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Microbiome in parturition and preterm birth
1Department of Obstetrics and Gynecology.
Abstract:
Preterm parturition is a one of the most significant global maternal-child health problem. In recent years, there has been an explosion in reports on a role for microbiomes (i.e., a microbial biomass) on a plethora of physiologic and pathologic human conditions. This review aims to describe our current understanding of the microbiome and its impact on parturition, with particular emphasis on preterm birth. We will focus on the roles of vaginal and oral mucosal microbiomes in premature parturition and describe the state-of-the-art methodologies used in microbiome studies. Next, we will present new studies on a potential microbiome in the placenta and how it may affect pregnancy outcomes. Finally, we will propose that host genetic factors can perturb the normal "pregnancy microbiome" and trigger adverse pregnancy outcomes.
Insights
The microbiome, including vaginal and oral, significantly impacts preterm birth. Host genetics may also disrupt the pregnancy microbiome, leading to adverse outcomes.
Area of Science:
- Microbiology
- Obstetrics
- Genetics
Background:
- Preterm parturition is a major global maternal-child health concern.
- The microbiome's role in human health and disease is increasingly recognized.
- Understanding the microbiome's influence on pregnancy is crucial.
Purpose of the Study:
- To review the current understanding of the microbiome's impact on parturition, focusing on preterm birth.
- To explore the roles of vaginal and oral microbiomes in premature parturition.
- To discuss the potential placental microbiome and host genetic influences on pregnancy outcomes.
Main Methods:
- Literature review of microbiome studies related to parturition.
- Focus on state-of-the-art methodologies in microbiome research.
- Analysis of emerging research on placental microbiome and host genetics.
Main Results:
- Vaginal and oral microbiomes are implicated in preterm birth.
- The placenta may harbor its own microbiome, influencing pregnancy.
- Host genetic factors can alter the pregnancy microbiome.
Conclusions:
- The microbiome plays a significant role in preterm birth.
- Further research into the placental microbiome and host-microbiome interactions is warranted.
- Targeting the microbiome may offer new strategies for preventing preterm birth.
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