Perinatal and neonatal manipulation of the intestinal microbiome: a note of caution

Josef Neu1

  • 1Department of Pediatrics, University of Florida, Gainesville, Florida 32610, USA. neuj@peds.ufl.edu

Nutrition Reviews
|July 4, 2007
PubMed

Insights

The early gut microbiome is crucial for infant health and lifelong gene expression. Manipulating the infant gut microbiome offers benefits but requires caution during the neonatal period.

Area of Science:

  • Microbiology
  • Gastroenterology
  • Developmental Biology

Background:

  • The intestinal microbiome's establishment post-birth is vital for early health and disease origins.
  • Factors like nutrition, delivery mode, and antibiotics significantly influence gut microbial ecology.
  • Neonatal gut microbial development has amplified, long-lasting effects compared to later interventions.

Purpose of the Study:

  • To review recent findings on the benefits of early gastrointestinal (GI) microbiome manipulation.
  • To provide a cautionary perspective on indiscriminate GI microbiome interventions during perinatal and neonatal periods.

Main Methods:

  • Review of recent scientific literature on gut microbiome development.
  • Analysis of factors influencing neonatal microbial ecology.
  • Evaluation of the long-term consequences of early microbiome modulation.

Main Results:

  • Early gut microbiome establishment critically impacts health and gene expression.
  • Specific factors can significantly alter the developing microbial community.
  • Neonatal interventions have more profound long-term effects than later ones.

Conclusions:

  • Early manipulation of the GI microbiome can confer health benefits.
  • Indiscriminate interventions during the neonatal period warrant caution due to amplified long-term effects.

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