but by the voluntary choices of the host diet, synthetic food additives, medications, lifestyle, etc. This confers a selection pressure for the fittest of microbiota to adapt and survive. By promoting such changes in the composition of microbiota, the host is faced with functional consequences of the microbial metabolites released into the host circulation. Therefore, such mutualism between the host and microbiota, when tipped, has far reaching consequences on the health of all eukaryotic hosts. The realization of this crucial bidirectional symbiosis has kindled the quest for a deep mechanistic understanding of the underlying biochemical wiring between the microbiota and host. In this regard, our new journal ‘Microbiota and Host’ is a timely journal being launched to serve as the receptacle for your highly impactful research in delineating the mechanisms governing microbiotahost interactions. The scope of the journal is not limited to humans and model organisms, but intentionally broad to encompass research on all eukaryotic hosts experiencing the ‘internal climate change’ as a cause for their transition from physiology to pathophysiology. The vision of our Journal is to encourage studies which enable us to forge ahead beyond taxonomic associations of microbiota with the host to functional characterizations of such associations. We are pleased to offer you the collective expertise of an excellent international team as our Editorial Board and welcome your submissions on topics as detailed in the scope of our journal.
在现代之前的几个世纪里,人类的死亡主要归因于各种传染病。因此,研究主要集中在发现抗菌剂上,这导致了抗生素的发现。快进到21世纪,传染病作为人类死亡的主要原因已被心血管疾病和癌症所取代。最近对这两种疾病和其他多基因疾病的研究揭示了宿主和宿主微生物群之间的有趣关联,这是一个以前被忽视的特征,有助于各种病理。这种宿主-微生物群相互作用的广泛范围,现在已知会影响大多数(如果不是全部)宿主器官及其生理,这就引出了一个问题:抗生素的使用是否重塑了我们的微生物群,从而导致了宿主新年龄疾病的激增。为了支持这一观点,多项研究提供了明确的证据,表明抗生素对宿主微生物群的干扰会影响宿主对疾病的易感性过程。从居住在宿主体内的数万亿微生物群的角度来看,它们所面临的这种作为宿主行为后果的体验可以比作“内部气候变化”。这种“内部气候变化”是一个连续体,不仅受到抗生素的影响,而且受到宿主对饮食、合成食品添加剂、药物、生活方式等的自愿选择的影响。这给最适合的微生物群带来了适应和生存的选择压力。通过促进微生物群组成的这种变化,宿主面临着释放到宿主循环中的微生物代谢物的功能后果。因此,宿主和微生物群之间的这种互惠关系,一旦发生倾斜,对所有真核宿主的健康都会产生深远的影响。这种重要的双向共生关系的实现激发了对微生物群和宿主之间潜在生化连接的深刻机制理解的追求。在这方面,我们的新期刊《微生物群与宿主》是一本及时推出的期刊,可以作为您在描述微生物与宿主相互作用机制方面具有高度影响力的研究的容器。该期刊的范围并不局限于人类和模式生物,而是有意扩大到包括所有真核生物宿主的研究,这些真核生物宿主经历了“内部气候变化”,这是它们从生理学向病理生理学过渡的原因。我们期刊的愿景是鼓励研究,使我们能够超越微生物群与宿主的分类关联,以这种关联的功能特征。我们很高兴为您提供一个优秀的国际团队的集体专业知识作为我们的编辑委员会,并欢迎您就本刊范围内详细介绍的主题提交意见。
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引用次数: 0
New open-access journal, Microbiota and Host, launched by Bioscientifica 《生物科学》杂志推出新的开放获取期刊《微生物群与宿主》
Pub Date : 2022-09-27 DOI: 10.1530/mah-22-0001a
Bioscientifica
Microbiota and Host is a new, fully open-access, peer-reviewed journal publishing fundamental and applied research and reviews that advance our understanding of the impact of commensal microbiota on their hosts.The emergence of the field of research on microbiota and microbiomes has caused a shift in perspective on form and function of eukaryotes as 'meta-organisms' to be considered together with their microbiota. Disturbances in a harmonious relationship between commensal microbiota and the host are being increasingly implicated in a wide range of diseases including but not limited to obesity, liver disease, cardiovascular disease, neurological disorders and cancer.Led by Editor-in-Chief Professor Bina Joe, from the University of Toledo, Ohio, Microbiota and Host is particularly interested in publishing experimental or mechanistic articles, and those which propose potential therapeutic interventions.About BioscientificaBioscientifica exists to support biomedicine. Through our publishing expertise we strengthen biomedical communities to advance science and health. Bioscientifica is owned by the UK’s Society for Endocrinology and any profits made through our publications are redistributed to support biomedical research and practice.
《微生物群与宿主》是一本全新的、完全开放获取的、同行评议的期刊,发表基础和应用研究和评论,促进我们对共生微生物群对宿主的影响的理解。微生物群和微生物组研究领域的出现引起了真核生物作为“元生物”的形式和功能的观点的转变,并将其与微生物群一起考虑。共生菌群与宿主之间和谐关系的紊乱越来越多地与多种疾病有关,包括但不限于肥胖、肝病、心血管疾病、神经系统疾病和癌症。由来自俄亥俄州托莱多大学的主编Bina Joe教授领导,Microbiota and Host对发表实验性或机械性文章以及提出潜在治疗干预措施的文章特别感兴趣。bioscientiica的存在是为了支持生物医学。通过我们的出版专业知识,我们加强生物医学社区,以促进科学和健康。bioscientiica由英国内分泌学会所有,通过我们的出版物获得的任何利润都将重新分配给支持生物医学研究和实践。
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引用次数: 0
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Microbiota and Host
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