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Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
Antibiotics, pediatric dysbiosis, and disease
Pajau Vangay1, Tonya Ward2, Jeffrey S Gerber3
1Biomedical Informatics and Computational Biology, University of Minnesota, Minneapolis, MN 55455, USA.
Insights
Early antibiotic use in children can disrupt the gut microbiome, leading to dysbiosis. Further research is needed to understand these effects and inform guidelines for infant antibiotic prescriptions.
Area of Science:
- Microbiology
- Pediatrics
- Epidemiology
Background:
- Antibiotics are frequently prescribed for children, with emerging evidence linking early exposure to adult disease phenotypes.
- Infant antibiotic use disrupts the gut microbiota, causing dysbiosis, a complex area of study due to the developing infant gut.
Purpose of the Study:
- To synthesize current knowledge on the link between antibiotics, dysbiosis, and disease in children.
- To propose a framework for investigating antibiotic-induced dysbiosis in pediatric populations.
Main Methods:
- Literature synthesis of existing research on antibiotic use, gut microbiome, and disease development.
- Proposal of a research framework focusing on four key types of dysbiosis.
Main Results:
- Early antibiotic exposure is associated with gut dysbiosis in infants.
- Four critical types of dysbiosis to study include loss of keystone taxa, reduced diversity, altered metabolic capacity, and pathogen blooms.
Conclusions:
- A comprehensive framework is proposed for studying antibiotic-related dysbiosis in children.
- Establishing large, diverse infant cohorts is crucial for defining healthy microbiome development and guiding future diagnostic and therapeutic strategies.
- Evidence-based recommendations for infant antibiotic use are needed.
Abstract:
Antibiotics are by far the most common medications prescribed for children. Recent epidemiological data suggests an association between early antibiotic use and disease phenotypes in adulthood. Antibiotic use during infancy induces imbalances in gut microbiota, called dysbiosis. The gut microbiome's responses to antibiotics and its potential link to disease development are especially complex to study in the changing infant gut. Here, we synthesize current knowledge linking antibiotics, dysbiosis, and disease and propose a framework for studying antibiotic-related dysbiosis in children. We recommend future studies into the microbiome-mediated effects of antibiotics focused on four types of dysbiosis: loss of keystone taxa, loss of diversity, shifts in metabolic capacity, and blooms of pathogens. Establishment of a large and diverse baseline cohort to define healthy infant microbiome development is essential to advancing diagnosis, interpretation, and eventual treatment of pediatric dysbiosis. This approach will also help provide evidence-based recommendations for antibiotic usage in infancy.
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