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Updated: May 26, 2026

Microbiota Analysis Using Two-step PCR and Next-generation 16S rRNA Gene Sequencing
Published on: October 15, 2019
Gut microbiota and pediatric disease
Valerio Iebba1, Marina Aloi, Fortunata Civitelli
1Pediatric Gastroenterology and Liver Unit, Department of Pediatrics, Sapienza University of Rome, Rome, Italy. valerio.iebba@uniroma1.it
Insights
The gut microbiota plays a crucial role in pediatric diseases, with altered microbial compositions linked to conditions like IBD and autism. Research explores these imbalances to understand disease development and potential protective microbial agents.
Area of Science:
- Pediatric gastroenterology and microbiology.
- Investigating the gut microbiome's influence on child health.
Background:
- The gut microbiota's role in pediatric diseases such as IBD, celiac disease, asthma, allergy, and autism is under extensive research.
- A leading hypothesis suggests that dysbiosis, an altered microbial composition, contributes to the pathogenesis and progression of these disorders.
Purpose of the Study:
- To define pediatric gut microbiota imbalances across various diseases.
- To explore the relationship between microbial composition and disease development in children.
Main Methods:
- Utilizing cultural, molecular, metabolomic, and metagenomic approaches.
- Analyzing microbial composition and its association with disease states.
Main Results:
- Increased aerobes, facultative anaerobes, and Enterobacteriaceae (e.g., Escherichia coli) observed in pediatric IBD.
- Higher bacterial counts and biodiversity in pediatric IBD and celiac disease.
- Shifts in bacterial phyla (Bacteroidetes increase, Firmicutes decrease) noted in IBD, celiac disease, and autism.
- Western diets may increase Firmicutes, reduce beneficial short-chain fatty acids, and increase susceptibility to infections.
- Lactobacillus and Bifidobacterium species show potential protective roles in atopic diseases, while others are linked to increased risk.
Conclusions:
- Gut microbiota dysbiosis is implicated in various pediatric diseases.
- Specific microbial profiles are associated with different conditions, offering insights into pathogenesis.
- Understanding these microbial shifts may lead to novel therapeutic strategies targeting the gut microbiome in children.
Background:
Researchers have made every effort to assess the role of gut microbiota in pediatric diseases like inflammatory bowel disease (IBD), celiac disease, asthma, allergy, and autism. The leading hypothesis is that an altered microbial composition is present (other than the presence of a specific pathogen) and that it could be involved in the pathogenesis or progression of such disorders.
Methods:
Cultural, molecular, metabolomic, and metagenomic approaches are trying to define the pediatric gut microbiota imbalances in different diseases.
Results And Conclusion:
In pediatric IBD, a marked increase in aerobes and facultative anaerobes was found, along with an increase in Enterobacteriaceae members (Escherichia coli). In both pediatric IBD and celiac disease (Th1-mediated disorders), higher bacterial cell counts were observed, jointly with a general gain of biodiversity. A preponderance of Bacteroidetes and a parallel decrease of Firmicutes was also reported in IBD, celiac disease and autism. Contrarily, dietary changes due to Western lifestyles increase Firmicutes populations and lower short-chain fatty acids production, possibly exposing 'developed' children to the infectious challenge (Escherichia and Shigella spp.). Lactobacillus and Bifidobacterium species could be protective agents for atopic diseases, while Clostridia, Enterobacteriaceae, and staphylococci can be associated with an increased risk of such Th2-mediated disorders. In the brain-gut axis view, gut microbiota could also play a role in autism.
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