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Published on: January 12, 2018
Preterm Birth Has Effects on Gut Colonization in Piglets Within the First 4 Weeks of Life
Shamrulazhar Shamzir Kamal1, Anders Daniel Andersen2, Lukasz Krych1
1Department of Food Science.
Insights
Preterm birth impacts gut microbiota development, with gestational age influencing composition long-term. Early feeding also affects the gut microbiome in preterm and term piglets.
Area of Science:
- Microbiology
- Neonatal Physiology
- Gastroenterology
Background:
- Preterm neonates exhibit immature gastrointestinal tracts and altered gut bacterial colonization.
- The specific factors inducing immature gut microbiota (GM) colonization in preterm infants remain unclear.
- Piglets serve as a relevant model for studying infant gut development.
Purpose of the Study:
- To investigate the effects of shortened gestational age (GA) and early enteral feeding (EEF) on gut microbiota composition in preterm and term piglets.
- To understand the long-term impact of GA and EEF on gut microbial colonization.
- To explore potential links between gut microbiota differences and gut dysfunction in preterm birth.
Main Methods:
- Caesarean-delivered preterm and term piglets were reared in controlled environments.
- Pigs received either total parenteral nutrition (TPN) or early enteral feeding (EEF).
- Gut microbiota composition was analyzed using 16S rRNA gene sequencing, and short-chain fatty acids (SCFAs) were measured by GC-MS.
Main Results:
- Both GA and EEF influenced GM composition at day 5, but only GA effects persisted until day 26.
- Enterobacteriaceae were dominant in preterm piglets, while term piglets showed higher relative abundance of Akkermansia at day 26.
- Term piglets had higher colonic acetate and propionate concentrations and lower formate levels compared to preterm piglets on day 26.
Conclusions:
- Significant differences in gut microbiota colonization exist between preterm and term piglets within the first four weeks of life.
- These microbial differences, influenced by gestational age, may contribute to early and later gut dysfunction associated with preterm birth.
- Gestational age is a critical factor shaping the developing gut microbiome in early life.
Objectives:
Preterm neonates have an immature gastrointestinal tract and show an altered bacterial colonization of the gut. However, it is not clear if such immature gut microbiota (GM) colonization is induced by specific delivery, diet, environment, and/or host factors related to preterm birth. Using piglets as models for infants, we hypothesized that both shortened gestational age (GA) and start of enteral feeding affect GM composition after caesarean delivery and rearing in identical environments.
Methods:
Caesarean-delivered preterm and term pigs were reared in incubators and fed total parenteral nutrition (TPN) or gradually increasing early enteral feeding (EEF) for 5 days, followed by full enteral feeding with bovine milk until day 26. GM composition was determined by 16S rRNA gene-amplicon sequencing and luminal short-chain fatty acids (SCFAs) by GC-MS.
Results:
Both GA and EEF feeding affected GM composition on day 5, but only the GA effect persisted until day 26. On day 5, Enterobacteriaceae were dominant, with Lachnospiraceae members also being abundant. Enterobacteriaceae still dominated the GM at day 26 but with higher Akkermansia relative abundance in term pigs. Colonic concentrations of acetate and propionate were higher, and formate lower in term pigs, relative to preterm pigs on day 26.
Conclusions:
Preterm and term piglets, born and reared in similar ways, show differences in GM colonization during the first 4 weeks of life, which may play a role for early and later gut dysfunction resulting from preterm birth.
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