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Updated: Mar 28, 2026

A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
Development of the infant intestinal microbiome: A bird's eye view of a complex process
Sharon B Meropol1,2,3, Amy Edwards4
1The Center for Child Health and Policy, Case Western Reserve University School of Medicine and UH Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Insights
The infant microbiome undergoes significant changes in the first year, influenced by birth and diet. Understanding these shifts is crucial for preventing long-term health issues like allergies and obesity.
Area of Science:
- Microbiology
- Immunology
- Developmental Biology
Background:
- Infant gut microbiota composition dramatically changes during the first year of life, influenced by birth mode, diet, and environmental factors.
- Early-life microbial colonization is critical for developing healthy infant metabolic and immunologic systems.
- Alterations in infant microbiota are linked to immediate functional changes and downstream health consequences, including obesity, allergies, and autoimmune diseases.
Purpose of the Study:
- To highlight the dynamic nature of the infant microbiome.
- To underscore the impact of early-life exposures on microbial colonization and subsequent health.
- To emphasize the need for a comprehensive understanding of environmental factors influencing infant microbiome development.
Main Methods:
- Review of existing literature on infant microbiome development and its health implications.
- Analysis of factors influencing microbial colonization, including birth mode, feeding practices, and antibiotic exposure.
- Discussion of the interplay between environmental exposures and infant physiological development.
Main Results:
- Infant microbiota acquisition begins before birth and is shaped by various exposures throughout the first year.
- Persistent shifts in microbial populations are associated with altered gene expression, metabolism, and immune function.
- Modern exposures like Cesarean sections, formula feeding, and antibiotics are linked to microbiome alterations and increased disease risk.
Conclusions:
- Protecting and restoring the healthy infant microbiome is a critical area for modern medicine.
- A holistic approach is needed to understand the complex interactions of environmental factors on infant microbiome development.
- Further research into infant developmental and molecular physiology is essential for addressing microbiome-related health issues.
Abstract:
Infants undergo profound shifts in colonizing intestinal microorganisms during their first year, especially during and after birth and during weaning. Microbiota are passed to infants through the placenta, during the vaginal birth process, and from early diet and other environmental exposures. These microbiota play an active role in the development of healthy infant metabolic and immunologic systems; profound shifts in microbiotal populations can be persistent, are associated with immediate alterations in gene expression, metabolic, immunologic, and neurologic function, and with downstream metabolic and immunologic consequences such as obesity, allergies, asthma, autoimmune diseases, and potentially neurologic conditions. Many modern exposures, including Cesarean section, formula feeding, and antibiotics, have been associated with microbiome shifts, and also with downstream diseases; while many published studies considered exposures individually, a more comprehensive understanding of their interaction and impact will consider the entirety of the infant's environment. It is not possible, nor desirable, to return to a world without toilets, sewers, tap water, delivery room antisepsis, Cesarean sections, antibiotics, immunizations, and refrigerators; our other alternative is to better understand these complex changes in infant developmental and molecular physiology. Protecting and repairing the developmental processes of the healthy infant microbiome is the modern medical frontier.
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