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Published on: June 24, 2020
The infant microbiome and implications for central nervous system development
Emilee Parsons1, Katerina Claud1, Elaine O Petrof2
1Department of Pediatrics/Neonatology, University of Chicago, Chicago, IL, United States.
Insights
The infant microbiome influences brain development, but the exact mechanisms are unclear. Research is ongoing to understand this connection for better outcomes in premature infants.
Area of Science:
- Neuroscience
- Microbiology
- Developmental Pediatrics
Background:
- Neurodevelopmental impairment is common in premature infants.
- The microbiome's role in neurodevelopment is increasingly recognized, but mechanisms are poorly understood.
- Factors like delivery mode, feeding, and medications shape the infant microbiome.
Purpose of the Study:
- To explore the relationship between the infant microbiome and neurodevelopment.
- To investigate the bidirectional communication pathways between the microbiome and the brain.
- To identify potential targets for improving neurodevelopmental outcomes in premature infants.
Main Methods:
- Utilizing animal models, particularly germ-free mice, to study microbiome-brain interactions.
- Analyzing neural, hormonal, and immunologic communication pathways.
- Reviewing factors influencing the developing infant microbiome.
Main Results:
- The microbiome significantly impacts neurodevelopment, with distinct effects in premature versus term infants.
- Bidirectional communication between the gut microbiome and the brain is established via multiple pathways.
- Germ-free mouse models provide insights into microbiome-dependent neurodevelopmental processes.
Conclusions:
- Understanding the microbiome-brain axis is crucial for addressing neurodevelopmental impairments in premature infants.
- Further research into the intricate relationship between the microbiome and brain development is a priority.
- Interventions targeting the infant microbiome may improve long-term neurodevelopmental outcomes.
Abstract:
Neurodevelopmental impairment remains a significant morbidity in former very low birth weight premature infants. There is increasing evidence the microbiome affects neurodevelopment but mechanistic causes are largely unknown. There are many factors which affect the developing microbiome in infants including mode of delivery, feeding, medications, and environmental exposures. The overall impact of these factors may differ between premature and term infants. The microbiome and brain have well recognized bidirectional communication pathways via neural, hormonal, and immunologic mechanisms. Understanding the interplay between these different pathways has been possible with the use of animal models, particularly germ-free mice. The intricate relationship between the microbiome and the brain remains a research priority not only to improve the care, but to also improve the long-term neurodevelopmental outcomes in this vulnerable population.
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