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Updated: Mar 9, 2026

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
The developing hypopharyngeal microbiota in early life
Martin Steen Mortensen1, Asker Daniel Brejnrod1, Michael Roggenbuck1
1Department of Biology, Section of Microbiology, University of Copenhagen, Universitetsparken 15, bldg. 1, DK2100, Copenhagen, Denmark.
Insights
The airway microbiota in healthy infants rapidly develops within the first three months, forming distinct community types. Older siblings significantly influence this early development, shaping the infant
Area of Science:
- Microbiology
- Pediatrics
- Genomics
Background:
- Healthy airways host a unique microbial community.
- Microbiota disturbances are linked to disease.
- Early-life airway microbiota development is poorly understood.
Purpose of the Study:
- To investigate the establishment of the airway microbiota in the first three months of life.
- To understand the early development of the hypopharyngeal microbiota.
Main Methods:
- Analysis of the hypopharyngeal microbiota in 700 infants from the COPSAC2010 cohort.
- 16S rRNA gene sequencing of hypopharyngeal aspirates at 1 week, 1 month, and 3 months of age.
Main Results:
- Five distinct infant airway microbial community types (pneumotypes) were identified.
- Four pneumotypes were dominated by Staphylococcus, Streptococcus, Moraxella, or Corynebacterium.
- The airway microbiota showed rapid maturation, influenced by older siblings, with individual infants' microbiota becoming more personalized over time.
Conclusions:
- The study demonstrates a consolidation of indigenous bacteria in healthy infant airways.
- Distinct developmental trajectories for the early hypopharyngeal microbiota were observed.
Background:
The airways of healthy humans harbor a distinct microbial community. Perturbations in the microbial community have been associated with disease, yet little is known about the formation and development of a healthy airway microbiota in early life. Our goal was to understand the establishment of the airway microbiota within the first 3 months of life. We investigated the hypopharyngeal microbiota in the unselected COPSAC2010 cohort of 700 infants, using 16S rRNA gene sequencing of hypopharyngeal aspirates from 1 week, 1 month, and 3 months of age.
Results:
Our analysis shows that majority of the hypopharyngeal microbiota of healthy infants belong to each individual's core microbiota and we demonstrate five distinct community pneumotypes. Four of these pneumotypes are dominated by the genera Staphylococcus, Streptococcus, Moraxella, and Corynebacterium, respectively. Furthermore, we show temporal pneumotype changes suggesting a rapid development towards maturation of the hypopharyngeal microbiota and a significant effect from older siblings. Despite an overall common trajectory towards maturation, individual infants' microbiota are more similar to their own, than to others, over time.
Conclusions:
Our findings demonstrate a consolidation of the population of indigenous bacteria in healthy airways and indicate distinct trajectories in the early development of the hypopharyngeal microbiota.
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