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Updated: Jun 12, 2026

Microfluidic Model of Necrotizing Enterocolitis Incorporating Human Neonatal Intestinal Enteroids and a Dysbiotic Microbiome
Published on: July 28, 2023
Neonatal Necrotizing Enterocolitis -Inflammation and Intestinal Immaturity
1The University of Chicago, Departments of Pediatrics and Medicine, Sections of Neonatology and Gastroenterology, 5841 S. Maryland Ave MC6060, Chicago, IL 60637, USA.
Insights
Necrotizing enterocolitis is a serious gut disease in premature infants. Understanding intestinal immaturity, bacterial colonization, and inflammation is key to developing treatments for this vulnerable population.
Area of Science:
- Gastroenterology
- Neonatology
- Immunology
Background:
- Neonatal necrotizing enterocolitis (NEC) is a severe intestinal disease affecting premature infants.
- The exact causes of NEC are not fully understood, hindering specific treatment development.
- Intestinal immaturity is a significant factor in infant susceptibility to NEC.
Purpose of the Study:
- To review the factors contributing to NEC pathogenesis in preterm infants.
- To explore the role of bacterial colonization, barrier function, and enterocyte inflammation.
- To discuss potential therapeutic strategies, including human milk factors and probiotics.
Main Methods:
- Literature review focusing on neonatal necrotizing enterocolitis.
- Analysis of studies on intestinal immaturity in preterm infants.
- Examination of research on gut microbiota, barrier integrity, and immune responses.
Main Results:
- Preterm infants exhibit unique gut vulnerabilities due to immature intestinal systems.
- Bacterial colonization patterns significantly influence NEC development.
- Impaired intestinal barrier function and inflammatory responses in enterocytes are critical.
Conclusions:
- Understanding the interplay of bacterial colonization, barrier function, and inflammation is crucial for NEC prevention and treatment.
- Human milk components and probiotics show therapeutic promise for NEC.
- Further research into intestinal immaturity can lead to targeted interventions for preterm infants.
Abstract:
Neonatal necrotizing enterocolitis is a devastating inflammatory bowel disease of premature infants. The pathogenesis remains incompletely understood and there is no specific treatment. Efforts are ongoing to understand aspects of intestinal immaturity which contribute to susceptibility to this disease. This review focuses on bacterial colonization patterns, intestinal barrier function, and inflammatory responses of immature enterocytes leading to a unique vulnerability of the preterm gut. In addition the possible therapeutic potential of factors in human milk and probiotic bacteria is discussed.
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