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The developing gut microbiota and its consequences for health
M-J Butel1, A-J Waligora-Dupriet1, S Wydau-Dematteis1
1Paris Descartes University, Sorbonne Paris Cité, Faculty of pharmacy,Hospital-University Department «Risk in pregnancy»,Team "Intestinal ecosystem, Probiotics, Antibiotics",Paris,France.
Insights
The first 1000 days are critical for gut microbiota development. Early gut dysbiosis, influenced by perinatal factors, can lead to long-term health issues like allergies and obesity.
Area of Science:
- Microbiology
- Developmental Biology
- Immunology
Background:
- The first 1000 days (conception to 2 years) are crucial for health and disease development.
- Gut microbiota establishment occurs during this critical window.
- Perinatal factors like delivery mode, feeding, and antibiotic use significantly impact early gut colonization and can lead to dysbiosis.
Purpose of the Study:
- To explore the impact of early life gut microbiota establishment on long-term health outcomes.
- To investigate the potential role of the in-utero placental microbiota in fetal immune programming.
- To highlight the link between neonatal gut microbiota and future disease risk.
Main Methods:
- Review of existing literature on the developmental origins of health and disease.
- Analysis of studies investigating perinatal determinants of gut microbiota.
- Examination of research on placental microbiota and its potential influence on fetal development.
Main Results:
- Early gut dysbiosis, resulting from perinatal factors, can have persistent effects and increase the risk of diseases such as allergies and obesity.
- Recent findings suggest a potential in-utero microbiota, particularly in the placenta, which may influence fetal immune development.
- Alterations in placental microbiota composition have been associated with pregnancy complications.
Conclusions:
- The establishment of the neonatal gut microbiota is intrinsically linked to future health.
- The placental microbiota may play an earlier role in immune programming than previously understood.
- Interventions like prebiotics and probiotics are promising for preventing or correcting early dysbiosis to mitigate long-term health consequences.
Abstract:
The developmental origin of health and disease highlights the importance of the period of the first 1000 days (from the conception to the 2 years of life). The process of the gut microbiota establishment is included in this time window. Various perinatal determinants, such as cesarean section delivery, type of feeding, antibiotics treatment, gestational age or environment, can affect the pattern of bacterial colonization and result in dysbiosis. The alteration of the early bacterial gut pattern can persist over several months and may have long-lasting functional effects with an impact on disease risk later in life. As for example, early gut dysbiosis has been involved in allergic diseases and obesity occurrence. Besides, while it was thought that the fetus developed under sterile conditions, recent data suggested the presence of a microbiota in utero, particularly in the placenta. Even if the origin of this microbiota and its eventual transfer to the infant are nowadays unknown, this placental microbiota could trigger immune responses in the fetus and would program the infant's immune development during fetal life, earlier than previously considered. Moreover, several studies demonstrated a link between the composition of placental microbiota and some pathological conditions of the pregnancy. All these data show the evidence of relationships between the neonatal gut establishment and future health outcomes. Hence, the use of pre- and/or probiotics to prevent or repair any early dysbiosis is increasingly attractive to avoid long-term health consequences.
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